Module 05 Written Assignment – Reflection
What have you learned so far in this course that will help you conduct effective health assessments?
What skills do you have you gained?
Describe any areas that are still unclear and ways you will gain clarity.
Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.
The baccalaureate prepared nurse must have a good understanding of the quality
management process as well as the programs that various governmental and professional
organizations have in place to measure and improve patient safety and quality of care. In
addition to discussing the National Database of Nursing Quality Indicators, delineate the
role any two of the following have in addressing safety and quality issues: the Joint
Commission (JC), Centers for Medicare & Medicaid Services (CMS), Agency for
Healthcare Research and Quality (AHRQ), or National Quality Forum (NQF).
NU671 Clinical Decision-Making. Unit 2 Clinical Preparation Journal 800w. due 11-10-23
Instructions
Each week you will be given a prompt to write a reflective journal assignment that will allow you to investigate areas for clinical preparation in psychiatric mental health. The reflective journal should be substantive, containing a minimum of 500 words. Supporting evidence for your thoughts and ideas should come from a minimum of one scholarly source. Sources should have in-text citations where appropriate and be referenced on a reference page according to APA 7th Edition standards.
Watch the video related to a Psychiatric Mental Health Assessment: https://www.youtube.com/watch?v=hPQKpNy-Hm4&t=8s
1. Give a detailed summary of your thoughts about a psychiatric mental health initial assessment.
2. Why is this critical to the care of the mental health patient?
3. What areas were you surprised to see on a psychiatric mental health initial assessment?
4. Summarize one evidence based article that pertains to Psychiatric Mental Health Assessment.
Compare and examine the consequences of an unethical behaviors in a nursing Master’s program and in the nursing practice by providing one example for each.
Please include 350-400 words . Please include scholarly reference.
After reading this week’s assigned chapters, think about your nursing philosophy. In your own words, discuss your philosophy of nursing. Reflect on the definition of the four concepts of the nursing meta-paradigm. Write your own definition for each concept of the meta-paradigm of nursing. Which concept would you add to the meta-paradigm of nursing and why? Which concept would you eliminate and why?
Adeyanju Bello
11/10/23, 2:49 PM NEW
The nurse and the patient must be aware of the interactions between medications and nutrients. The nurse must be able to ensure that the correct dose is given and that no negative interactions occur when showing the drug or explaining how to take it. The patient must comprehend and follow instructions correctly.
Fentanyl is a drug that interacts with nutrition. Fentanyl is used to treat “breakthrough” pain by altering the brain's and nervous system's response to pain. Grapefruit and grapefruit juice should be avoided because they increase the amount of medicine in the body, which can lead to an overabundance of fentanyl.
Warfarin is a blood thinner that prevents blood clots from forming or developing in the blood or blood arteries. Warfarin interacts with foods when you eat a constant amount of vitamin K. Broccoli, spinach, and kale are green, leafy vegetables that can make the drug less effective.
Linezolid is another medication that interacts with nutrition. This drug treats infections (such as pneumonia) and prevents bacteria from growing. If the patient is taking linezolid, tyramine-containing meals should be avoided. Cheese, excessive chocolate, caffeine, yogurt, raisins, bananas, sour cream, and sausage are all examples. The interaction can cause blood pressure to rise dangerously.
The interactions should be explained during client education so that the patient understands the importance of following the medication directions. An important point to remember about fentanyl medication is that increasing the dosage can increase the risk of overdosing and severe side effects (respiratory failure). The takeaway for warfarin is that the vitamin K level must be monitored and consistent for the medication to work correctly—finally, the importance of avoiding tyramine-containing foods while on linezolid should be thoroughly explained.
Amy Sanchez
11/9/23, 11:18 PM
NEW
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1: Warfarin and Vitamin K
Interaction: Warfarin is a blood thinner that works by blocking the action of vitamin K, which is needed for blood clotting. Consuming foods high in vitamin K can interfere with the effectiveness of warfarin.
Foods to avoid: Foods high in vitamin K include leafy green vegetables (kale, spinach, cabbage), broccoli, Brussels sprouts, and liver.
Client education: Patients taking warfarin should be advised to maintain a consistent intake of vitamin K-rich foods. They should not completely avoid these foods but rather consume them in moderation to have a consistent balance of vitamin K intake. Regular monitoring of the blood clotting time is crucial in preventing complications.
