Dimensions of Nursing Practice

Activity Time:

1 hour

Additional Time for Study, Research, and Reflection:

1 hour

Directions:

In this discussion, emphasis is on awareness of client quality and safety and in particular what is a “culture of safety.”

Based on the review of the following websites at the Institute of Healthcare Improvement and Agency for Healthcare Research and Quality answer the following questions.

What values ensure a culture of safety?

How can healthcare facilities establish a culture of safety?

What is the nurse's role in maintaining a culture of safety?

Please make your initial post by midweek, and respond to at least two other student's post by the end of the week. Please check the Course Calendar for specific due dates.

DISCUSSION REPLIES

“Respond to at least four of the colleagues post by visiting the websites they shared and offering additional examples of EBP or alternative views/interpretations to those shared in your colleagues’ posts.”

Colleagues post attached 

CULTURAL WK 5 DISCUSSION

 Discussion Post Topic #5: In dealing with cultural differences/potential conflict in nursing/healthcare, what assessments and strategies would you incorporate to gain compliance from your culturally diverse client(s). Provide examples of the culture(s) discussed and your evidenced-based strategies. 

Nursing chapter 4 assignment

Scenario – John is a 32 year old male nurse working in a prison. He is married and has two children at home- one boy at 14 years of age and a girl that just turned ten years of age. A new prisoner to the institution has requested that John be a healthcare surrogate for him because he is 72 years of age and not in good health. John discovers that this prisoner is a pedophile and although no one at work is aware of this, John's son was molested by the father of a friend of his sons while visiting their home. The son has gone through therapy and they continue to have problems with the son, John is hopeful that his son will improve his mental health.

John feels divided because on one hand he feels obligated to serve as an RN professional and on the other hand he feels very hateful of the pedophile lifestyle that seems to encompass the newly admitted prisoner.

Instructions:

1. Read the scenario above, and then answer the following questions:

a. What kinds of issues ethically is John dealing with?

b. How would you counsel John in his dilemma?

c. Finally, what would be a reasonable approach to this problem that John has professionally and personally?

2. Your paper should be:

. One (1) page

W4 yi

 

Using the theory of unpleasant symptoms as a guide, what would you look for in an assessment tool for patient symptoms?

NUR 445 Week 1 Discussion: Brainstorming Change Project

Step 1: Consider what change you would like to initiate that will benefit the healthcare community.

Discuss how you plan to facilitate making contact with a nurse leader and post a draft change project that willl impact quality improvement as  a narrative for students and faculty to review.

Care of the older person part 2

Copyright © 2022 The Open College (Version 10)

Module Title Care of the Older Person

Module Code 5N2706

Assessment Technique Skills Demonstration

Weighting 60%

Assessment Details:

In this assessment you are required to write 3 comprehensive reports on the below skills undertaken
within the care setting with a Client /Service User.

1. An outing or indoor activity {examples of outing: trip to cinema, garden centre, park,

examples of indoor: cookery, cards, storytelling, arts & craft etc.}

2. A Reminiscence Session {examples: looking at old film, photo album, talking about past events

in client’s life, school days etc.}

3. A Health Promotion Activity: {examples: Diet, Oral Hygiene, Exercise, hand hygiene, etc}

In the reports you are required to illustrate good client care practice that you will implement in future
practice. In each of the reports you need to illustrate understanding and knowledge of your role in
promoting safe practices, client independence, support, autonomy and dignity during the planning
and implementation of the activities.

Your reports will be assessed on the following:

• Thorough organisation and preparation of the task, including identification of clients’ needs.

(15 marks)

• Careful execution of the task. (15 marks)

• Effective communication throughout the task. (10 marks)

• Effective use of relevant safety and health practices. (10 marks)

• Comprehensive record of the task. (10 marks)

Copyright © 2022 The Open College (Version 10)

Instructions:

For each Skill Report you can:

1. Choose one of the case studies profiles below to complete the reports and follow the
guidelines provided to complete same. The below case studies are a brief overview of a client
and you are free to interpret and expand upon the client history, background if you wish.

OR

2. Complete the assessment on a service user you have cared for during work placement or
family member/relative you have cared for in the home, whereby you have been involved in
assisting them with a recreational / therapeutic activity.

Case Study One

James Brown is a 75-year-old male who was admitted into the nursing home in January 2020. Previous
to this Mr Brown was in St Vincent’s hospital following a stroke where he spent six months. Following
the stroke Mr Brown now uses a rollator. He has no difficulties transferring himself and needs no
assistance. He is partially paralysed on the left side of his body, and sometimes his speech is a little
slurred. Mr Browns wife and son visited every few days. Prior to his retirement Mr Brown worked in
Dublin Dockyards and had a keen interest in swimming, hill walking and crossword puzzles.

Case Study Two

Alice Jones is 81 years old and was admitted to the residential home in 2019 from her home where
she lived with her husband. Alice was diagnosed with dementia in 2016, she is forgetful and has a
history of wandering and this increases her vulnerability. Unfortunately, Alice’s care needs could not
be met at home due to her dementia. This cognitive decline also impacts on her physical and social
ability as she requires support to maintain her daily activities of living. This includes personal care,
nutrition, safety, mobility and guidance.

