Clinical Standard Presentations

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Clinical Standard Presentations
Each student will present a Clinical Practice Presentation . The focus of the presentation must reflect current treatment recommendations from accepted professional organizations.
 
Students are expected to expand their use of resources for evidence-based practice beyond the required text, and explore nursing and related literature to improve their understanding and application of advanced interventions. Each student will present a Clinical Practice Presentation. The focus of the presentation must reflect current treatment recommendations from accepted professional organizations. Presentations will be evaluated related to the criteria listed. Presentations must be no more than 8 slides in a PowerPoint format with a Reference List in APA format, will be no more than 15 minutes in length. Topics will be listed and students must sign up for presentation by the second week of the course. Topics may include: pneumonia, COPD, Parkinson’s, pancreatitis, cholecystitis, Asthma, joint replacement, psoriasis, and others.
Grading Criteria
In order to get the full grade you must have all this aspects
 
Presents the case including CC, HPI, Hx, ROS and PE findings concisely
 
List possible differential diagnosis with supporting/excluding criteria.
 
What labs or tests are typically ordered in relation to this condition? What results should the
NP expects to see with this diagnosis?
 
What medications are typically prescribed for this condition? List specific drugs, starting doses, dose ranges, precautions to keep in mind when prescribing these drugs.
 
What are the outcomes expected or unexpected for this specific condition? And What patient outcomes will trigger a referral?
 
Provide patient teaching materials specific to their condition

Nursing Shortage

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Running head: NURSING SHORTAGE 1
NURSING SHORTAGE 5


Nursing Shortage

Monica Castelao

Grand Canyon University

Nursing Shortage

Demand for improved healthcare services has increased tremendously over the years thereby creating a shortage for nurses to take care of the patients. The primary obstacle facing healthcare industry is constant changes in demography which has in turn pushed for an expansion of the working force and the period required to train new nurses (Bucha, Duffield & Jordan, 2015). Shortage of nurses has also brought up challenging values to the industry making most of the practitioners to ask themselves if they can take care of their patients when they are not enough in number. Perhaps, the primary reason for nurse’s shortage is the inability of schools enrolment of new students because of lack of nursing school faculties (Nardi, & Gyurko, 2013).

Setting

In intensive care units (ICUs) most nurses are exposed to a lot of stress. According to Rosseter (2012) primary reason for nurse’s turnover in intensive care units is their inability to counter stress associated with working in the department. On top of that, the long hours and the amount of stress also reduce nurse’s cognitive skills. World Health Organization, for instance, has given several detailed reports regarding nurse shortages in ICUs of several countries around the globe (Stoddart & Evans, 2017). The report goes further to show that staff levels and the working conditions have been the primary reasons for nursing shortages in ICUs.

Description

Intensive care unit department requires nurses to work for long hours; it is noisy and hectic since it bombards people with all different kinds of stimuli. Nursing in ICU is described as demanding since most of the activities is high risk since patients are often very sick and fighting for their lives (Urden, Stacy, & Lough, 2017). Advancement in technology has escalated the problem because it expects nurses to work very fast to help the ill by using hugely complex machines. This working setup has made most nurses dissatisfied and stressed thus making some resign or discourage other potential future nurses.

Impact

Nurses working in ICUs work for very long hours and in stressful conditions which can make them easily suffer from injuries or fatigue. In such scenarios, they are prone to making mistakes which can quickly lead to a patient in critical condition losing their lives or reduce the quality of medical care. In other words, a single error in an ICU can cause alarmingly increase mortality rates in a country that has shortages of nurses in that crucial department (Sawatzky, Enns & Legare, 2015). It is imperative also to note that these uncertain working environments in ICUs promote individualism while at the same time reduce any chances of solidarity and formations of working groups. Nurses may, therefore, feel incompetent in their work making them disengage from what they are supposed to do.

