Changing role of nursing essay example NRS 440

Our role as a nurse changing to more home health jobs:

The country is facing many changes especially with Obama Care being up in the air with the new president. The Affordable Care Act has restructured how we receive our health care in the United States. Nurses have and always will play a very important role in our health care today. Changing role of nursing essay example NRS 440. The one change that is very different from how we receive our health care today is the simple fact that in years to come it is expected that nursing will be in high demand outside of the hospital compared to just having nurses in and around hospitals delivering acute care.

The practice of nursing is an ever evolving career. As we grow and evolve as a country so does the career in nursing. The concept of continuity of care used to be considered inside a hospital setting only but because our culture is changing so much it reflects on how nursing is approached. My goal is to provide you with information showing the recent trend of providing in home health care compared to the traditional hospital care we are all used to receiving. Changing role of nursing essay example NRS 440.

Traditional roles vs. more opportunities

The traditional role of nursing has been to provide care inside the hospital. As a nurse we tend to think if we would like to work as a RN the place to apply would be a hospital. This is no longer the case. Job opportunities are going to be in the community especially because the Affordable Care Act has placed programs for the elderly to be at home for as long as possible. There are more and more rehabs, assisted living places being opened up by the 100’s.  The need for nurses at these facilities is only going to become greater as the bigger hospitals increase these types of programs. In a recent article by ANA Career Center Staff the topic being looked at was heath care and the affect it had on the nurses. It addressed things like the fact over half of the nurses were looking at retirement. They went as far as to state, “More than half of working nurses are over 50, which means there will be a lot of empty positions to fill in the coming years as they retire, says Susan Yox, EdD, RN, director of editorial content at Medscape.” (ANA, 2015). Changing role of nursing essay example NRS 440.  Peggy Crabtree is from the Camden group and she believes that there will be more opportunities for the nurse to work considering how many patients will be discharged to one of the facilities outside of the hospital. The opportunities are really endless for nurses because there are now programs for this very thing everywhere. One of the options are ACO’s which are Accountable Care Organizations. These are a great alternative for the patient and the nurse to provide care in an environment other than the hospital. The ACO has been defined as a “model of care, an ACO generally consists of an interrelated system of providers that may comprise hospitals, home care and long-term care agencies, physician group practices, and other health care entities, such as medical homes, whose focus is primary care. The ACO assumes responsibility for managing the care of the patient and the delivery of services across the continuum of care, with a strong emphasis on primary care and prevention”. (Hart, 21012) Changing role of nursing essay example NRS 440.

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Home Hemodialysis

One program that I happened to know a bit more about is Home Hemodialysis. I just switched jobs recently and this is now what I am presently learning.  The home dialysis program is amazing for patient’s. These patients are tied down to the dialyzer for three to four times a week and it usually is for a 4-hour time period. Changing role of nursing essay example NRS 440. So if you can only imagine the life style commitment these people make. So, if you can imagine this machine is the patient’s life line. It really helps that patient feel the least bit of freedom by giving them a bit of control with a home dialysis machine. It can do wonders for their health both mentally and physically. The patient is actually able to travel to different areas in the United States due to the Affordable Health Care Act. Most of them will qualify for the home dialysis unit which is portable if they are at a pretty high functioning level. It has made things like home dialysis an everyday topic rather than a wish that the patient longs for and dreams about. It can make it a reality. Changing role of nursing essay example NRS 440.

Many years ago these things like home dialysis were not an option. Overtime things like rehab facilities, home health care, hospice, assisted living facilities are all fairly new. With these types of health care being offered over just the acute care units in the hospitals it requires a more diverse set of skills for the nurse to have. While all of this new and upcoming healthcare is great it definitely causes a nursing shortage. It requires the nursing community to rethink about how they are training the new nurses.

Nurses Response

I shared this with three colleagues on my floor and asked for their feedback. The following is some of their responses to my presentation. All three basically had the same thing to say in general. They all felt like they knew how fast our health care was changing but were not aware that it was changing towards home health more than the acute care in the hospital. The more all three were talking I saw that they also agreed that in general all of the programs offered were starting to have an affect on the patient census Changing role of nursing essay example NRS 440. There are times of the year we see more patients especially now with the holidays but they also stated that having programs like home Hemodialysis is amazing. It allows our center the ability to see at least 100 more people in need. I think their point was that right now they really have not seen a change in the jobs for nursing dwindling in any way at the hospital but they have seen many of the jobs open up at home because of these new programs. I personally would have to agree with this point they were making too. Basically, in home dialysis there is so many patients waiting to be seen that yes many nursing jobs have been created at the home level but it still is in high demand at the acute care center in the hospital due to how many patients have needed this. Changing role of nursing essay example NRS 440.

