Using restraint (safety)

 

Scenario: Safety
A 77, year old woman is hospitalized for management of her diabetes. She has a history of functional urinary incontinence and poor vision from the diabetes. The nursing staff observes her climbing over the side rails on numerous occasions at night en route to the bathroom. She is quite agitated during this time. The nursing assistant requests that you obtain an order for a body restraint at night to prevent her from falling out of bed.

• Should this patient be restrained to prevent injury?
• Would you request the order for a body restraint? Why, or why not?
• What other information is relevant to this case?
• What nursing interventions could be tried before considering a restraint?

Discussion: Clinical Supervision – Kaltura

    

Discussion: Clinical Supervision – Kaltura WEEK 4 (1)

Substance use disorders are complicated psychiatric and medical conditions that involve physical addiction as well as psychological or emotional dependence. Substance use disorders are some of the most difficult to treat. It takes a great deal of patience on the part of the provider and the client. It may take several attempts before a client is successfully able to “kick the habit.” Your guidance and patience can help the client to persevere through difficult times during the journey to recovery.

Clinical Supervision is an essential component of your development as a psychiatric mental health nurse practitioner. It provides an opportunity for professional collaboration as you share experiences with and gain insights from colleagues. For this Clinical Supervision, consider a client with a substance abuse disorder whom you do not think is adequately progressing according to expected clinical outcomes.

Learning Objectives

Students will:

  • Analyze clients presenting for treatment of      substance-related and addictive disorders
  • Evaluate effectiveness of therapeutic approaches for      clients diagnosed with substance-related and addictive disorders
  • Recommend treatment plans

To prepare for this Discussion:

  • Review this week’s Learning Resources concerning      treating patients with substance-related and addictive disorders.
  • Reflect on a client you are currently counseling or      have previously counseled at your practicum site who has been diagnosed      with substance-related and addictive disorders.

Post a 3- to 5-minute Kaltura video in which you do the following:

  • Describe the client. Note: Do not use the client’s actual name.

  • Explain your therapeutic approach with the client, including the perceived effectiveness of your approach.

  • Identify any additional information about this client that may potentially impact expected outcomes.

  • Provide specific recommendations for the client to help them in determining why they are not progressing and what your suggested      treatment plan consists of.

  • It is useful to      consult the Prochaska and DiClement model.

Note: Support your rationale with a minimum of three academic resources less than five years in APA format, including introduction and conclusion 

Health and LGBT Community

 

In this assignment, you will develop two separate infographics (informative posters) to discuss two separate health issues relevant to the LGBT communities. In each infographic you will discuss:

  • What is the health problem?
  • Which group(s) are most likely to be at risk?
  • What social/behavioral/health system determinants affect this?
  • Identify at least two potential interventions/activities the community, community health agency, community health nurse could offer to prevent and or support this health issue
  • What resistance might be met in implementing the intervention/activity?

Adolescence: Contemporary Issues and Resources

Research the range of contemporary issues teenagers face today. In a 500-750-word paper, choose one issue (besides teen pregnancy) and discuss its effect on adolescent behavior and overall well-being. Include the following in your submission:

  1. Describe the contemporary issue and explain what external stressors are associated with this issue.
  2. Outline assessment strategies to screen for this issue and external stressors during an assessment for an adolescent patient. Describe what additional assessment questions you would need to ask and define the ethical parameters regarding what you can and cannot share with the parent or guardian.
  3. Discuss support options for adolescents encountering external stressors. Include specific support options for the contemporary issue you presented. 

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Nursing (Due 24 hours)

 

1) Minimum 3  full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

           

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 4 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

 (See file 1)

 You must See File 1

Your teaching plan should serve as a road map of what you think students need to learn as well as how you will effectively deliver your instruction and evaluate what the students learned during the class period. While there are many formats for a teaching plan, the following sections should be included in your plan:

1. The subject or topic that you plan to teach: Your topic should be selected from one of the class periods listed in your syllabus ( See File 1) that you developed for an undergraduate nursing course.

2. Level of instruction: The placement of the course in the nursing program curriculum (i.e., freshman, junior, sophomore, senior; beginning, mid-program, or end-of-program level)

3. Method/mode of delivering your teaching presentation: Form of audio-visual delivery, PowerPoint presentation, or similar method

4. Learning objectives: Include 4–5 outcome statements that define what you expect the students to learn or accomplish by the end of the class period. Your learning objectives should be clear and measurable, and appropriate to the information you are teaching, and the level of instruction.

