The Unfolding case study

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Discussion This discussion is based on the unfolding case study. Initial Post: Initial Posting: In order to provide patient-centered care, the nurse uses forethought to address possible strengths and indicators of risk in an individual family’s setting. The nurse implements anticipatory planning to promote safety. In your initial post:

Considering the rehab case manager report and the medical record information, describe three strengths in the Gardner family that the nurse would incorporate into the plan of care.

To identify the strengths, consider family structure, setting, and resources. . List three to four members of the professional and paraprofessional interdisciplinary team and/or community resources, that the nurse would use in this setting.

To facilitate the team members’ participation, the nurse will give an SBAR report to each person.

For your assignment, write the "recommendation" section of the report that you would supply each person.

To establish Good communication

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The nurse is using the son as the interprete. What other intervention should the nurse have started to initiate to establish good communication with him? . Can you identify bias and/or stereotyping in this clip? . What evidence of ethnocentrism do you see in this video clip? . To what degree do you see assimilation or acculturation?

Initiatives to mandate The wearing of masks

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Compare and contrast initiatives to mandate the wearing of masks. Defend the position to oppose a mask mandate. Present literature.

  • Discuss three (3) advocacy groups involved in shaping policies to ban mask mandate.
  • Review legislative policy initiatives to ban the mandatory wearing of masks

An In-service for newly licensed nurses

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A nurse is contributing to an in-service for newly licensed nurses about situations requiring an incident report. Which of the following examples should the nurse include? A. Anurse observes another nurse remove wrist restraints one at a time from a client who Is currently calm. B. A nurse discovers that a client’s family member has administered a PCA dose.

A nurse discovers that an electronic IV pump delivered twice the prescribed amount of fluid to a client.

D. A nurse observes a client vomiting after receiving an oral pain medication.

159. A community health nurse is assisting with the development of a pamphlet regarding choking hazards for toddlers. Which of the following foods should the nurse include?

To suspect Domestic violence

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What characteristics would lead a provider to suspect domestic violence, child abuse, or elder abuse is taking place within a family? Discuss your facility’s procedure for reporting these types of abuse.

Intravenous fluids

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Intravenous fluids are immediately circulated throughout the body. It is imperative that the nurse follow protocols and utilize evidence-based practice to ensure safe patient outcomes when administering anything via an intravenous route due to the immediate effect. Understanding the importance and role of protocols and proper administration techniques can deter any adverse effects.

Alone, skills are not high-level learning activities, but reflection can be used to strengthen the application process and enhance the critical thinking associated with skill performance.

Now that you have completed your initial submission for administering intravenous fluids, let’s engage in a conversation on the importance of fluid administration. Please respond to the following prompts utilizing the textbooks to include evidence-based information in your post.

Please cite and reference using APA 7th edition.

1. How would you know that a patient is making progress toward meeting identified outcomes related to fluid, electrolyte and acid-base balance?

2. How would the care of a patient and fluid administration have differed if the patient had a peripherally inserted central catheter (PICC)?

3. What is the process for accessing a central venous device?

4. What would you have done if the solutions were not y-site compatible? 5

Assisting student nurses identify Strengths and weaknesses in reflection

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Reflection is an activity known for assisting student nurses identify strengths and weaknesses in reflection. It is also helpful in establishing a deeper connection and understanding of content. Now that you have taken care of the patient, Chris Parrish, it’s time to assess your feelings, strengths, attitude and content understanding of the vSim. In a Word of PDF document, please answer the following questions, making sure to include evidence-based practice that supports your thoughts and understanding. References and citations must use APA 7th edition.

1. What about the vSim went well? es 2. Where in the vSim did you struggle?

3. What are three priority nursing considerations when providing enteral feeding via nasogastric (NG) tube?

4. What is the relationship between nutrition and oxygenation?

5. How does nutrition factor into bowel and bladder elimination?

6. How can a patient’s nutritional status affect their activities of daily living? 7. What do you think is the most important aspect of providing care for a patient with impaired nutrition?

Standards of Healthy Work Environment

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Based on the AACN Standards of Healthy Work Environment (link provided under assigned readings) complete the following table using either your current work environment or one of your clinical agencies.  After you have reviewed the six standards, provide an example for each standard of how the clinical setting meets or does not meet the standard.

After discussing the six standards individually, provide a summary of the overall clinical environment and what improvements could be made.  If the clinical setting meets the healthy work environment standards discuss how to continue meeting the standards.

Coroner undertakes an inquest

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When a coroner undertakes an inquest, what can happen as a result? A finding is written up, the coroner decides on a punishment for the person/people responsible and refers it to the director of public prosecutions, AHPRA or other relevant parties to carry out the punishment.
 

c.

A finding is written up, a referral to the director of public prosecutions, AHPRA or other relevant parties is made.
 

d.

 

A finding is written up and then the matter is referred to the police.

Ethics and ethical decision-making frameworks

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You will also need to access the chapter from the following book: McDonald, F. J. 8i Then, S. H. 2019, Chapter 2: Ethics and ethical decision-making frameworks, In Ethics, low and health care: a guide for nurses and midwives, United Kingdom: Red Globe Press This chapter is available from the library as: o a physical book, or an electronic version via the readings link Alternatively, you can also purchase a hard copy, or a digital copy from various sources, eg, Amazon, Google Play Books, iTunes.

Case Study: Apply the decision-making framework (McDonald a Then 2019) to this case study (Steps 1-3 only). Huang is a registered nurse and has recently commenced employment in a regional South Australian town in a large nursing home. During his shifts he is the only registered nurse in charge of 68 residents, 35 of whom have high care needs.

The majority of high care residents have been diagnosed with dementia or related disorders. Most of his shift involves completing medication rounds through various wards and documenting records.

The nursing home is constantly plagued with understaffing issues. Huang has little time to attend to the individual needs of residents.

Assistants in Nursing provide most of the care to the residents in both the low care and high care wards. During his first week at the nursing home Huang has witnessed the following incidents in the 12—bed high care dementia ward: – Atany given time up to eight ‘mobile’ residents in the ward are restrained in chairs (the other four are restricted to bed) for lengthy periods oftime.

Two of the more alert residents display signs of psychological distress as a result of the restraint. One of the patients continually asks to have the restraint removed.

Huang has been told the restraints are necessary to prevent falls as there is not enough staff to watch the residents and ensure their safety. – One aggressive and noisy resident is restrained at all times and is often moved to a secured room for long periods of time, particularly during peak visiting hours.

Huang has been told that visitors have complained about the resident’s constant screaming and that his noise also upsets other residents in the ward and therefore the seclusion of this patient is necessary for the comfort of others. Reference Case is adapted from McDonald, F. & Then, S.-N. (2019).

Ethics. Law & Health Care: A Guide for Nurses and Midwives (2nd ed.). Macmillan International; Red Globe Press Decision-making framework (