There are many tools available to assist you as an RN to organize your thoughts, make nursing judgments, and implement the 5 rights of delegation. SBAR – Situation, Background, Assessment, and Recommendation, is a standardized tool used in many institutions that provides a framework to facilitate clear communication between health care providers.

The components of SBAR are as follows, according to the Joint Commission:

• Situation: Clearly and briefly describe the current situation.
• Background: Provide clear, relevant background information on the patient.
• Assessment: State your professional conclusion, based on the situation and background. State what it is you are concerned about. Identify role responsibilities.
• Recommendation: Tell the person with whom you’re communicating what you need from him or her, in a clear and relevant way. Confirm that they understand your request.

Read the following patient care scenario.

Mrs. Evans is an 86-year-old female that has been assigned to your team. She was admitted to the hospital four days ago with pneumonia. Mrs. Evans was placed on IV antibiotics and cough suppressants and her condition improved. The night RN reports that now Mrs. Evans has an increased cough. Her temperature at 6:00 am was 100.4 degrees F, her heart rate was 98 beats per minute, her BP was 110/55 mmHg, and her respiratory rate was 22 breaths per minute.  You are working with the Assistive Personnel (AP) Eric, today. You will be delegating the task of obtaining Mrs. Evan’s vital signs every 2 hours instead of the routine every 4-hour schedule to Eric.

Develop an SBAR to address delegating to the Unlicensed Assistive Personnel. This link will help you with delegation: National Guidelines for Nursing Delegation (Links to an external site.)

Under the column, RN statement, identify what you will say to the UAP for each step of the SBAR. In the next column, Five Rights of Delegation/Explanation, identify which of the five rights of delegation your statement addresses and provide a brief explanation for your answer.  

The chart is attached

 

It is 10 pm and you make assessment rounds and find Bobby crying. You ask him what his pain level is. What pain scale are you using?

He says he misses his family and wonders when they are going to come to get him and take him home? He relates his dad told him to be brave but he couldn’t stay with him since

Bobby was going to be in the hospital for such a long time and his dad had to work. He has 2 other brothers older than him. You also notice that his tray is untouched.

In addition to Erikson’s theory of development, children have fear of loss. What is Bobby’s fear?
(do not forget the interdisciplinary team members)

Instructions

Week 2 Project

This week you will turn in a draft of your “Personal Philosophy and Theoretical Concepts” paper. Your paper should contain the following sections:

• Nursing Autobiography: A brief (1 page) discussion of your background in nursing. This does not include future goals.
• The Four Metaparadigms:Describe what the literature says about the basic four metaparadigms/concepts of patient, nurse, health, and environment. Do not relate the metaparadigms to the theory you have chosen.
• Briefly describe the theory you have chosen.
• Two Practice-Specific Concepts:in separate subsections discuss each of your two concepts:What is the definition of the concept (outside of the theory)?How does your theorist define your concept?How does this concept apply to your clinical setting? Give an example of how nurses in your area provide care that correlates with the theorist’s definition of the concept.

You MUST use the attached template here to complete your paper.

The paper is to be thoroughly researched and well documented, with relevant material from the nursing theorists presented incorporated into the paper. Use the current edition of the APA Manual throughout the paper. Sources should focus on references from nursing theory but may also include conceptual and theoretical material from other professional domains. The paper, excluding references or appendices, is to be limited to 3-5 pages. Writing should be succinct and well organized, as it is impossible for the facilitator to evaluate form and content separately.

I have attached the template to this document. I have 6 Years of experience in maternity ( labor and delivery/postpartu/NICU. and I want to be a family nurse practitioner in south Florida I want to help mainly children and women. I have choosen the watsons theories For this paper. 

   

hi dear,

I just need to 2 responses to the assignments.

Please be thorough with your response and be sure to back up all information with reputable sources.

1. For week three I decided to go with topic 2 for my discussion response. Some basic conditions for good sex that were developed by Zilbergold are through discovering all of your conditions to ensure that you are able to enjoy your sexuality. Through his studies he has explained that every individual has his or her own unique condition for good sex. You must look at both conditions sexual satisfaction of when pleasure and intimacy was at it’s highest point and also it’s lowest point when you possibly felt like you were not aroused. He Zilbergeld states that within a sexual situation you must be comfortable, confident, and excited in order to get the fulfillment of an open experience. By clearing your mind of all the unnecessary chaos, you are able to transmit sexual messages that will result in better satisfaction when it comes to intimacy. 

