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  • Subject Name : Nursing

Table of Contents

Section 1.

Section 2.

Section 3.

Section 4.

References.

Graduate Nurse Programs - Section 1

Self-Reflection

A healthcare practitioner (nurse) helps healthcare users manage their care and other physical needs, and treat their poor physical and mental condition. I am very happy to be able to make nursing my profession because I can help healthcare users effectively. My prime duty is to monitor and watch the healthcare user, record any pertinent data to help decide on treatment. In context to the treatment process, we follow the healthcare user's progress and act accordingly, keeping in mind the healthcare user's best interests. Care that is subjected by a healthcare practitioner is beyond the administration of prescriptions and other treatments, as a healthcare practitioner I am responsible for the overall care of healthcare users, including the individual's emotional, developing, cultural and spiritual needs. The healthcare user is the healthcare practitioner’s first priority. The role of the healthcare practitioner is to look after the best interests of the healthcare user and to uphold their dignity during treatment and care. This may include consulting in collaboration with other health professionals on healthcare users' treatment plans (Twibell et al., 2018).

Nursing Program: Acute Care and complex care streams

This is especially important because healthcare users who are not ill are often unable to understand the terms of treatment and behave as they normally would. The function of the healthcare practitioner is to support the healthcare user and always correspond to the best interests of the healthcare user, especially when making treatment decisions. A healthcare practitioner is straight involved in the process of decision-making for the treatment of healthcare users. It is imperative that they are able to think critically when assessing the healthcare user's symptoms and identify impending problems so that they can take proper advice and action. While other healthcare professionals, such as physicians or specialists, are responsible for making the final treatment decisions, healthcare practitioners are able to effectively communicate information about a healthcare user's health (Smyth & McCabe, 2017).

Graduate Nurse Programs - Section 2

Clinical question

The purpose of prophylactic treatment is to help patients function normally, such as driving, working or going to school. Emotion medication can be treated with sedation, surgery or a combination of both. Preservatives or anticonvulsants can cause sleep, interfere with anxiety, and interfere with other cations, so primary care providers and pharmacists should use all cations (prescription and over-the-counter), vitamins, and herbs or I may find other supplements. Surgical treatment involves the use of vas deferens stimulants. The power or stimulus of the generator is placed under the skin of the chest wall and the leads are wrapped around the nerves of the vas deferens. Surgery can remove the brain tissue where the attack begins. Less often, surgery can be performed to block the seizure area.

At first I will open the airway of the male patient. in order to do so, I will place one of my hands on the forehead of the person and I will tilt his head back gently. As soon as I will do this the mouth of the patient will open slightly. Then in order to lift the chin of the patient, I will place my fingertips on the point of the chin of the patient. In the next step, I will check the breath of the patient (Donello & Luhrs, 2013).

In the very next level, I will take the patients to the bed and will keep the patient away from any kind of obstacles by means of which the patients may be harmed. Then I will clear the area op any harmful items for instances, any kind of sharp objects. Then I will place either a blanket, pillow, jacket or any kind of soft, particularly flat objects under the head of the patient, so that patient will feel comfortable. In addition this will help the patient to prevent any kind of suffocation. I should not try to stop the movements of the person, or else hold the person down. Moreover, if possible, I can try to turn the person onto one side.

In case, the patient will tend to experience repeated seizures I will call the doctor. In addition, in case the seizures lasts for over than five minutes, I should immediately call the doctor. After the attack, I should not give food or water until the person is fully awake, upright and easily swallowed. I should also make sure the person is comfortable; I may need to repaint the day, time and environment. The patient may be accompanied by temporary amnesia attack. I should contact their primary care provider if instructed to do so in advance. In addition, I must be sure to bring all the budget records to the next office. As the seizure patients should take medication according to these instructions and have their blood levels checked according to the advice of their primary care provider, I should look after this.

The purpose of treating epilepsy patients is to achieve a convulsive condition without side effects. This goal has been reached in more than 60% of patients required for anticonvulsant treatment. Many patients experience side effects from these drugs and some have convulsions that are resistant to drug therapy (Johnson & Krauss, 2016).

