Think about a recent situation in mental health nursing that you recognized as needing to change in some way and share your reflection with others in the discussion board. Did you take action to change the situation? If not, why not?

If so consider the following:

1. Who did you connect with in some way to create change?
2. What were the barriers that you faced in making the change?
3. What facilitated getting something done?
4. Looking back, what would you do differently next time around?

Submission Instructions:

• Your post should be at least 450 words, formatted, and cited in the current APA style with support from (2) two academic sources. 
• FREE of PLAGIARISM (TURNITIN assignment)

My background: I am a Psychiatric Mental Health Nurse Practitioner. I work at mental health clinic (outpatient services) and at a Psychiatric Hospital where I provide direct patient care, diagnose, and prescribe pharmacological treatments for patients with mental health disorders.

Reflecting on Your Nursing Destiny

Discussion post reply

Hello class!

As I approach the culmination of my nursing career, I am excited about the various ways in which I can contribute to service both within my organization and community, while also considering the global impact of my nursing areas of interest and professional development. One area from the Recommendations list in the lesson that I find particularly significant is the emphasis on “Health Promotion and Disease Prevention.”

1. Contribution to Service:

Within my organization:
-Mentorship and Education: I would take on the role of a mentor for new nurses, sharing my experience and knowledge to help them navigate the challenges of healthcare delivery. This would involve providing guidance on patient care, critical thinking, and professional development.
– Process Improvement: Drawing from my years of experience, I could actively participate in quality improvement initiatives. By identifying inefficiencies and suggesting evidence-based changes, I can contribute to enhancing patient outcomes and the overall healthcare delivery process.

Within my community:
– Health Workshops: Collaborating with local community centers and schools, I could conduct workshops on health promotion and disease prevention. Empowering individuals with knowledge about healthy lifestyles, nutrition, and preventive measures can lead to healthier communities.
– Screening Camps: Organizing health screening camps in underserved areas could aid in the early detection of health issues. This proactive approach aligns with the principle of prevention, potentially reducing the burden on healthcare facilities in the long run.

2. Global Impact of Nursing Areas:

Given my interest in telemedicine and healthcare technology:
– Telemedicine Outreach: I envision participating in global telemedicine initiatives, connecting with remote and underserved populations to provide healthcare consultation and guidance. This could bridge the gap in access to medical expertise and improve health outcomes in areas with limited resources.
– Health Tech Advocacy: As technology continues to shape healthcare, I would advocate for the responsible integration of health tech solutions globally. This includes ensuring data privacy, promoting digital literacy among healthcare providers, and making sure technological advancements are accessible and equitable.

3. Expanding Roles of Nurses:

The area from the Recommendation list that resonates with me is “Policy Advocacy and Leadership.” Nurses are uniquely positioned to influence healthcare policy due to their frontline experience and holistic perspective on patient care. As a nurse leader, I would actively engage in advocating for policy changes that improve healthcare delivery, increase patient access to services, and enhance nursing practice. This might involve collaborating with healthcare policymakers, participating in discussions on healthcare reform, and being a voice for the nursing community.

In conclusion, I am committed to contributing to service within my organization, community, and the global healthcare landscape. By focusing on health promotion and disease prevention, embracing telemedicine and healthcare technology, and advocating for policy changes, I aim to make a positive impact on patient outcomes, healthcare accessibility, and nursing practice at large.

( Saundra)

 Mr. Rivera is a 72-year-old patient with end stage COPD who is in the care of Hospice. He has a history of smoking, hypertension, obesity, and type 2 Diabetes. He is on Oxygen 2L per nasal cannula around the clock. His wife and 2 adult children help with his care. Develop a concept map for Mr. Rivera. Consider the patients Ethnic background (he and his family are from Mexico) and family dynamics. Please use the concept map form provided.  

As an advanced practice nurse, you will likely experience patient encounters with complex comorbidities. For example, consider a female patient who is pregnant who also presents with hypertension, diabetes, and has a recent tuberculosis infection. How might the underlying pathophysiology of these conditions affect the pharmacotherapeutics you might recommend to help address your patient’s health needs? What education strategies might you recommend for ensuring positive patient health outcomes?

For this Discussion, you will be assigned a patient case study and will consider how to address the patient’s current drug therapy plans. You will then suggest recommendations on how to revise these drug therapy plans to ensure effective, safe, and quality patient care for positive patient health outcomes.

Post a brief description of your patient’s health needs from the patient case study you assigned. Be specific. Then, explain the type of treatment regimen you would recommend for treating your patient, including the choice or pharmacotherapeutics you would recommend and explain why. Be sure to justify your response. Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs. Be specific and provide examples.

To Prepare:

• Review the Resources for this module and reflect on the different health needs and body systems presented.
• Your Instructor will assign you a complex case study to focus on for this Discussion.
• Consider how you will practice critical decision making for prescribing appropriate drugs and treatment to address the complex patient health needs in the patient case study you selected.

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