Kasey is an RN who has worked on the busy surgical unit of a large city hospital for the past 6 years. As one of three RNs on the unit's day shift, she often serves as the charge nurse when the assigned charge nurse has a day off. She is hard working, caring, and well organized and provides high-quality care for the often very unstable postoperative clients they receive on a daily basis.
About 2 weeks ago, Kasey's mother was admitted for a high-risk surgical removal of a brain tumor that was not responding to chemotherapy or radiation therapy. The surgery did not go well, and Kasey's mother was admitted to the surgical unit after the procedure. During the past 2 weeks, she has shown a gradual but steady decline in condition and is no longer able to recognize her family, speak, or do any self-care. It is believed she will probably not live more than an other week.
Per hospital policy, Kasey is not assigned to care for her mother; however, during her shifts, Kasey is spending more and more time with her mother sometimes to the detriment of her assigned clients. She is also beginning to make more demands on the unit nursing staff, often overseeing their care and requesting that only certain nurses care for her mother. One of the other nurses on the unit suggested that Kasey's mother be moved to a less specialized unit. When Kasey heard about the suggestion, she became livid and loudly scolded the nurse for her insensitivity in the middle of the nurses' station.
Questions :
1. Is the practice of not allowing nurses to provide care for their relatives evidence-based or accustomed practice?
2. Identify the steps in making this policy evidence based.
3. Do you think nurses should be allowed to care for relatives? Why? Why not?
In: Nursing
explain Securing a Prior authorization and discuss the process steps involved in the Medical assistant or other health care provider with the task. Respond to two students who posted a discussion on a topic different from the one that you selected. Responses must be substantial. Read all discussion.
In: Nursing
According to Maslow and Rogers, what are the characteristics of a fully functioning person? In your response, include answers to the following questions:
With which parts do you agree or disagree?
How does Rogers' view compare with that of Maslow and other humanists?
In: Nursing
In: Nursing
Collaboration Among Healthcare Professionals to Influence Health Policy.
*** Why might it be difficult to get health professionals to reach a consensus on a policy agenda
In: Nursing
List four components of teaching for the client with TB
In: Nursing
A 25-year-old Arab American man is one day post-operative following vascular surgery. There have been no post-surgical complications. He tells his family that he is “in terrible pain”, and he reports ratings of 2 to 3 on 0-10 numeric rating scale to the nursing staff. He requests pain medication every two to three hours, and will not get out of bed or ambulate.
Identify and state a priority nursing diagnosis label for your assigned client related to pain.
Develop and state three (3) nursing interventions for this nursing diagnosis label or patient problem. When planning individualized nursing interventions, consider the patient’s type of pain and cultural perspective.
Provide your rationale or reasoning for each intervention chosen.
Identify another interdisciplinary team member and an action they could take to help resolve the chosen client problem or nursing diagnosis. .
In: Nursing
Describe the initial treatment and maintenance pharmacotherapy of schizophrenia.
Draw a timeline for 2 to 4 weeks, 6 to 8 weeks, and 8 to 12 weeks and fill in the expected outcomes for drug therapy at each of those intervals
In: Nursing
Cancer is caused by rapid, uncontrolled cell division. Cells lose normal functions and invade normal surrounding tissues. Metastasize means to travel to another location. A tumor is named according to tissue of origin. Cause of cancer can be chemical physical, and biological. Some biological cancers are caused by diseases that suppress the immune system (HIV or immunosuppressant drugs after transplants).
Multiple drugs from different classes affect different stages in the cell cycle. The combinations allow for lower doses, which reduce toxicity and slow the development of resistance. Specific dosing protocol depends on the type of tumor, stage of the disease and overall condition of the patient. The drugs can be given as a single does or several doses and given within several days or after several weeks. This gives normal cells a chance to recover. Sometimes, the optimum does must be delayed to let the patient recover from drug toxicities.
It is difficult to kill cancer cells without killing normal cells. Serious toxicity limits therapy. Prophylactic treatment of symptoms are used to decrease the serious side effects.
Drugs that are vesicants can cause tissue injury.
Explain the significance of growth fraction and the cell cycle to the success of chemotherapy.
Explain the three primary therapies for cancer: surgery, radiation, and chemotherapy.
In: Nursing
You are
. . . an orthopedic technologist working with Kenneth Stannard, MD, at Fulwood Medical Center.
Your patient is
. . . James Fox, a 17-year-old male who complains of severe pain in his right wrist. While playing soccer a few hours earlier, he fell. James pushed his hand out to break his fall and heard his wrist snap. The wrist is now swollen and deformed.
VS are T 98.2, P 92, R 15, BP 110/76. On examination, his right wrist is swollen and tender and has a dinner-fork deformity. An IV has been started, and he has been given 3 mg of morphine IV. An x-ray of the wrist was ordered which reveals a closed Colles Fx.
In your initial post answer the following:
In: Nursing
Please describe the necessary steps for an individual to participate in the "Early Testing" option for the RHIA certification examination.
In: Nursing
Mrs. Morris’ physician has decided to prescribe an ACE inhibitor and an HMG-CoA reductase inhibitor (Zocor). Mrs. Morris’ labs have improved a little bit between 6/25 and 3/15, what would you attribute to Zocor use?
In: Nursing
To What extent do you think the force of law can change the silo practices of nurses, physicians, pharmacists, and other healthcare providers? Identify other approaches that might be successful in changing the silo practice of healthcare professionals
In: Nursing
POST KNEE SURGERY: Design a post Physical Therapy rehab program for a someone who is recovering from ACL surgery. Consult local resources and therapy textbooks for the most updated information?
In: Nursing
Which implementation strategy generally displays the highest evidence of effectiveness in health care?
In: Nursing