8. The nurse is creating a four-column plan of care for a client. For which areas should the nurse prepare to document when creating this care plan?
a. Goals
i. This is part of column two
b. Interventions
i. This is part of column three
c. Nursing Diagnosis
i. This is part of column one
d. Evaluation
i. This is part of column five
e. Medications
i. This is not a part of the column plan of care for a client
Based on http://www.austincc.edu/adnlev1/rnsg1161online/clinical_homework_samples/Nursing_care_plan_sample.htm column one: nursing diagnosis; column two: the expected outcome and goal of what you would like to see from the patient after a specific time frame; column three: interventions; (column four: scientific rationale for each intervention)
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Conflict Resolution
i. Conflict resolution deals with resolution of conflicts between health care workers and not between the resolution of a problem the client is dealing with
Page 144
Critical Thinking is the thought process where the client’s problem is defined, evidence based practice in caring is examined, and then choices for the delivery of patient’s care are made.
Page 467
Delegating a Task is when the nurse gives another competent individual a task to perform in a specific situation
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Priority Setting is where problems are grouped as having high, medium, and low priority based on preferential sequencing for the order in which diagnoses and interventions need to be addressed.
Page 467
Conflict Resolution: In relation to conflict, the book talked about managing conflict between people, groups, and teams, but did not have any relation to having a problem related to the patient’s situation and resolving that.
13. The nurse is assigned two clients. One client needs postoperative teaching in preparation for discharge and the other client with pneumonia has a PaCO2 of 85 which is very high & indicates that pt. is not breathing well. Why does the nurse decide to see the client with pneumonia
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According to page 468, client education is a task that may not be delegated to unlicensed assistive personnel. The nurse therefore may not delegate postoperative teaching to UAP since that would be in relation to client education.
b. The client with pneumonia needs more care than the client needing postoperative teaching.
i. The prioritization is not based on which patient needs more care. The patient with pneumonia would have to be helped first because they have a high priority problem that is life threatening (respiratory impairment)
c. The client with pneumonia may be experiencing respiratory distress.
i. Respiratory distress is related to respiratory impairment which is a life threatening problem. Life threatening problems are high priority and need immediate care.
d. The room of the client with pneumonia is closer than that of the client needing postoperative teaching
i. Priority setting problems are not based off of the proximity of the patient, rather, they are based on how threatening the problem is.
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Priority setting categories include high, medium, and low priority.
High priority is when there are life threatening problems including areas of respiratory and cardio impairment. These problems need immediate
Nurses have a considerable amount of responsibility in any facility. They are responsible for administering medicines and treatments to there patient’s. While caring for there patients, nurses will make observations on patient’s health and then record there findings. As well as consulting with doctors and other healthcare professionals to plan proper individual patient care. They teach their patients how to manage their illnesses and explain to both the patient and the patients family how to continue treatment when returning home (Bureau of Labor Statistics, 2014-15). They also record p...
The general idea of, K, is that a nurse must have knowledge in the diversity of cultures, ethics, and education. The significance of this faction being that if the nurse is cognizant of the patient 's culture, beliefs, family values, support systems, and education level, a more thorough and comprehensive plan of care can be formulated. The premise of, S, is that a nurse must be skilled in the ability to communicate with and advocate for the patient, assess for and properly treat pain, and incorporate the needs and concerns of the patient and their family. The significance of this group and development of these skills include the achievement of pain control, increased rehabilitation periods, and an increase in patient/family satisfaction. The theme of, A, requires that a nurse maintains an open attitude toward the patient and to respect and validate the nurse-patient relationship, which will aid in a positive nurse-patient
The National Council of State Boards in Nursing defines delegation as “transferring to a competent individual the authority to perform a selected nursing task in a selected situation” (National Council of State Boards of Nursing, Resources section, 4). When delegating, the registered nurse (RN) assigns nursing tasks to unlicensed assistive personnel (UAP) while still remaining accountable for the patient and the task that was assigned. Delegating is a management strategy that is used to provide more efficient care to patients. Authorizing other individuals to take on nursing responsibilities allows the nurse to complete other tasks that need tended to. However, delegation is done at the nurses’ discretion and is a personal choice. Nurses must make careful decisions regarding delegation, taking into account the skill and training of the UAP, the difficulty and risk of the task, and the patient’s condition. The expected outcomes, a time frame for completion, and any limitations should be explained to the UAP at the time that the task was delegated.
With two weeks of clinical experience, my plan for this clinical day draws directly off my pervious experiences. I will start my clinical day by getting with my FOR and administering medication to my assigned resident. This activity will probably take around an hour, as my assigned resident takes numerous medications, and I must perform the skill safely - six rights and three checks. After my medication administration skill, I will take vital signs, perfrom CNA skills, feed the residents, and monitor glucose with any additional time I have in the morning. Around 11 o 'clock, our group normally gathers together and takes a lunch break for half hour. After the group lunch break, I would like to get with my partner and begin to fill out our concept worksheet - Infection - for this week. My partner and I will walk around the long term care faiclity and observe what infection control precautions are taken to prevent infections when caring for residents, and consider what further interventions we could implement into our care. When we complete our concept map, I would like to gather this week 's required information from our assigned partner and her medical record - Fall risk/mobility, systems assessment, basic nursing care choices, and vital signs. While gathering information from our assigned resident, we will assist with her care, if needed. With the information we gather from our assigned resident, and her medical record, we can further complete our concept map, drawing additional links, if observed. With my medication administration complete, and my required information gathered, I will spend the rest of the clinical day answering any call
... basic information of the patient. Professional and precise language should be used when documenting. For the care plan, I have learned to correctly write a nursing diagnosis and writing interventions that are within nurses’ capability and suits the patient’s personal status. From now on, I will remember to distinguish medical diagnosis from nursing diagnosis. For each diagnosis, I will write about the patient’s (potential) response to the health problem and state why this might be the concern.
