Develop a personal nursing philosophy narrative as to how your life moved towards meeting that goal of becoming a nurse.

In a 3-4 page, double-spaced, typewritten document, please respond to the following:

• Begin your paper with why you wanted to become a nurse

• Develop a narrative as to how your life moved along towards meeting that goal of becoming a nurse.

Include any work experiences (volunteer work, hospital, MD office, healthcare facility) that reinforced your desire to become a nurse and why.

What educational preparation has already taken place in your life prior to entering a formal nursing program? Were there any particular people or nurses who influenced your decision to become a nurse and what was the nature of that influence?

What plans did you make to become a nurse that either were delayed or actually occurred as planned? What keeps you focused on completing the program especially when obstacles present themselves? What has been the greatest sacrifice you have made to become a nurse?

• In the time you have been involved in nursing activities, what has given you the greatest satisfaction and why?

• How has the current health care arena affected your feelings about being a nurse?

• Look at the QCC statement of philosophy of nursing.

• Write a statement of your philosophy of nursing that should include the four (4) metaparadigms of: client, health, environment, and nursing. What are your beliefs about the client? How do you define health? In your opinion, what makes up the environment? How does nursing impact all of these? NB. Philosophy of Nursing can be found in your STUDENT HANDBOOK located under “Course Information.”

• How is your philosophy the same as or different than the QCC philosophy of nursing? • What nursing theory/theorist has influenced your personal philosophy the most and why?

• What will finally becoming a professional registered nurse mean to you?

• Where do you see yourself five years after graduation?

 

Here is the nursing school’s Philosophy: Philosophy of the Department of Nursing The philosophy of the Department of Nursing is based upon the relationships among the concepts of the individual/ patient, environment, health, and nursing. The Individual is a biopsychosocial and spiritual being who functions within the context of the family, culture, and community.

Individuals have basic physiological, psychosocial, and developmental needs across their lifespan. These needs must be fulfilled in order for a state of health to exist. An individual or group of individuals becomes a Patient upon entry into a healthcare system for assistance in achieving maximum self-care potential.

The Environment is the aggregate of biological, physical, spiritual, social and cultural conditions that influence the life of the patient. The health of the patient is affected by the local and global environment. Health is living within one’s environment while achieving the greatest level of functioning.

Therapeutic support of the patient leads to a state of health, wholeness, well-being and integrity of the individual. The ability to maintain optimum wellness varies among individuals based on developmental stage, life experiences, health alterations, level of knowledge, values, culture and environment.

Alterations emerge when the individual cannot meet their needs as a result of disease, injury or life cycle events. When individuals cannot meet their own needs, they have the right to receive patient-centred assistance in moving towards their highest level of functioning and health.

Describe the primary care nursing delivery model along with specific tenets or characteristics from a systems theory or thinking model that makes sense or best depicts the care delivery model. and Explain how the primary care nursing model utilizes tenets or principles of systems theory using descriptors listed below. (Choose 3 from the list below)

1. • Each element has an effect on the functioning of the whole.
   • Each element is affected by at least one other element in the system.
   • All possible subsystems of elements also have the first two characteristics noted above.
   • The health of the overall system is contingent on the subsystem’s functioning.
   • Open to environmental influences (could be external and/or internal).
   • Tends to attempt to self-correct through feedback loop mechanisms (homeostasis – or dynamic equilibrium).
   • Adaptive – can learn; transform and evolve.
   • Input-transformation-output (cause and effect; something done has an impact on something else) phenomenon.
   • Degree/or type of influence (or stimulation) can lead to complex or chaotic systems.
2. Considering the primary nursing care delivery model described in #1, how would you:
   • Approach problem solving­
   • Execute change to achieve outcomes ­
   • Support learning/development ­
   • Respond to new operational challenge

Joe Ritter, a 74-year-old retired bricklayer, has a 40-pack-year tobacco history and a history of chronic obstructive pulmonary disease (COPD). Today, he presents to the emergency department with reports of shortness of breath and difficulty breathing. He is in respiratory distress with retracting respirations of 26 breaths/min, BP is 154/76 mm Hg, pulse is 120 beats/min, and temperature is 37°C.

His skin color is pale gray, his chest is barrel-shaped, and he uses accessory muscles to breathe; he appears anxious and is sitting in a tripod position. His nail beds are bluish in color; his oxygen saturation by pulse oximetry is 72%.

Chest auscultation reveals wheezes and decreased-to-absent breath sounds in bilateral bases. Hyperresonance is noted upon chest wall percussion. Chest x-ray showed atelectasis bilaterally in the bases. Mr. Ritter coughs with minimal amounts of clear sputum. (Learning Objectives 5 and 8)

a. What findings from the given scenario are subjective data?

b. What findings from the given scenario represent objective data? Describe which is abnormal and why that is abnormal.

c. What is the pathophysiology related to this disease process in the aging adult patient?

d. Choose 3 nursing diagnoses and develop a care plan for this patient based upon the assessment and diagnoses using the concept map below.

 

 

 

 

 

 

Part 1 -Introduction of evolved scenario with clinical judgment framework application and issue to address (20% b. Part 2 – Evidence-based alternatives approach for issue and decision for practice situation (20%) c. Part 3 – Application of communication models to advocate for safe and ethical clinical decision made (20%) d. part 4 – Entire group engagement with class – Interactive dialogue with class – questions and answers (20%) (NOTE: if you (as an individual) do not attend other group presentations (weeks 12-13-14) you will not receive this 20% (does not affect all members of group) e. audio/ visual presentation (20%)

Some clinicians may find it difficult to explain the logic behind their clinical thinking. As you gain experience, your clinical reasoning will begin at the outset of the patient encounter, not at the end. Reflect on the clinical reasoning you used during this virtual patient encounter. Describe the steps taken to identify and interpret the key findings in this case.  What are some “lessons learned” within the assessment that you can apply to your professional practice as a provider?

Case: diarrhea/abdominal pain related to Infectious colitis secondary to Salmonella enteritidis enterocolitis.