When we speak of life in the sense of relationships, dreams, and expectations for the future, we are speaking of?

CASE-1

Nurse Lucy works in the internal medicine service. Her patient Mary is staying in a quadruple room. While Mary was sitting in her room, her son Dylan came to visit. Dylan asked the ward nurse the day before for his mother to move into a quiet room. And he is angry when he sees that the situation has not changed, although the room was promised to be changed. With this anger, Dylan goes to the hallway and started to talk loudly, shouting for everyone to hear. He then quickly closes the door and returns to his mother's room.

Dylan is an only child. After discharge, he has to take care of his mother alone, and he has many difficulties in this regard.

a) In this case, what could be the reason for Dylan’s anger?

b) In this case, what would you do if you were nurse Lucy?

CASE-2

Dilek works in the surgery service as a nurse. She enters Mrs. Ayşe’s room, who will be operated on the next day. She sees that the patient is thoughtful:

Nurse: Mrs. Ayşe, I see you thoughtful. What do you think?

Ayşe: I'm going to have operation tomorrow, I'm thinking about it. I'm a little worried ...

Nurse: Nothing to worry about, it's a small operation. Many patients undergo this operation every day.

Ayşe: I'm afraid of anesthesia ..

Nurse: There is nothing to afraid of; you will sleep and wake up… Come on now rest. (says and leaves the room).

a) Assess the attitude of the nurse in the case given above? What are her right or wrong behaviors and why?

b) What could the patient feel during this communication?

c) What would you do if you were a nurse in such a situation? Write with your own sentences.

CASE-3

You are alone at home in the evening and study for your exam tomorrow. At that time, a friend of yours called you to chat. You want to hang up the phone, but your friend continues talking.

For this situation, write examples of passive, aggressive and assertive behaviors?

Passive behavior:

Aggressive behavior:

Assertive behavior:

QUESTION

Define the concept of empathy in communication. Write down the importance of empathy in nursing with your own words.

QUESTION

How does Joyce Travelbee define the concept of sympathy in the Human to Human Relationship Model? What are your opinions about this? Please write with your own sentences.

Submit report about following topics: ( Note: I don't want handwriting please )

a. Hydrostatic, or underwater weighing.

b. Air Displacement Plethysmography.

c. Neutron Activation Analysis.

d. Total Body Potassium.

The dearth in nursing specific outcomes
How can Advanced practice registered nurses encourage nursing-based outcomes studies?

