College Nursing Papers

Can you think of an example of stress related to health care you have experienced or witnessed in your clinical practice? Briefly describe this and explain why in your view this was an example of such stress and note what strategies that were put into

PLACE THIS ORDER OR A SIMILAR ORDER WITH COLLEGE NURSING PAPERS AND GET AN AMAZING DISCOUNT!

considering the types of stress that are related to health care, how does that affect nurses’ health and well being and what are the potential long term effects that have been identified in the literature and government reports?

PLACE THIS ORDER OR A SIMILAR ORDER WITH COLLEGE NURSING PAPERS AND GET AN AMAZING DISCOUNT!

1. Compare the U.S. healthcare system with the healthcare system of Great Britain, Japan, Germany, or Switzerland, by doing the following:
2. Identify one country from the following list whose healthcare system you will compare to the U.S. healthcare system: Great Britain, Japan, Germany, or Switzerland.
3. Compare access between the two healthcare systems for children, people who are unemployed, and for people who are retired.
4. Discuss coverage for medications in the two healthcare systems.
5. Determine the requirements to get a referral to see a specialist in the two healthcare systems.
6. Discuss coverage for preexisting conditions in the two healthcare systems.
7. Explain two financial implications for the patient with regard to the healthcare delivery differences between the two countries.

PLACE THIS ORDER OR A SIMILAR ORDER WITH COLLEGE NURSING PAPERS AND GET AN AMAZING DISCOUNT!

You are a registered nurse working at the Early Childhood Clinic with a view to commencing the Child and Family Health Nurse educational pathway. It is your 6th week and you are growing in confidence every day. This morning, the Clinical Nurse Consultant suggests you take charge of the next case and report back to her.

Emma’s Story: A 34-year-old woman Emma presents with her four-year-old daughter Lucy, for examination. Emma is six months pregnant with her third child and has a partner Michael, who is often away on contract work. Emma’s family live interstate and she has been in the area for only 6 weeks. Michael’s retired parents live locally, are supportive and Emma has a good relationship with them. Emma is worried about Lucy because she is a ‘fussy eater’ and would like you to weigh her. She also asks you what immunisations Lucy will need in preparation for starting school.

On examination Lucy’s height is 105cm and her weight is 15.5kgs. A head-to-toe physical assessment finds no abnormalities.

Emma then tells you about her 14-year-old son Josh, who is about to start Year 9. She discloses that she is anxious about him fitting in at the new school. Josh misses his close friends as well as his father Michael, who is currently working away in another state (WA) on contract. Michael isn’t due back for three months but is hoping to eventually find work locally.

Emma looks tired and during your interactions with her she becomes teary and talks about her fears. With the new baby coming, she is worried about how she will cope with Lucy, who can be very energetic, oppositional and hard to control.

Assessment: Discuss the above case study and demonstrate support for healthy families from the perspective of the role of the Registered Nurse.

The discussion MUST be supported with evidence (preferably academic journal articles…referencing page numbers). You MUST include:-

1. Consideration of Lucy and Josh’s physical, cognitive and psychosocial development.
2. A description of the developmental milestones you would expect for a 4-year-old girl and a 14-year-old boy to have achieved.
3. A family assessment including consideration of the factors influencing Emma and her family.
4. Identified potential problems for Emma and her family.
5. Description of the required family-centred nursing care including communication/interviewing strategies that will assist with relationship building with Emma and her family.
6. Meetings and referrals you would arrange with the multidisciplinary team and other appropriate health care professional/agencies.

PLACE THIS ORDER OR A SIMILAR ORDER WITH COLLEGE NURSING PAPERS AND GET AN AMAZING DISCOUNT!

Matt, a 20-year-old white male, was brought into the emergency department unconscious with a needle protruding from a vein in his left forearm. It was determined from his lab work that he had been taking opiates, and a heroin overdose was suspected. After Matt was intubated and placed on mechanical ventilation, he was stabilized and transferred to the intensive care unit. Matt’s family was notified, and they rushed to his bedside within a half hour. After speaking with the physician, the family told the healthcare team that they wanted to do everything possible to save their son’s life. An hour later, Matt’s heart stopped, and after a full code, Matt was stabilized but was still not breathing on his own. Matt’s heart stopped two more times over a span of three hours. Dark blood was becoming visible in the suctioning canister, but Matt remained in a full code status, and the family refused to assign him a “Do Not Resuscitate” (DNR) status after five codes. Currently, the physician does not want the patient to have any further resuscitation. EEG shows no brain activity. The nurse is torn between supporting the family and following through with the physician’s desires. The nurse manager informs the nurse that she should do as the physician says. The nurse also dislikes caring for drug abuse patients. The patient did not have a DNR order on file. If he had a DNR, there would have been an agency policy to follow it. The hospital also has an ethics committee.

Task: A. Analyze (suggested length of 1–2 pages) the bioethical issues found within the scenario. 1. Provide relevant facts that relate to the issues. 2. Discuss how the nurse and the family members have ownership in the given scenario. 3. Discuss how the ethical principles of autonomy, beneficence, and non-maleficence relate to the given scenario.

B. Analyze (suggested length of 1–2 pages) two bioethical issues in the given scenario in terms of a specific ethical theory of your choice. 1. (principle-, relationship-, or consequence-based). 2. Explain how the chosen theory can relate to the given scenario. 3. Discuss a state law or nursing statute that can be applied to the scenario.

C. Discuss (suggested length of 1–2 pages) two alternative actions that could affect the patient outcome. 1. Apply the ANA Nursing Code of Ethics to guide these actions.

PLACE THIS ORDER OR A SIMILAR ORDER WITH COLLEGE NURSING PAPERS AND GET AN AMAZING DISCOUNT!