Graduate Nurse Programs - Section 3

Prioritization

At first I have to look after the patient 3, Mr Young who is nil by mouth and has IV therapy running at 167mls per hour. The infusion pump alarm is sounding and the IV flask appears to be close to empty. An infusion pump is a medical device that delivers a certain amount of fluid, such as nutrients and medicines, to the patient's body. Infusion pumps are widely used in clinical settings such as hospitals, nursing homes and homes. Infusion pumps are usually operated by trained users who program the rate and duration of fluid supply through the built-in software interface. Infusion pumps offer significant advantages over manual dosing of liquids, such as the ability to deliver very small amounts of fluids, the ability to deliver liquids with precise programming speeds or automatic breaks. They can provide nutrients such as insulin or other hormones, antibiotics, chemotherapeutics and painkillers (Shapiro, 2013).

Then, I will go for patient 4, Mr Stavropoulous, who has been admitted for acute asthma. He is due for ventolin and prednisolone at 0800. His BGL at 0700 was 4.6 mmol/l. Albuterol helps to breathe in asthma. If the need for this medication continues to increase, it may indicate that the asthma is getting worse, so talk to your doctor. Albuterol is a prescription drug used to treat bronchospasm (airway stenosis) in people with retinal obstructive airway disease. It can also be used to prevent bronchospasm due to exercise. There is a drug called albuterol beta agnist. These relax the smooth muscles of the respiratory tract and facilitate breathing. Albuterol is taken orally in the form of tablets, syrups and durable release tablets. Tablets and syrups are usually taken 3-4 times a day. Sustainable release tablets are taken once every 12 hours. Albuterol is supplied as a mouthwash solution using a nebulizer and is usually used 3-4 times a day. The drug is supplied in the form of an aerosol which is inhaled through the mouth using an inhaler. When aerosols are used to treat or prevent the symptoms of lung disease, they are usually used every 4-6 hours as needed. If aerosol is used to prevent shortness of breath during exercise, it is used 15-30 minutes before exercise. Common side effects include rapid heartbeat, tremors and agitation (Wechsler, et al., 2011).

Then, I will go to the patient 1, Mrs Peterson, who is asking for my help to the ensuite to use her bowels. Mrs Peterson had a stroke 2 weeks ago and has a moderate left hemiplegia and needs assistance to move. She is classified as a high falls risk. I must help her to the ensuite to use her bowels. At last I will go to the patient 2, Mrs Walters, who have to go to the theatre at 0800 and is not yet ready. I will help her to get ready.

Graduate Nurse Programs - Section 4

Professional scenario 

Hypoglycemia is a condition caused by a drop in blood sugar, which can be treated with immediate attention and quick action to bring blood sugar back to normal, so the healthcare user should be given sugary foods or drinks. Inclusion of drugs for monitoring and control is very much imperative unless they are considered to be of normal value, since hypoglycemia is not usually a disease in itself but an indicator of health problems. However, without proper monitoring and exposure to chronic hypoglycemia, the brain does not have enough glucose to function properly, and the healthcare user may lose consciousness, convulsions, and even death (Twibell et al., 2018).

Hypoglycemia is a common and potentially condition that is generally caused by the treatment of diabetes and is considered as a major obstruction in context to intensifying or initiating or antihyperglycemic therapy in order to subject improved control in glycemic terms. The method of therapy and the history in context to hypoglycemia are the very much important predictors of future events. There are several other risk factors that include a history of autonomic insufficiency related to kidney failure, aging and hypoglycemia (Fanelli et al., 2020). The rates of reporting hypoglycemia, among other factors, differed considerably throughout the study due to the study design, the definition used, and the inclusion of the population. Although type 1 diabetes occurs more frequently, the incidence of hypoglycemia is also unevenly distributed in clinically important healthcare users with type 2 diabetes, with only a small proportion of individuals (W5%) representing fifty percent of events.