Another point they were making was about the funding for these programs and if it was truly available. They were questioning the fact that like in many clinics or hospitals they never want to pay the nurse what she is truly valued at. They were asking about the load of work a nurse would be expected to do at a home treatment rather than the treatment in the hospital where they have access to PCT’s and CNS’s that help them tremendously. They raised some really good questions and points. They agreed that in general our health care is starting to use things like home health care over coming into the ER room and getting saline due to being dehydrated. They also agreed that these options were so much healthier for a family with a sick loved one Changing role of nursing essay example NRS 440. The amount of time and energy it takes on the family to bring the patient to the hospital and then to be around all the other people that are sick when that person is likely immunocompromised to begin with.

Our Nursing Future

Once I shared with them some of the good these home clinics are capable of I think all tree were more likely to be on board with the fact our health care system is changing and it will affect nursing in the areas we actually are providing care to our patients. When you spend time explaining personal stories about how home health care has not only helped a patient but also has allowed the patient to feel a sense of control again over their own life all three of the nurses were listening with a new sense of hearing. We all get complacent with our job and all it took for a renewed outlook on things was for these three nurses was to listen to a presentation. I actually could tell when we went back into the clinic for the acute care hemodialysis that they were extra careful and sensitive with their patients. It made me realize just how much it helps our health care team see things as they are. We all might need to have an open mind about working and providing care in a home, rehab, or assisted care facility rather than the traditional hospital. It will do the whole nursing community a world of good. Changing role of nursing essay example NRS 440.

References

Accountable care organizations: the future of care delivery? (n.d.). Retrieved December 18, 2016, from https://www.ncbi.nlm.nih.gov/pubmed/22277862

1. (n.d.). Affordable Care Act Summary. Retrieved December 17, 2016, from http://obamacarefacts.com/affordablecareact-summary/

4 Health Care Trends That Will Affect American Nurses. (n.d.). Retrieved December 17, 2016, from

http://nursingworld.org/MainMenuCategories/Career-Center/Resources/4-Health-Care-Trends-That-Will-Affect-American-Nurses.html

Nather, D. (n.d.). Understanding Obamacare: A guide about the Affordable Care Act by POLITICO. Retrieved December 17, 2016, from http://www.politico.com/obamacare-guide/ Changing role of nursing essay example NRS 440.

L. P., age 23, is a Hispanic woman who graduated from college last year. She reports to the CNP in her local community mental health center. She began working as an accountant 1 month after graduating L. P., age 23, is a Hispanic woman who graduated from college. Approximately 2 months ago, she moved into a two-bedroom apartment with another woman who works at the same accounting firm. She states that her roommate recommended that she see a doctor to find out if she has anemia or “some sort of fatigue syndrome.” She states that she has felt “restless” and “on edge” for most of the past 9 months. She becomes easily fatigued and irritable and has difficulty concentrating and falling asleep. She states that sometimes her mind “just goes blank,” and she is worried that her work performance is no longer excellent. She reports that all her life she had good grades in school and was very successful in everything she attempted. Although she has been “a worrier from the day I was born,” now she worries more than she ever has and feels nervous “all the time.” L. P. reports that she has a good relationship with her boyfriend but they do not get to see each other very often because he is attending graduate school 100 miles away. She reports having a satisfying sexual relationship with him. She denies having any problems with relationships with her parents, roommate, or peers. She denies having any financial worries unless she is fired from her job for poor work performance N521- Advanced Pharmacology Assignment 3. She reports that she has always been healthy and has taken good care of herself. The only medication she takes is birth control pills, which she has taken for the past 4 years without any adverse effects L. P., age 23, is a Hispanic woman who graduated from college.

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In a paper not to exceed six pages, excluding title and reference pages, submit your answers to the following in an MS Word document:

1. What is L. P.’s likely diagnosis?
2. List specific pharmacotherapeutic treatment goals for L. P.
3. L. P., age 23, is a Hispanic woman who graduated from college
4. Should the CNP order any labs for L. P. at this time? Why?
5. What drug therapy would the CNP likely prescribe? Why?
6. What are the parameters for monitoring the success of the therapy?
7. Describe specific patient monitoring based on the prescribed therapy.
8. List one or two adverse reactions for the selected agent that would cause the CNP to change therapy.
9. L. P. returns to see the CNP after six weeks, complaining of still feeling anxious and had heard of a medication called Klonopin that she would like to try; how should the CNP respond to her request?
10. What health promotion activities should be recommended for this patient?
11. What is L. P.’s long-term prognosis? L. P., age 23, is a Hispanic woman who graduated from college

Please use the Case Study Analysis rubric provided to guide you in completing this assignment. It will be used to evaluate your submitted work.

N521- Advanced Pharmacology Discussion 8

NUR2488 Mental Health Nursing Discussion Essay

Module 2 Discussion

The Nurse-Client Relationship

In this discussion, we’ll talk about the nurse-client relationship and the use of therapeutic communication as an important part of that relationship. Please answer the following questions:

What are your concerns or fears about mental health nursing in general? Are you interested in mental health nursing, or do you approach the topic with some anxiety?

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What do you feel are essential aspects of a good nurse-client relationship?