Significance

Nurses are vital in every health organization especially when providing quality health care and educating patients about their health. Nurses mostly spend a lot of time with patients during their healing process hence creating some personal relationships along the way. When considering mood and attitude required during the healing process, nurses become even more important since they are trained to persevere and take good care of the ailing patients (Oulton, 2010). Their shortage is, therefore, a global concern that should be addressed in every health organization.

Solution

Solving nurse shortages in ICUs requires innovative and long-term remedies that can solve the problem once and for all. One such solution is increased wages for nurses to compensate them for working long and stressful hours (Bryant, 2017). Another solution is to improve nursing images by encouraging the already available nurses to freely communicate with the press about the benefits of nursing to a society. A good image can help in promoting the profession by encouraging others to join the industry.

References

Bryant, C. R. (2017). From the Top Down: Assisting Critical Care Nurses in Coping with Job Stresses.

Buchan, J., Duffield, C., & Jordan, A. (2015). ‘Solving’nursing shortages: do we need a New Agenda?. Journal of nursing management, 23(5), 543-545.

Nardi, D. A., & Gyurko, C. C. (2013). The global nursing faculty shortage: Status and solutions for change. Journal of Nursing Scholarship, 45(3), 317-326.

Oulton, J. A. (2010). The global nursing shortage: an overview of issues and actions. Policy, Politics, & Nursing Practice, 7(3_suppl), 34S-39S.

Rosseter, R. (2012). Nursing shortage. American Association for the Colleges of Nursing. Found.

Sawatzky, J. A. V., Enns, C. L., & Legare, C. (2015). Identifying the key predictors for retention in critical care nurses. Journal of advanced nursing, 71(10), 2315-2325.

Stoddart, G. L., & Evans, R. G. (2017). Producing health, consuming health care. In Why are some people healthy and others not? (pp. 27-64). Routledge.

Urden, L. D., Stacy, K. M., & Lough, M. E. (2017). Critical Care Nursing-E-Book: Diagnosis and Management. Elsevier Health Sciences.

 

The Joint Commission's Impact and the Importance of Long-Term Care

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The Joint Commission’s Impact and the Importance of Long-Term Care
This is a two-part assignment:
Part One: In preparation for accreditation at its facilities, the administration would like the staff to understand the important benefits of accreditation and how undergoing the accreditation process can enhance quality.
Go to The Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) Web site (http://www.jointcommission.org), and answer the following questions. Be sure to set a positive tone that will appeal to and win over staff, emphasizing the benefits accreditation can provide your organization. Format your answers in a memo format and address it to me.
· What exactly are accreditation and certification?
· What is the difference between accreditation and certification?
· What are the benefits of accreditation?
· What are the benefits of Joint Commission certification?
· How can undergoing the accreditation process improve quality at a healthcare facility?
For instructions on how to write a memo, please visit this link.
Part Two:  In a one page, double spaced APA format, define what long term care is and why it has continued to increase in terms of importance amongst the healthcare landscape.  In your response be sure to use examples to augment your findings and include relevant citations.

What is the mechanism of action of fluoxetine?

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Case Study

A 40 year old woman presents with fatigue. She reports feeling ‘very run down’ for the past three months.  She has no interest in participating in her usual activities and sporting events. She reports sleeping problems and low appetite. She is constantly feeling low and has frequent crying spells.
Her physical examination is normal and thyroid function is normal.
She is diagnosed with major depression and is referred for counseling and started on fluoxetine.

Assignment Questions

  1. What is the mechanism of action of fluoxetine?
  2. Why is fluoxetine the drug of choice?
  3. What are the side effects of fluoxetine?
  4. What are the risks of abruptly discontinuing fluoxetine?

Instructions 

  • Prepare and submit a 3-4 page paper [total] in length (not including APA format).
  • Answer all the questions above.
  • Support your position with examples.
  • Please review the rubric to ensure that your assignment meets criteria.
  • Submit the following documents to the Submit Assignments/Assessments area:
    • Case Study: Antidepressants