Thus, physicians need to be sincere in subjecting a complete healthcare user history, as accurate imaging of the severity and frequency of hypoglycemic events is vital in context to optimal management of diabetes, especially with increased risk of fatal hypoglycemia, impaired function that is cognitive, and unfavorable effects on healthcare users' quality of life. In this context, hypoglycemia is involved in the healthcare system and negatively affects productivity at work, especially after a nighttime event (Yale, Paty & Senior, 2018). Ongoing healthcare reform efforts will further emphasize the reduction of these side effects in the treatment of diabetes. Thus, improving healthcare user self-management skills and selecting or modifying treatment to decrease the risk of hypoglycemia will augment significance in context to clinicians and healthcare users.

Acetic tap is a medical treatment method where a needle is used to remove fluid trapped in the internal cavity of the body, usually the floor fluid is dilated for various reasons such as fluid and the cause of pain is the need to expel from the floor to the abdomen; If the fluid is infected; or the presence of any disease if the fluid can be analyzed in the doctor's laboratory. In the case of acetic tap, it can be performed according to the "programmed" method lasting about 20-30 minutes, usually using a needle to drop the fluid trapped in the internal cavity of the body in the lower abdomen but in the extreme case of untreated peritonitis healthcare user. The fluid may be excreted to relieve the expressed pain and to determine if the fluid is infected or to diagnose any disease if necessary (Cryer & Arbeláez, 2017).

Therefore, the healthcare provider needs to discuss with the RMO that care should be a priority for the healthcare users like Stanley. Negotiation with the RMO will be very useful in this regard. I think that the RMO will definitely state to help and take care of the healthcare user who is more serious (Hwang et al., 2018). Monitoring and controlling of the healthcare user with hypoglycemia, as such an immediate risk of urination should be urgently present and once the healthcare user is stable or verified that there is a stable condition, proceed to perform emetic tap. Given the knowledge of RMO, it is certain that he will agree to this proposal.

References for Graduate Nurse Programs

Bucher, H. U., Klein, S. D., Hendriks, M. J., Baumann-Hölzle, R., Berger, T. M., Streuli, J. C., & Fauchère, J. C. (2018). Decision-making at the limit of viability: differing perceptions and opinions between neonatal physicians and nurses. BMC pediatrics, 18(1), 81.

Cryer, P. E., & Arbeláez, A. M. (2017). Hypoglycemia in diabetes. Textbook of Diabetes, 513-533.

Donello, J. E., & Luhrs, L. M. (2013). U.S. Patent No. 8,404,721. Washington, DC: U.S. Patent and Trademark Office.

Fanelli, C. G., Lucidi, P., Bolli, G. B., & Porcellati, F. (2020). Hypoglycemia. Diabetes Complications, Comorbidities and Related Disorders, 615-652.

Hwang, J. J., Parikh, L., Lacadie, C., Seo, D., Lam, W., Hamza, M., ... & Constable, R. T. (2018). Hypoglycemia unawareness in type 1 diabetes suppresses brain responses to hypoglycemia. The Journal of clinical investigation, 128(4), 1485-1495.

Johnson, E. L., & Krauss, G. L. (2016). Evaluating and treating epilepsy based on clinical subgroups: elderly onset seizure and medically resistant partial-onset epilepsy. Neurologic clinics, 34(3), 595-610.

Shapiro, R. S. (2013). Subcutaneous immunoglobulin therapy given by subcutaneous rapid push vs infusion pump: a retrospective analysis. Annals of Allergy, Asthma & Immunology, 111(1), 51-55.

Smyth, O., & McCabe, C. (2017). Think and think again! Clinical decision making by advanced nurse practitioners in the Emergency Department. Int Emerg Nurs, 31, 72-4.

Twibell, R., Siela, D., Riwitis, C., Neal, A., & Waters, N. (2018). A qualitative study of factors in nurses' and physicians' decision‐making related to family presence during resuscitation. Journal of clinical nursing, 27(1-2), e320-e334.

Wechsler, M. E., Kelley, J. M., Boyd, I. O., Dutile, S., Marigowda, G., Kirsch, I., ... & Kaptchuk, T. J. (2011). Active albuterol or placebo, sham acupuncture, or no intervention in asthma. New England Journal of Medicine, 365(2), 119-126.

Yale, J. F., Paty, B., & Senior, P. A. (2018). Hypoglycemia. Canadian journal of diabetes, 42, S104-S108.

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