Case Study Three

Mary Walsh is 74 years of age, she is a widow of ten years, she has one daughter and one son, her son
resides in Australia. Mary is currently residing in a nursing home and she has been diagnosed with
dementia and is in the early stages. As an effect Mary suffers from short term memory loss. Mary also
has restricted mobility as a result of a fall two years ago and suffered a fractured hip. Mary’s physical
ability all though restricted is quite good. Mary uses a rollator for short to medium distance and a
wheelchair for long distance or when going out, she has full mobility with her upper body and regularly
attends physiotherapy.

Copyright © 2022 The Open College (Version 10)

Case Study Four

Annie Smith is an 84-year-old lady who still very much enjoys the activities of daily living. Annie has
cognitive impairment and mobilises with the aid of a rollator; she also has arthritis and wears a hearing
aid in her right ear. Annie has a regular diet and fluids and has a good appetite. Annie takes a lot of
pride in her appearance and likes to wear nice clothes and to have her hair done. Annie is a widow;
she has no children but has led a very full and active life and was very engaged in social activities
throughout her life. Annie lived on her own for a number of years upon the death of her husband and
attended a day centre which she enjoyed greatly. It was noticed by the staff in the day centre and her
home care team that Annie was becoming more forgetful and confused and was leaving her home
and forgetting how to return. The difficulty in maintaining her safety in the home was one of the main
reasons that Annie entered the nursing home.

Additional guidelines for Skills Demonstration

The below Structure must be followed for each Skills Demonstration report & specific points to be
addressed.

Title of Activity_______________

❖ Client Profile: {in this section provide details on the following: name, age, illness / disability,
level of independence}

❖ Rational for the chosen activity: {why did you choose this activity and how would you or did
you involve the client in the decision-making process}

❖ Preparation of the activity: {for example: materials, time, venue, transport etc. and discussion

with supervisor/person in charge}

❖ Communication: {what communication techniques are used to meet the needs of the client,

such as verbal, non-verbal skills and written}

❖ Health and Safety: {in this section address safety measures and infection control that must be

implemented and give rationale}

❖ Implementation of the Activity: {in this section outline from start to finish the activity itself,

you can do this in steps e.g., step 1, 2, 3 and so on. It is important to place emphasis on good

client care, support provided, promotion of independence and interaction, client feedback}

❖ Reflection: {in this section reflect on the benefits of activity for the client and outline future

recommendations to promote recreational activities}

Copyright © 2022 The Open College (Version 10)

Specific Guidelines & Important Information

1. Word Count: 500-600 words per Skills report (+/-10%).

2. Your skill reports must be written in first person only.

3. Write in past tense if based on past experiences from placement / working with family

member.

4. Write in future tense if based on the case study provided.

5. In your reports it is important to emphasize good client care, addressing how client’s privacy,

dignity, independence, empathy, respect and positive self-image of clients would be

promoted and maintained during the activity.

6. Ensure reports are structured using the headings above.

7. Reports do not require research information or supportive references.

For final presentation of your work please ensure:

• Accuracy of information supplied.

• Written in correct context and professional.

• Correct structure applied.

• Quality of Presentation

• Grammatical correctness and proper spelling

• Professional vocational language is used.

Your work must also protect the anonymity of the client and organisation, thus all names must be
changed. This must be stated clearly in your work.

Please note: if you do go over your word count deduction will be at tutor discretion, based on the
relevance of the information submitted.

Where applicable, in the skill report work can be supported with images of
activities/material/equipment/ environment BUT NO IMAGES OF CLIENT CAN BE SUBMITTED.

Please note failure to adhere to all of the above, may result in deduction of marks.

Any results issued are provisional and subject to confirmation from the QQI External Authenticator.

see below

see below

Module 1 week 2 scenario

 

Scenario: 

  • A 49-year-old patient with rheumatoid arthritis comes into the clinic with a chief complaint of a fever.
  • Patient’s current medications include atorvastatin 40 mg at night, methotrexate 10 mg po every Friday morning and prednisone 5 mg po qam.
  • He states that he has had a fever up to 101 degrees F for about a week and admits to chills and sweats.
  • He says he has had more fatigue than usual and reports some chest pain associated with coughing.
  • He admits to having occasional episodes of hemoptysis.
  • He works as a grain inspector at a large farm cooperative.
  • After extensive work-up, the patient was diagnosed with Invasive aspergillosis.

The Assignment

(1- to 2-page case study analysis-this does not include title page and reference page)

Develop a 1- to 2-page case study analysis in which you:

  • Explain why you think the patient presented the symptoms described. (Not a trick question but reflective of a patient on immunosuppressive drugs and a high-risk employment for exposure to Aspergillosis)
  • Identify the genes that may be associated with the development of the disease.
  • Explain the process of immunosuppression and the effect it has on body systems.

Developing answers to these 3 questions, each question 1-2 paragraphs will bring you to the 2-page expected limit. 3 pages will not lose points but learning to synthesize points, provide current references (submissions like this would earn 3 primary references) and citations will garner full credit.

Reminder: Include a title page, introduction, summary, and references, done in APA format. Keep references current, 5 yr. from publication please and from primary references (# references to support your points for full credit) like classroom textbook, peer-reviewed journals. 

Capstone PowerPoint Poster Presentation

– Present a revised Capstone from the one (ATTACHED).

-Use the template I have provided for you. ( ATTACHED)

– DUE DATE OCTOBER 16, 2023 NO LATER THIS IS THE LAST DAY OF THIS CLASS, CANT BE LATE

-NO PLAGIARISM MORE TAN 10 %