5. Content outline: Develop an outline of the central points and/or skills you plan to cover. Your content should be logically structured.

6. Teaching strategies and learning activities: List the approach, techniques, and methods you will use to drive your instruction and engage your students to reach the learning objectives (e.g., lecture, active learning, discussions). Provide a rationale supporting your selected teaching strategies, as well as their advantages and disadvantages.

7. Plans for individual learning differences: How you plan to adapt your teaching to meet individual learning needs of various students. Explain how individuals with different learning styles will be supported by your teaching strategies and activities.

8. Evaluation process: List the methods you plan to use to assess student learning and evaluate the effectiveness of your teaching strategies (how you will determine if students met the outcome objectives).

  • Include formative (questioning, discussion, games, etc.) and summative (assignment, test, presentation, etc.) evaluation strategies.
  • Include at least one written assignment and develop a rubric that clearly describes your expectations for the assignment. Your rubric should:
    • List the criteria that will be assessed (a breakdown of the assignment parts).
    • Include some type of scale that measures the levels of quality for the criteria being assessed (e.g., from excellent to poor, from exceeds expectations to does not meet expectations).

Discussion: Developing Research Questions or Hypotheses

Is social support correlated with HIV infection rates in Sub-Saharan Africa?
If nurses participate in leadership organizations, are they more likely to advocate for state-level policy changes?
Exposure to pet therapy decreases the perception of pain in patients who are terminally ill with cancer.
Is limited English proficiency a barrier to the adoption of the new information technology system by Newbury Clinic personnel?

For each item above, consider the following:

  • Is it a research question or hypothesis? Why do you think so?
  • Which elements of a theoretical foundation for research are evident in the research question/hypothesis?
  • Would the research question/hypothesis be reasonable and appropriate for dissertation research or a similar program of research? If not, what modifications would you suggest?
  • Is it written clearly and effectively for the purposes of research? Why or why not?
  • If a nurse scientist were to address this research question/hypothesis, how would it further nursing’s body of knowledge and promote positive social change?

Examination of a variety of research questions and hypotheses can help you think creatively and analytically about your phenomenon of interest and the program of research you wish to pursue. In this Discussion, you develop research questions or hypotheses that you may be able to use to study your phenomenon of interest. You also provide feedback to your colleagues to help them strengthen their own research questions or hypotheses.

To prepare
  • Review the Learning Resources, including the information that Dr. Hathaway’s presents in the media program, “Research Questions and Hypotheses.”
  • Review the framework or theory that you identified in the Week 6 Discussion as having the most potential for use in your theoretical foundation for research. Using this framework or theory, think of potential research questions or hypotheses that you may use to study your phenomenon.
  • In addition, try other strategies that may help you develop useful research questions or hypotheses. For example:
    • Reexamine the literature related to your phenomenon of interest.
    • Review the questions and comments you noted as you analyzed concepts and conceptual relationships in previous weeks of this course.
    • Reflect on your firsthand observations of this phenomenon.

By Day 3

Post one or more research questions or hypotheses. Provide your rationale for selecting each question/hypothesis, explaining why it may be beneficial for studying your phenomenon of interest.

Strengths-to-Strategy

  

Strengths-to-Strategy, Curriculum Vitae, and Action Plan 

Strengths-to-Strategy, Curriculum Vitae, and Action Plan 

Strengths-to-Strategy Plan

i. Leadership Strengths

– Leadership Opportunities

– Strategies for Turning Opportunities into Strengths

– Strategies for Leveraging Others’ Strengths

–  

Professional Curriculum Vitae

Action Plan for Leadership Formation

  1. Analysis of Current CV : An analysis of your current CV, including      your greatest accomplishments and what you      are most proud of in your career journey.
  2. Plan of Action for      Strengthening CV : A plan of action for      strengthening your CV by adding accomplishments to areas in which you may      not have entries or have limited entries.
  3. Plan of Action to Turn      Opportunities into Strengths: A      plan of action for using the strategies for turning your developmental      opportunities into strengths noted on the Strength-to-Strategy Plan.

Conclusion 

a. Recaps the paper’s purpose statement and mini-outline criteria.

b. Draws major conclusions from the body of your paper.

c. Summarize the importance of professional development to you as a future practice scholar and DNP leader. 

– the CV section will be completed by me