One example of conflict observed at unit 18 tower at Chi St Luke’s Hospital is as follows. Staffing and scheduling is the number one conflict that the management has to address on the regular basis. One nurse on the unit was upset with her schedule for coming week. As per the nurse she requested off for that day, however she was still scheduled to work that particular day. She talked to the nurse manager about the situation, however the nurse manager responded that the time frame for requesting off was too short and the schedule was made prior to the request. However, the nurse said she did notify the manager about her unavailability for the particular day. The nurse manager explained the policy to the nurse and recommended the nurse to communicate with other nurses who must be willing to change schedule for the particular day. The nurse communicated with other nurses about her situation and requested for favor for work for the particular day. One of the nurse
My philosophy of nursing is based on Erickson’s Theory of Modeling and Role-Modeling, which allows me to incorporate the patients’ needs into my plan of care. In order to have an effective and thorough plan of care, I must take the time to get to know the patient. Once I have built a rapport and trusting relationship, I can help meet the patients’ needs by implementing a plan of care with reachable goals. These reachable goals will be set and agreed upon by the nurse and patient. Not only is it important for the nurse and patient to establish individualized reachable goals, but it is important for the nurse to also have goals. The nurse may have personal and professional goals. My goals are to continually find, propose, and implement ways to make the
Conflict has been an issue for man since the dawn of civilization. In today’s fast paced world conflict, especially in the workplace, is a frequent occurrence. When that workplace is a health care environment where lives are at stake, emotions run high and collaboration with many different disciplines is required conflict often becomes a prevalent part of everyday life. Conflicts in the workplace can lead to reduced morale, lowered productivity resulting in decreased patient care and can cause large scale confrontations (Whitworth 2008). In the field of nursing whether a conflict is with a peer, supervisor, physician, or a patient and their family, conflict management is a necessary skill.
Conflict is a natural inevitable condition in organizations. Conflict occurs every day in a variety of situations ranging from emotional disputes between colleagues, to disputes between departments about lines of authority, to legal disputes involving several organizations. According to Sullivan and Decker (2009), conflict is defined as the consequence of real or perceived differences in mutually exclusive goals, values, ideas, attitudes, beliefs, feelings, or actions within one individual, between two or more individuals, within one group, or between two or more groups. Conflict arises for many reasons and can be characterized in numerous ways. Jehn (1995) discusses the types of conflict regardless of level, as task content conflict, emotional conflict, and administrative conflict. Furthermore, conflict can be a situation that is beneficial or detrimental to the organization and or those who are involved. Considering the statistics, DelBel (2003) states that worldwide, nurses are three times more likely than any other service occupational group to experience workplace violence, and United States (US) health care workers face a 16-times greater risk of conflict than other service workers. In addition, more than half of US workplace aggression claims emanate from the health care sector (DelBel, 2003). Therefore, it is incumbent for nurses to understand that conflict can be successfully managed through the understanding and application of various conflict-management techniques and negotiation skills. While not all workplace conflict is avoidable, research indicates that a significant portion of conflicts are preventable. The purpose of this paper is to provide a description of an incident that occurred during clinical hours, des...
Lastly, the protocol provides nursing strategies that assist the nurse in evaluating the steps to identify the skills the caregiver will require and the steps to set up an effective plan to move forward with assisting the caregiver in successfully managing in home care provision (Agency for Healthcare Research and Quality,
Autonomy is a principle that allows a patient or authorizing agent to make decisions regarding healthcare decisions without any outside influence (Burkhardt & Nathanial, 2014, p.440) As the nurse, it is important to understand
Gulanick, M., & Myers, J. L. (2007). Nursing care plans: Nursing diagnosis and intervention. St. Louis, MO: Mosby.
The work of RN is becoming increasingly complex. Every day nurses have to make many decisions involving patient’s needs, prioritizing patients’ treatments, delegating tasks, reporting results and changes of condition, etc. Most of these decisions influence directly or indirectly the outcome of the patients’ treatment. For us, as beginner nurses, it is very important to understand the decision making process, the variables that influence it and the steps involved in it “in order to develop our own decision making style” and be successful as nurses in the future (B. Kunkel, 2014). The New Jersey Board of Nursing provides a Seven Step Decision Making Model that “has been designed to assist nurses in using the information available to them for resolving scope of practice issues.” Any nurse that has a question about nursing practice “can refer to this model and follow each step to make her decision”. (“Decision-Making Model Algorithm”, 1999)
As a nurse, in order to take care of a patient, you should always be familiar with their disorders. Their disorders affect how to properly take care of the patient. This includes knowing a summary of the disorder they have and the medical management that takes place for the disorder. Once you have an accurate description of the disorder and a patient’s baseline assessment you can properly write up a care plan for the patient. The following will include a description of the disorder, the medical management for the disorder, a care plan for a patient diagnosed
When conflict arises , it destabilizes relationships . A concrete example of interpersonal conflict happened between the restless 20-year old optometry patient and the staff of the Emergency Department in the 5th case. An expressed disagreement about the patient's demand to be immediately seen by the doctor and the Triage nurse lack of assessment of not being a priority aggravated the challenging behavior of the male patient from excessive distress brought about by his health condition.