COMMENT AUDRE DQ2 2025

I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN100-120 WORDS Now that I have completed some further research and assignments for my evidence-based project my proposed solution has evolved to the development of a nurse-driven mobility protocol. Many times patients are admitted to the ICU and placed on bedrest due to illness or invasive lines/tubes/drains. The risks associated with bedrest leads to complications such as DVT, decreased cardiac output, and pressure ulcers (Ronnebaum, Weir, & Hilsabeck, 2012). Many studies have demonstrated that mobility of ICU patients is safe and results in multiple benefits for patients. Creating a protocol that includes an assessment of mobility criteria, utilizing the existing Bed Mobility Assessment Tool (BMAT), and allowing nurses to order physical therapy will increase the number of patients participating in mobilization. The assessment of mobility criteria would be a task that fires immediately after the patient is admitted to ICU with the goal of mobilization within 72 hours, this would prevent decondition that generally happens after 72 hours of bedrest (Drotlet, et al., 2013). The assessment would include criteria such as vitals and medications that may prevent the patient from participating in therapy. Utilizing the BMAT also allows the nurse to assess the current mobility level. Based on the assessments, the nurse may begin mobilization activities with the patient or order physical therapy to evaluate. When I first envisioned my plan I wasn’t sure how to implement early mobility, but through advanced research I have read about protocols that have worked for other ICUs. Many protocols strictly involve the use of physical therapists, this is not needed for all patients. If a nurse assesses a patient and determines they are safe to participate in mobility exercises, the nurse should be able to assist in that process. For more critical patients, such as those that are intubated, a physical therapist should be involved in the mobility plan. By evaluating the patient population in Banner Estrella’s ICU and advancing my research I have come to my current ideas on early mobility of ICU patients. References Drotlet, A., Dejulio, P., Harkless, S., Hendricks, S., Kamin, E., Leddy, E., & Williams, S. (2013). Move to imporve: The feasibility of using an early mobility protocol to increase ambulation in the intensive and intermediate care settings. Physical Therapy, 197-207. Ronnebaum, J., Weir, J., & Hilsabeck, T. (2012). Earlier Mobilization decreases the length of stay in the intensive care unit. Journal of Acute Care Physical Therapy, 204-210.

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Assgn 2 – WK4 (G) 2025

Practicum – Week 1 Journal Entry As a future advanced practice nurse, it is important that you are able to connect your classroom experience to your practicum experience. By applying the concepts you study in the classroom to clinical settings, you enhance your professional competency. Each week, you complete an Assignment that prompts you to reflect on your practicum experiences and relate them to the material presented in the classroom. This week, you begin documenting your practicum experiences in your Practicum Journal. The Assignment In preparation for this course’s practicum experience, address the following in your Practicum Journal: · Select one nursing theory and one counseling theory to best guide your practice in psychotherapy. Note: For guidance on nursing and counseling theories, refer to this week’s Learning Resources. · Explain why you selected these theories. Support your approach with evidence- based literature. · Develop at least three goals and at least three objectives for the practicum experience in this course. · Create a timeline of practicum activities based on your practicum requirements. NOTE: THE Practicum Journal Template (Word document) IS ATTACHED WITH THIS ASSIGNMENT. Learning Resources Required Readings Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer. Chapter 11, “Group Therapy” (pp. 407–428) Nichols, M. (2014). The essentials of family therapy (6th ed.). Boston, MA: Pearson. Chapter 1, “The Foundations of Family Therapy” (pp. 1–6) Chapter 2, “The Evolution of Family Therapy” (pp. 7–28) Breeskin, J. (2011). Procedures and guidelines for group therapy. The Group Psychologist, 21 (1). Retrieved from http://www.apadivisions.org/division-49/publications/newsletter/group-psychologist/2011/04/group-procedures.aspx Khawaja, I. S., Pollock, K., & Westermeyer, J. J. (2011). The diminishing role of psychiatry in group psychotherapy: A commentary and recommendations for change. Innovations in Clinical Neuroscience, 8 (11), 20–23. Retrieved from http://innovationscns.com/ Koukourikos, K., & Pasmatzi, E. (2014). Group therapy in psychotic inpatients. Health Science Journal, 8 (3), 400–408. Retrieved from http://www.hsj.gr/medicine/group-therapy-in-psychotic-inpatients.php?aid=2644 Lego, S. (1998). The application of Peplau’s theory to group psychotherapy. Journal of Psychiatric & Mental Health Nursing, 5 (3), 193–196. doi:10.1046/j.1365-2850.1998.00129.x McClanahan, K. K. (2014). Can confidentiality be maintained in group therapy? Retrieved from http://nationalpsychologist.com/2014/07/can-confidentiality-be-maintained-in-group-therapy/102566.html U.S. Department of Health & Human Services. (2014). HIPAA privacy rule and sharing information related to mental health. Retrieved from http://www.hhs.gov/sites/default/files/ocr/privacy/hipaa/understanding/special/mhguidancepdf.pdf Required Media Sommers, G., Feldman, S., & Knowlton, K. (Producers). (2008a). Legal and ethical issues for mental health professionals, volume 1: Confidentiality, privilege, reporting, and duty to warn [Video file]. Mill Valley, CA: Psychotherapy.net.

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