In order to fully understand your condition, you and your partner must communicate all factors to understand sexual desires. By incorporating sexual enhancement programs, couples are able to make time for one another in having a better understanding of sexual fulfillment. “To sustain a loving sexual relationship, individuals must be willing to face the threats to the defense system that loving another person and being loved for oneself evoke” (Yarber, Sayad, Strong, 2015 p 455). When it comes to sexual difficulties, couple have the opportunity to cooperate with one another to help each other have a better intimate relationship. 

Differences in sexual desires amongst couples can tend to cause arguments which results in a negative way within the relationship. “One of the most significant elements of enhancing our physical experience of sex is intensifying arousal” Yarber, Sayad, Strong, 2015 p 459). Through homework exercises and programs, couples are able to better understand one another. From the readings you can see that these types of programs and exercises are somewhat comparable to sex therapy. Some couples may also incorporate using erotic aids such as sex toys to enhance sexual responsiveness. Having excellent sex is adaptable and varies with couples but the outcomes are able to be altered with the time and dedication to improving the experiences.

2.  Describe the major obstacles to gay, lesbian, bisexual, and transgendered (GLBT) people in obtaining adequate health care.

Lesbian, gay, bisexual, and transgendered persons face unique health care challenges.  Fear and costs are the main reasons the LGBT community faces challenges in obtaining adequate health care.  More than half of this population of Americans state that they have experienced violence, threats, or harassment because of their sexuality or gender identity.  LGBTQ people receive poor quality of care not only due to stigma, but also because of a lack of healthcare providers’ awareness as well as insensitivity to the unique needs of this community.  These discriminations in healthcare settings endanger LGBTQ people’s lives through delays or denials of medically necessary care. 

In many times, the patients want to talk about their sexual health but fear they would be discriminated against or stigmatized.  Because they don’t want discrimination to affect the quality of healthcare they receive, many people do no tell their doctors about their sexual orientation.  Because of this hesitation, lesbians and bisexual women have higher rates of breast cancer than heterosexual women since they have been found to get less routine health care than other women.  By eliminating LGBT health disparities and enhancing efforts to improve LGBT health are necessary to ensure that the LGBT individuals can lead long, healthy lives.  

Sexuality is an integral part of a patien’ts identity that needs to uniquely defined by each patient.  It cannot be determined simply by looking at someone.  Healthcare providers may lack adequate training on the specific needs and clalenges faced by the LGBT community.  Although there has been an uprising in LGBTQ-friendly healthcare providers, we as whole need to bring more awareness and help stop the discrimination, a lot of LGBT fear of the discrimination that they stop from seeking the needed medical care that they should have.  A way to improve this, is that healthcare providers can use inclusive language so that patients doesn’t need to feel that they have defend their sexual identity. The wrong words used by the healthcare provider can be experienced as heterosexist and can reveal a lack of understanding.

Thanks,

WEEK 5 discussion 3039

 Kristy Hamann posted May 9, 2018 12:42 AM SubscribeThis page automatically marks posts as read as you scroll.Adjust automatic marking as read setting

Jean Watson’s caring theory.

Jean Watson is quoted by McGonigle & Mastrian (2017), stating there is a stark contrast between curing and caring (p. 526). One of the things that makes nursing different from the medical community is our disposition of caring. We are unique in that we treat the mind-body-spirit knowing that they go together. If we are too focused on technology assessing for objective data we completely neglect the mind and the spirit. To avoid neglecting our patients we should take our advice from Watson and “be authentically present” by using our best active listening skills to connect with them (McGonigle & Mastrian, 2017, p. 526). Not just listen either but ask open ended questions about things other than where their pain level is at but how does their pain make them feel or how does it affect them? Are they afraid it’s going to affect their family life? Doing something like this before analyzing objective data through technology can potentially make the patient feel cared for instead of neglected.