How to care for a New ostomy

While the RN is trying to help the patient and family learn how to care for a new ostomy, the patient refuses to participate. What action should the RN take first to help the patient learn the ostomy care process?

 

Focus teaching with the family.

Ask patient why they do not want to learn.

Inform patient they will need to know this for discharge.

Report refusal to learn to ordering health care provider.

Written Repository of books

Make a written repository of books/articles/podcasts/websites etc. that have captured our attention as they relate to our well being.  All entries are intended to be educational and thought-provoking but neither prescriptive nor therapeutic. Please feel free to add as many entries as you like, a minimum of 4 (each), and provide some ideas about how your entries influenced your thinking. Please associate your entries with the 7 domains of the wellness ( Spiritual, Physical, Emotional, Career, Intellectual, Environmental, and Social.)

Palliative care aims

Palliative care aims to alleviate the suffering of the patient while promoting quality of life.  What are the priorities in nursing management with the dying patient  and the rights in end-of-life care?

Program Student Learning Outcomes

Explain how these essentials are integrated into Delhi’s RN to BSN Program Student Learning Outcomes (PSLOs); and Describe the correlation in how your knowledge was advanced throughout the program based on the use of the BSN Essentials.  

Critical Components of a good leader

Identify three to five personal values or characteristics that you believe are critical components of a good leader, such as honesty, compassion, or fairness. How do you express those values in your professional life?

-what are the various ways leaders lead by examples in an organization

-Identify an evaluation and adjustment plan for a project on the expansion of anticoagulant services in the network and community

 

Support that Family and caregivers will need

Describe the support that family and caregivers will need to be able to care for their loved ones when a patient has a stroke and describe the support that family and caregivers will need to be able to care for their loved one when a patient has dementia.

Negotiating an Employment contract

Nurse practitioners are often employed by others.  When negotiating an employment contract, it is essential to understand the terms and conditions in the contract.  Define and discuss:  restrictive covenants, bonus formulas, productivity-based formulas, quality-based bonuses, profit-based formulas, patient-satisfaction-based formulas, and termination without cause.

Addressing vulnerability and demonstrating financial specialists’

Given its various structures, there are different approaches to addressing vulnerability and demonstrating financial specialists’
reactions to it.[116] Instrument in each market period, and there would be no correspondence industry.

View of different Firms’ output

With no motivator to stray, as they have the best reaction in view of different firms’ output.[16] Within the
game, firms arrive at the Nash balance when the Cournot harmony is accomplished.

The Job characteristics model

Jean-Claude sighed as he looked at the page in his organizational behaviour textbook for the sixth time. He was very interested in the job characteristics model, but he wasn’t sure how best to put it into practice.

Jean-Claude was a construction site supervisor who had been working with the same

team of construction professionals for several years. Each individual had his or her own

specialty and would come on-site when needed. Some were experts in framing, others were

electricians, plumbers, drywall installers, and so on. For some reason, however, Jean-Claude

found it especially difficult to keep roofing experts on his team. He wondered if enriching

the job would help.

Roofers installed shingles, which was particularly hot, repetitive, and physically

demanding work. Unlike with some other tasks, roofers did not need to be licensed. There

were few, if any, opportunities for independent decision making, and feedback only arrived

at the very end of the job in the form of a quick “It’s okay” or “It’s not okay” from the site

supervisor. Pay tended to be lower than that of other construction professionals, and the

work less prestigious. Some of the other workers, particularly those with journeyman cre-

dentials, considered them low-skill “grunts” rather than professionals like themselves. In

addition to all of that, some people disliked working on steep, high roofs even with appro-

priate safety gear. All in all, roofing was considered a tedious, strenuous, hazardous job that

few really enjoyed. It was not surprising, therefore, that it was the one job he consistently

had problems staffing.

He thought the job characteristics model might help him make the roofer’s job more

engaging, and staffing it easier. He thought carefully about each and every component of

the model and what it might mean in the context of construction in general and roofing in

particular. But it was a pretty routine job, and Jean-Claude struggled to find ways to apply

the model.

Giving up, he decided to go to a movie and think about something else. As often hap-

pens, halfway through the movie it came to him. He knew exactly how to improve skill

variety, task significance, task identity, even autonomy and feedback! Jean-Claude started

writing down his plan. He was going to make the following changes to the roofing job . . .

Discussion Questions

1. What, specifically, makes the roofing job less engaging?

2. How might Jean-Claude adjust the roofing job to make it more engaging? Use the job

characteristics model as a guide when responding.

3. Is the job characteristics model universally applicable? Can you think of any jobs it

might not apply to? If so, why would it not apply? If not, why do you think that is?