Posts

Can the RN use acupressure for pain and discomfort?

/in /by

Nursing

Can the RN use acupressure for pain and discomfort?
Read the following article:

  • Wagner, J. (2015). CE: Incorporating acupressure into nursing practice. The American Journal of Nursing, 115(12), 40-45. doi:10.1097/01.NAJ.0000475290.20362.77

Initial Discussion Post:
Address the following:

  1. Identify and state which patient symptoms are more likely to be relieved by this treatment. Give the reasons to support this.
  2. Identify and state how the individual RN might incorporate acupressure into nursing practice.
  3. Identify and state in what health care settings acupressure might be an effective integrative treatment to offer to patients. Give the reasons to support your thoughts.

Base your initial post on your readings and research of this topic.Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum.

  1. Identify and state which patient symptoms are more likely to be relieved by this treatment. Give the reasons to support this.
  2. Identify and state how the individual RN might incorporate acupressure into nursing practice.
  3. Identify and state in what health care settings acupressure might be an effective integrative treatment to offer to patients. Give the reasons to support your thoughts.

Base your initial post on your readings and research of this topic.Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum.

How can RNs support the patient’s decision when the beliefs of the patient are contrary to their own?

/in /by

Nursing

Scenario:
Mark, a 35-year-old, was brought via ambulance to the emergency department after collapsing on the street. He was diagnosed with appendicitis and the surgical team was alerted to the potential surgery. The physician prepared to obtain informed consent and began discussing the simple effective surgery and the treatment with the patient. The RN was present at the bedside. The patient stated he did not want surgery. Based upon his beliefs as a Christian Scientist, it is against his practices. He requested a Christian Science practitioner. The patient rated his pain as 9 on 0-10 verbal pain scale so the RN prepared the narcotic analgesic to relieve the patient’s pain. The patient declined the medication. The RN believes the patient should accept the pain medication and have the surgery thinking “If it were me I would proceed with the surgery and treatments proposed by the surgeon.” The surgeon can be heard speaking to a fellow surgeon about how to go about changing the patient’s decision.
Initial Discussion Post:
Address the following:

  1. State and discuss the legal and ethical considerations occurring in this scenario. Include supporting citations.
  2. How can RNs support the patient’s decision when the beliefs of the patient are contrary to their own? List three (3) interventions, with supporting rationales, the RN would perform to ensure the delivery of culturally sensitive care.
  3. Identify one (1) additional major religion, in which the same circumstances might also require the RN to advocate for the patient’s refusal of surgery. Describe the beliefs behind why the identified religion could pose a moral conflict for a similar patient.

Base your initial post on your readings and research of this topic. Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum.

What is the incidence and prevalence of elderly consumers of long-term care in the United States as compared to your chosen developing country?

/in /by

Nursing

Long-Term Care Today
Demographics and epidemiological transitions result in dramatic changes in the health needs of individuals throughout the globe. In recent times, there has been increase in the prevalence of long-term disability in the population—causing increasing need for long-term care services. In addition, the present developing world is experiencing an increase in the demand for long-term care services at a cost much lower than industrialized countries.
Prepare a report in a 3- to 4-page Microsoft Word document comparing the US long-term care system with the long-term care system of a developing country. Research the Internet to find relevant content.
Include the following information in your report:
What are the chronic illness trends of each country?
What is the incidence and prevalence of elderly consumers of long-term care in the United States as compared to your chosen developing country?
How does each country expect these numbers to change in the next ten years?
What are the main characteristics of the elderly population in both the countries? Is there any difference in the long-term health care needs of consumers in both the countries? Provide a rationale for your answer.
Who are the institutional and noninstitutional caregivers in both the countries? Support your answer with relevant examples. Explain the factors that affect care giving in each country.
Is there any difference in the status of quality of care of the elderly consumers in the United States as compared to the developing country?
Is there any difference in the health care cost provided in the United States as compared to the developing country? Define any social support that may exist to cover health care in both countries.
Support your responses with examples.
Cite any sources in APA format.

Is Parental Smoking Neglect of an Asthmatic Child?

/in /by

Nursing-Contemporary issue position essay

Choose a case from the AMA Journal of Ethics Case Index and take a position. Identify the potential legal arguments (consider current federal guidelines), indicate any potential professional code conflicts you foresee, and support your position with an explanation of your own ethical/moral foundation.
In your 2 page paper:

  • Identify the issue and state your ethical position.
  • How might this scenario play out or impact you in your role as a nurse practitioner?
  • Defend your position with legal, ethical, and professional evidence.
  • As part of your position, propose strategies and solutions for addressing the issues.
  • What other ethical issues does this case bring to light, if any?

Support your position with at least one scholarly source (it may be your text).  Be sure to cite the article you choose, use APA format, and include a title page and reference page.
Article:Is parental smoking neglect of an asthmatic child?
Position: Parental smoking is neglect of an asmatic child
link to article: http://journalofethics.ama-assn.org/2014/04/ecas3-1404.html
The article:
Is Parental Smoking Neglect of an Asthmatic Child?
Commentary by Bahareh Keith, DO, and Kimberly B. Handley, MSW, LCSW
A mother carrying a coughing child walks into the emergency room. She hysterically flags down a triage nurse and tells her that her daughter, Rose, is having trouble breathing. The nurse directs mother and child to a bed in the emergency room cordoned off by a light blue curtain. Less than five minutes later, Tricia, a third-year medical student on her pediatrics rotation, shows up to do a thorough history and physical of the patient. The first thing Tricia notices is that both mother and daughter are saturated in the scent of cigarettes. Upon questioning, the mother admits to smoking two packs a day in the house.
“Have you tried quitting?” Tricia asks.
The mother scowls. “The smoking’s not a problem. I keep all the windows open.” At that moment, her daughter has a severe coughing fit. She scoops Rose into her arms, and rubs soothing circles on her back. “My daughter has asthma. That’s why we’re here,” she tells the student.
Tricia jots a note in the patient’s record and sees Rose has been admitted multiple times in the past for asthma. After flipping through these notes, Tricia sees that the mother has been counseled repeatedly about the need to stop smoking for the sake of Rose’s health. Tricia goes to find her attending and presents Rose’s case, highlighting signs of neglect. She then asks whether or not this would be grounds to notify child protective services.