Please include an example of how you established good rapport and a good professional relationship with a patient in the work or clinical setting. What nonverbal and verbal techniques did you use in this relationship?

NUR2488 Mental Health Nursing

Module 2 Discussion

The Nurse-Client Relationship

In this discussion, we’ll talk about the nurse-client relationship and the use of therapeutic communication as an important part of that relationship. NUR2488 Mental Health Nursing Discussion Essay Please answer the following questions:

What are your concerns or fears about mental health nursing in general? Are you interested in mental health nursing, or do you approach the topic with some anxiety?

What do you feel are essential aspects of a good nurse-client relationship?

Please include an example of how you established good rapport and a good professional relationship with a patient in the work or clinical setting. What nonverbal and verbal techniques did you use in this relationship? NUR2488 Mental Health Nursing Discussion Essay.

DeVry nr501 Weekly Essay assignment discussions

Week 1 discussion

Importance of Theory in Nursing

For many students enrolled in NR501, this is an initial course for nursing theory. So, let’s have a debate!!! Is nursing theory important to the nursing profession? If you believe that it is important, explain why it is useful. If you do not believe that it is useful, explain why nursing theory is not necessary to the profession? Be sure to provide an example that demonstrates your opinion and a scholarly reference (not using the required textbook or lesson) which supports your opinion.

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Week 2 discussion

Significance of Nursing Concepts within the Profession

This discussion considers the metaparadigm of nursing and the four concepts of the nursing profession—person, environment, health and nursing profession. Select a practice area of the nursing profession (i.e. education, executive, informatics, healthcare policy, and advanced clinical practice) and apply EACH of the four concepts to the selected area. Be sure to apply EACH of the four concepts and include an example that demonstrates the application to the practice area. Don’t forget to support your initial posting with scholarly references.

Week 3 discussion

Steps of Concept Analysis

At the end of Week 4 your concept analysis is due. This discussion provides an opportunity to start this assignment.

Select a nursing concept (be sure to use a nursing theory) and then provide a response to each one of the steps included in a concept analysis regarding your selected concept. This information does not have to be comprehensive but provides a foundation to the upcoming assignment. Be sure to include a scholarly reference.

Week 4 discussion

Connection Between Theory and Advanced Clinical Practice

While the focus of this course is nursing theory, some nurses say that theory has no role in clinical practice. What are your thoughts? Does nursing theory have a role in clinical practice? How would you use nursing theory to improve or evaluate the quality of clinical practice? Be sure to include an example that demonstrates your thoughts. Don’t forget to include a scholarly reference DeVry nr501 Weekly Essay assignment discussions!

Week 5 discussion

Borrowed (non-nursing) Theories Applied to the Nursing Profession

While the focus of this course is nursing theory, frequently the use of non-nursing or borrowed theories occurs. Select a nursing practice area (i.e. education, executive, advance clinical practice, informatics, and health care policy); then identify a non-nursing (borrowed) theory; and apply it to the area you have selected. DeVry nr501 Weekly Essay assignment discussions. Be sure to provide an example of how the non-nursing theory can be used to enhance the selected practice area. Don’t forget to include scholarly reference(s) to support your information.

Week 6 discussion

Impact of Nursing Theory Upon Healthcare Organization

Discuss how a specific middle-range nursing theory has been or could be applied by nurse leaders or nurse managers to effectively deal with an administrative issue (i.e., staffing, use of supplies, staff performance issues). Include an example from the literature or your own experience to illustrate your points. DeVry nr501 Weekly Essay assignment discussions.

Week 7 discussion

Nursing Theory Applied to Research

In NR 500, you developed a PICOT question. Select a nursing theory that you find useful in nursing practice. Discuss each of the following selected elements of the PICOT format by applying your selected nursing theory to the element. Be sure to include a scholarly reference.

Population/ Patient Problem: Consider how your selected nursing theory may guide you in selecting the population and/or patient problem

Intervention: Does your selected nursing theory identify a possible intervention? If not, how is your selected intervention consist with your selected nursing theory? DeVry nr501 Weekly Essay assignment discussions.

Outcome: How would the outcome of your PICOT study contribute to your selected nursing theory? Would it add new information? Would it confirm some part of the theory?

Week 8 discussion

Course Reflection and Future Application

Throughout the discussions occurring within NR501, a common element has been application of theory. In this our last discussion regarding theory, it is time to focus on you and your capstone experience (yes, it is never too early consider this major project!). While it is too early to identify your project, let’s consider on your future practice area as this is the setting your project will occur in.

Based upon your self-reflection and use of nursing theory within the discussions and assignments, select ONE nursing theory that you prefer and answer the following questions:

1. Why do you prefer the nursing theory you selected DeVry nr501 Weekly Essay assignment discussions?

2. How can this theory be used in your current practice area (education, executive, advanced clinical practice, informatics, or healthcare policy)?

3. How can this theory be used in your future practice area (education, executive advanced clinical practice, informatics or healthcare policy)? DeVry nr501 Weekly Essay assignment discussions.