By Aida Van Herk, RN, JD, Risk Management - AMN Healthcare A 39-week pregnant patient presented to Labor & Delivery at 2300 complaining of contractions since 1800. After she was examined by the physician, Pitocin was started at 2mu/minute. Prolonged decelerations in the fetal heartbeat were noted at 0100 and the Pitocin was turned off. At 0130, the physician ruptured the patient’s membranes and a deceleration was noted with immediate return to baseline of 140-150 BPM. The Pitocin was restarted at 0200 at 4mu/minute. Between 0240 and 0340, the Pitocin was turned down to 2mu/minute when frequent contractions with an unstable baseline, decelerations, and minimal variability were noted. From 0354 to 0404 there were more decelerations and absent variability with a baseline of 170-180 BPM. At 0405 the physician was called. The infant was born 25 minutes later via emergency cesarean section. She was blue, flaccid, with a nuchal wrap x4, low and unstable blood pressure, and a cord pH of 6.6. She was intubated, resuscitated, transfused and given medications to elevate her blood pressure. The infant remained in the neonatal intensive care unit for one month before being discharged home. She was diagnosed with cerebral palsy and experienced developmental delays. The family sued the physician and the nurse, alleging that the delay in delivery resulted in profound brain damage. They argued that the nurse failed to properly monitor and evaluate the patient and appropriately notify the physician. The nurse’s position: “When working as a nurse on the night shift, I would often need to exercise my clinical judgment about a change in a patient’s status. After my initial assessment of the situation, I decided to text page the physician that there was a problem. After 30 minutes without a response, I attempted once more. I finally called to report fetal distress and he arrived immediately thereafter.” The obstetrician’s position: “When working as an intern at nights, I relied on the assessment skills of the nurses and hoped they knew when to call. Many messages are received daily but critical information warranted direct communication, not a text message. The text page did not describe an emergency situation. After receiving the nurse’s call, I came immediately.” After unfavorable expert reviews, the case was settled for more than $3 million, with the nurse bearing primary responsibility. An analysis of this case highlights two areas of concern: Failure to communicate and failure to document. Failed communication between nurses and physicians is a major source of patient injury and professional liability litigation. When critical information is being transmitted to the physician, direct discussion can avoid delay in treatment. While reports not requiring urgent attention are generally sent through routine channels, urgent communications require extra effort to ensure they are received. In this case scenario, the nurse recognized a pattern consistent with the fetus responding to hypoxia and sent the physician a text page that was not responded to in a timely manner. It would have placed little burden on the nurse to call instead of paging the physician with that information. Because of the communication failure, the delivery of this high-risk fetus was delayed. It is best practice to personally communicate critical information to the physician and thoroughly document that discussion. Lack of Documentation is the second area of concern in this case study. Regardless of a nurse’s recollection of an event, the chart is still the best evidence as to what was done to and for the patient. In this case, there were a few places on the fetal monitoring strip where the nurse had documented “Report,” but no indication as to what was reported or to whom. The nurse was adamant she had reported fetal distress to the physician much earlier, but lack of documentation compromised her testimony and defense. If the nurse notified the physician there was a problem when she gave the report, she should have documented the details of that communication thoroughly and immediately. Moreover, if the doctor did not respond appropriately, she should have documented the response and gone further through the hospital chain of command. The nurse was charged with the responsibility of being the patient’s advocate, and as such is required to evaluate the condition of the patient and timely notify the physician if a problem is identified. In many cases, particularly in obstetrics, the window of time for an intervention may be very narrow and the nurse must act promptly. In this case, the documentation does not suggest that the nurse promptly recognized signs of distress or undertook any measures to assist with the alarming fetal condition demonstrated on the fetal monitoring strips. There was no documentation as to why the Pitocin was increased after the first prolonged deceleration or why the Pitocin was later only decreased instead of being turned off. The records do not show that supplemental oxygen was ever applied, or that proper attempts were made to reach the physician. As patient advocates, nurses must uphold their duty to properly monitor and evaluate each patient and appropriately notify the physician of changes in the patient’s condition.

Written records provide vital information and can help decision making in uncertain times. Relate the same to the above scenario.

provide examples of Professional Nursing and State-Level Regulations in California and another states

case study on an 80yrs old female african american with hypotension

What are mechanism of action (whether significant or not) and all molecular actions of the Amlodipine?

Do you think we can teach healthcare providers empathy? Why or why not? If so, how? If not, what can providers do to account for limited empathy skills?

You are alone at home in the evening and study for your exam tomorrow. At that time, a friend of yours called you to chat. You want to hang up the phone, but your friend continues talking.

For this situation, write examples of passive, aggressive and assertive behaviors?

Passive behavior:

Aggressive behavior:

Assertive behavior:

QUESTION

Define the concept of empathy in communication. Write down the importance of empathy in nursing with your own words.

QUESTION

How does Joyce Travelbee define the concept of sympathy in the Human to Human Relationship Model? What are your opinions about this? Please write with your own sentences.

Clinic has had a privacy breach. The clinic manager has asked you to speak to the staff about emerging privacy threats and what administrative and physical factors can be addressed to reduce privacy risks to health information.

QUESTION 1

1. Based on the lab results above, explain what this patient is diagnosed with hyperlipidemia and why they are more at risk of heart disease. Cite specific results in your answer.  Your response should be less than 100 words.