Referring to evidence-based literature, including reference to mental health consumers’ views and experiences of participating in health care, discuss the principles and the benefits of consumer-centred, collaborative mental health nursing practice, and consider the relevance of these findings for your own practice development.

PLACE THIS ORDER OR A SIMILAR ORDER WITH COLLEGE NURSING PAPERS AND GET AN AMAZING DISCOUNT!

a. Describe a moment (situation, interaction, etc.) during this clinical rotation that has exposed you to the multifaceted practice of Community Health Nursing.

b. Was any aspect surprising or unexpected?

c. What did you learn from this moment and how will it impact the nursing care you provide in the future?

PLACE THIS ORDER OR A SIMILAR ORDER WITH COLLEGE NURSING PAPERS AND GET AN AMAZING DISCOUNT!

Reflect on your experience in TAFE, university, adult education or industry. Analyse how globalisation has impacted on teaching and learning practices at your institution and how the institution might respond more effectively to the challenges of globalisation for the benefit of students – justify your response with evidence from the scholarly literature, course material, class discussions, and your own reflections

PLACE THIS ORDER OR A SIMILAR ORDER WITH COLLEGE NURSING PAPERS AND GET AN AMAZING DISCOUNT!

Develop your own personal decision-making model as a doctorally prepared advanced practice nurse.

Include theories and principles of nursing and health care ethics and a discussion of other ethical decision-making models from which you developed your own personal decision-making model.

PLACE THIS ORDER OR A SIMILAR ORDER WITH COLLEGE NURSING PAPERS AND GET AN AMAZING DISCOUNT!

Jane Vuong is a 24-year-old single Vietnamese woman living in the United States on an academic visa. She has been attending the local university for two years, studying cellular biology as an undergraduate. She comes from an affluent Vietnamese family. Her parents are paying for her education. They want her to return to Vietnam with her doctorate and take over the research lab owned by her uncle. Jane is a straight-A student who spends much of her time studying. She makes extra money by working part-time in the molecular biology laboratory in the university campus research center. She takes the subway or rides her bicycle to get around.

Jane enjoys working out by doing Quan Khi Dao at the local martial arts school. One day while there, she feels a severe tightness in her chest and says she is having difficulty breathing. Susan, a regular attendee in the class, brings Jane to the emergency department where you work. You note that Jane is having trouble speaking, appears anxious, and her lips are dusky. You are able to hear a wheezing sound when she breathes. She denies a history of asthma but says that she has some allergies which she generally treats with herbs. Susan takes you aside and tells you that she has noticed over the past month that Jane has seemed out of breath after taking the stairs up to the martial arts studio, and that she no longer rides her bike to the studio.

Because of the severity of Jane’s symptoms, the doctor decides to admit Jane for evaluation and observation. The physician orders supplemental oxygen, a chest X-ray, blood tests, and a regular diet. Jane’s anticipated stay is two days.

Once on supplemental oxygen, she is better able to communicate, and you begin to do a general assessment and take a history. Here are some of your findings:

• Diet: Jane states that she is proud that she only eats a traditional Vietnamese diet of fresh vegetables, chicken, rice, and noodles. Much of the food she eats is prepared with nuoc mam (fish sauce), soy sauce, sour lemons, bean sprouts, and scallions. She prefers to eat banh khuc (rice ball), banh cuon (rolled rice pancake), and pho bo (beef and noodle soup). You note that she is very slender, verging on being underweight.

• Religion: Jane states she is a Mahayana Buddhist. She goes to the Buddhist temple early each morning for meditation and communion with her dead ancestors. She says her meditation brings blessings from her ancestors, and they watch over her and help her succeed and stay healthy.

• Health history: Jane admits she has had a dry cough for several months, which she attributes to allergies. She says her allergies have kept her from riding her bike to work. She continues to smoke one pack of cigarettes daily and says smoking does not bother her. She laughs during your assessment and says she could never quit because her roommate smokes too.

Six months earlier she tested positive for hepatitis B. The diagnosis surprised her because she did not show any symptoms. She denies drug use but admits to being sexually active. She reports having five sexual partners in the past six months. She states, “I meet guys at the college bar and we have weekend flings. I like it this way, so I don’t have to be involved in any type of long-term relationship, which can make life really complicated.” When asked if she uses protection, she shrugs and says, “Sometimes.” She claims that no one told her that hepatitis B was sexually transmitted, but she is not worried because she says she is over it now.

During her examination, red circular burns were found on Jane’s chest. On Jane’s back, there are reddened abrasions. When asked about these strange marks, Jane explains that she was having difficulty breathing earlier in the week, and went to a Vietnamese medicine man who treated her with “coining” on her back and “cupping” on her chest to remove the bad air. He also gave her an herbal mixture and told her to boil it and breathe the steam from the mixture three times daily. She says it really helped her.

Jane’s primary nursing diagnosis is “impaired gas exchange.”

Requirements:

A. Write an analysis paper (suggested length of 2 pages) in which you do the following:

1. Summarize (suggested length of 1 paragraph) Jane’s medical history.

2. Assess which stage of each of the following theories Jane characterizes when she is admitted to the hospital, using her history and behavior:

• Erikson’s adult growth and development theory

• Freud’s adult growth and development theory

• Maslow’s needs theory

3. Discuss how you could adapt care to meet Jane’s cultural needs.

a. Explain the rationale behind the adaptions.

4. Explain how the nursing process could assist you in planning Jane’s care, including one specific example.

5. Discuss which therapeutic communication techniques you would use in order to carry out Jane’s plan of care, including one specific example.

a. Explain a potential barrier to therapeutic communication with Jane, based on her history and background.

PLACE THIS ORDER OR A SIMILAR ORDER WITH COLLEGE NURSING PAPERS AND GET AN AMAZING DISCOUNT!