Interaction 2: Monoamine oxidase inhibitors (MAOIs) and Tyramine
Interaction: MAOIs are used to treat depression, but they can interact with tyramine, a compound found in certain foods. MAOIs block the action of the enzyme that breaks down tyramine, leading to its accumulation, which can cause a sudden increase in blood pressure.
Foods to avoid: Foods high in tyramine include aged cheeses, cured meats (sausages, pepperoni), fermented foods (sauerkraut, soy sauce), and some alcoholic beverages.
Client education: Patients taking MAOIs must be informed about the potential risks of consuming foods high in tyramine, as it can lead to hypertensive crisis. They should be educated on the importance of avoiding these foods, especially during the early stages of MAOI treatment. Awareness of alternative food choices is crucial to ensure a safe diet.
Interaction 3: Calcium and Tetracycline antibiotics
Interaction: Calcium can bind to tetracycline antibiotics in the gastrointestinal tract, forming insoluble complexes that reduce the absorption of the medication.
Foods to avoid: Dairy products (milk, cheese, yogurt), calcium-fortified orange juice, and high-calcium foods like spinach and kale.
Client education: Clients on tetracycline antibiotics should be advised to avoid calcium-rich foods or supplements for several hours before and after taking the medication. It is important to emphasize the significance of adhering to the recommended dosing schedule to ensure optimal absorption and effectiveness of the antibiotics.
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Instructions
Read the article, “Oncologic emergencies in a cancer center emergency department and in general emergency departments countywide and nationwide”. You may access the article in the resource folder.
Thoroughly review the complete research article exploring the management of oncologic emergencies in critically ill patients visiting the Emergency Department (ED). Focus on patient characteristics, diagnoses, and factors influencing hospitalization.
Your case study should demonstrate a thorough grasp of the entire article, using specific details to support your points. This assignment aims to assess your ability to distill complex medical information into a focused case study, highlighting essential strategies for managing oncologic emergencies in critically ill patients.
Please make sure to provide citations and references (in APA, 7th ed. format) for your work.
Case Study Focus:
Based on your comprehensive reading, create a Case study highlighting key strategies for effectively managing oncologic emergencies in critically ill patients.
Key Points
Resource Optimization: Explain how increased resource utilization and hospitalization rates among cancer patients impact healthcare delivery. Discuss strategies to optimize resources while maintaining high quality care.
Timely Diagnosis: Emphasize the importance of timely diagnosis and intervention. Provide examples from the article illustrating the benefits of early recognition and swift treatment.
Tailored Interventions: Explore the concept of tailoring treatments to individual oncologic conditions. Share insights on customizing interventions based on diagnoses outlined in the article.
Multidisciplinary Collaboration: Discuss the value of multidisciplinary collaboration in managing critically ill patients. Describe how different specialties can work together for comprehensive patient care.
Risk Stratification: Explain the role of risk assessment in identifying high-risk patients and the significance of early interventions to prevent complications.
Education and Training: Address the impact of education and training on enhancing oncologic emergencies management. Highlight the benefits of well informed healthcare professionals.
Conclusion: Summarize key insights from the article and emphasize the patient centered approach to managing oncologic emergencies in critically ill patients.
State Powers
Assignment
Required Resources
Read/review the following resources for this activity:
· Textbook: Chapter 1, 2, 3
· Lesson
· Minimum of 2 scholarly sources in addition to the textbook.
Instructions
Review the Bill of Rights for the U.S. Constitution (the first 10 amendments) to understand what rights are listed. There are numerous online sources to find the Bill of Rights.
Next, go online and look up your state's constitution. Find three state sections that are similar to or align with the Bill of Rights (the first 10 amendments to the U.S. Constitution). Examples include religious freedom, freedom of speech or association, etc. Compare and contrast these three state sections from your state’s constitution with their comparable sections in the Bill of Rights found in the U.S. Constitution and discuss the guidelines for each.
Requirements
· Length: 1.5-2 pages (not including title page or references page)
· 1-inch margins
· Double spaced
· 12-point Times New Roman font
· Title page
· References page (minimum of 2 scholarly sources in addition to textbook if cited)
Ebook:
https://bookshelf.vitalsource.com/reader/books/9780135246849/pageid/11
The Struggle for Democracy, 2018 Elections and Updates Edition
PWD: Bryanthierry@09
Please see the attachment to answer the question. I added the initial post. the questions is based on the initial post, that was not completed. Thank you!
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