Acute Pancreatitis 

       Acute pancreatitis is a condition where the pancreas inflames suddenly which can be mild or life threatening. This is an illness that usually requires the patient to be hospitalized. Some causes of this condition include gallstones, alcohol abuse, and even a virus. This condition could be hereditary and having cystic fibrosis may also contribute to this disease. A main symptoms of acute pancreatitis is severe abdominal pain.  If gallstones cause acute pancreatitis the pain comes on suddenly while alcohol results in a more gradual onset of pain. Other common symptoms include pain that increases with coughing, vigorous movement, and breathing deeply. The degree to which someone has symptoms also varies. Some patients may only have moderate to severe pain while others may have changes to their breathing, sweating, become tachycardic, and could have pleural effusion (Bansal, 2019).  

Diagnostic testing for Acute Pancreatitis 

       In order to diagnosis acute pancreatitis, blood tests and imaging may be used. There is not a conclusive blood test for this illness but testing can indicate a likelihood of having this condition. Some findings that indicate this illness is an increase in pancreatic enzymes amylase and lipase. The patient may also have an increase in white blood cells and blood urea nitrogen. Some imaging used to diagnosis acute pancreatitis include ultrasounds, Computed tomography (CT), magnetic resonance cholangiopancreatography (MRCP), and endoscopic retrograde cholangiopancreatography. Most of these imaging tests show inflammation or changes to the pancreas (Bansal, 2019).   

Treatment 

       Some treatment for acute pancreatitis include IV fluids, pain medication, nutritional education, and in some cases endoscopy or surgery. Most of the treatment will occur in a hospital setting. (Bansal, 2019). The IV fluids are to help prevent dehydration, pain medication is necessary for those with abdominal pain. Unfortunately, not all patients are fortunate enough to get pain relief through pain medication with this illness. If a patient is hospitalized it is not uncommon for that patient to fast. This is necessary to help the pancreas recover and help get inflammation under control. In severe cases, a feeding tube could be warranted. Other ways to help with treatment could include enzymes to help improve digestion and moving toward low-fat meals that are also high in nutrients (Mayo Clinic, 2018).  As a provider, if I had a patient come in that I suspected could have acute pancreatitis I would refer this patient to the ER to be properly evaluated. I would not want to waste time on this patient in the event there condition was already severe or worsened.  

Reference 

Bansal, R. (2019). Acute Pancreatitis. Retrieved from https://www.merckmanuals.com/home/digestive-disorders/pancreatitis/acute-pancreatitis

 (Links to an external site.)

Links to an external site.

  

Mayo Clinic. (2018). Pancreatitis. Retrieved from https://www.mayoclinic.org/diseases-conditions/pancreatitis/diagnosis-treatment/drc-20360233

Research online and find a recent medical error that made the news. Answer the following questions.

1. What happened in the incident?
2. Who was involved?
3. What were the ramifications for the patient and/or staff?
4. Reflect on the incident and think about some causes and possible interventions that could have prevented the error.

Please incorporate the work cited in APA style.

 Please create a Power Point to answer the following:

Case study

Ann, a community nurse, made an afternoon home visit with Susan and her father. After the death of her mother, Susan had growing concerns about her father living alone. “I worry about my father all the time. He is becoming more forgetful and he has trouble seeing. Mom used to take care of him. I am not sleeping and I am irritable around him. Yesterday I shouted at him because he wouldn’t let me help him with his laundry. I felt terrible! I am at my wits’ end! My brothers and sisters do not want to put dad in a nursing home but they are not willing to help out. As usual, they have left me with all the responsibility. I work part time and have two small children to care for.” Susan’s father, Sam, sat quietly with tears filling his eyes. He was well nourished and well-groomed but would not make eye contact. Nurse Ann noticed that the house was clean and orderly. A tray in front of the TV had the remains of a ham sandwich and glass of ice tea. Mail was piled up, unopened on a small table near the front door. There was only one car in the driveway and the yard was in need of attention.

1. What questions does Orlando’s theory guide the nurse to consider in caring for Susan and Sam?
2. Develop a family plan of care from the perspective of Orlando.

Explore the 1950 and 60’s in the United States:

1. Explore was happening in the United States during this time (culture, social, economics, struggles)
2. What did nursing look like during this time (what were their jobs like, responsibilities, dress, autonomy, respect)
3. What is the most influential accomplishment in nursing theory from the 1950’s and 1960’s?

Power Point should include at least 4 outside references and the textbook. It should include title and reference slides and be 14-20 slides.

  Second part of portfolio

2 . Nursing Philosophy (from prior course) as your personal statement. It is what it is your hallmark as an Advanced Practitioner.

Example as follow:

Personal statement or philosophy statement relating to your role as an APN

Nursing is an art that can never be defined in one word or way. I remember before I decided to enroll in nursing school, I cared for an old lady through a home health agency. She kept telling me how wonderful I was to her, how patient, compassionate and always willing to assist her with her daily activities. She kept saying it is not about doing it, it is how you do it. She made me realize how much I could enjoy being a nurse and she constantly encouraged me to pursue a career in nursing.

When I enrolled in nursing school, it was not a smooth journey either because it was a very hard and demanding program but I learned a lot. It was then I realized nursing was not all about giving medication and helping someone to the bathroom. I learned about the importance of establishing rapport with a patient as soon as you assume care with them.

I challenged Practical Nursing boards and started working as a LPN before I completed my BSN program and the idea of nursing grew even more. Working as an LPN made me realized at times I may have to provide care to the family member may be a little more than the patient him/herself. I learned daily that nursing is way more than just what you learn in books and school and completing the care plan interventions.

Nursing to me is all about the relationship you establish with your patients, understanding them from their perspective. Asking them what they think is going on with their health or what has been changing in their body. I like to ask, how do you feel? What do you think? Asking these questions to my patients gives me a door to see them in a holistic manner. It helps me as a nurse to understand if their symptoms are just physical or are psychological as well. Someone may be experiencing a lot of life stressor and not eating right, or not drinking a lot of water. As a result they start experiencing a lot of headache. Instead of thinking it is a migraine and heavily medicate them. It is fair to give this person a little does of Tylenol. Encourage them to perform some relaxation exercises, eat well and drink plenty of water. I have come to learn that, food, water and our brains is what makes us or breaks us. If we think positive, we excel and do better in every aspect of our lives including our health. If we think negative them the vice versa will occur.

Another thing I learned from being a nurse is that we should always be reminded that we are advocates for our patients both verbal and nonverbal patients, but we do not have the last say. Most times we know more things related to the healthcare field compared to our patients. Our patients look at us and establish a lot of trust before you decide to do anything to them like giving them medication, sticking a  needle on them, putting them on some times of machine. They establish some kid nog trust. So we should always be willing to educate our patients on what we think is going on with them and why we are doing certain interventions on them. Advocacy also comes with utilizing the ethical principles in our nursing care like autonomy, respect, nonmaleficence, beneficence, and justice

 I currently work as a nurse in the emergency department, prior to that I word in medical surgical, home-health, rehab, and long term acute care. Nursing was not the same in all these areas. I took care of different kinds of patients in their different stages of life. While all was very interesting, I really love working in the Emergency room. The ER is the combination of all in one visit or sometimes in part of the visit. We do a lot of patient teaching, stabilizing, and referrals. We do not necessarily see the same patients every day, and that Is what makes me grow as a nurse. Prior to working in the ER, I never worked with the pediatric population. And I was amazed how wonderful working with all age groups can be. I am always curious and willing to learn more about nursing and wanting to do more for my patients. I decided to enroll in the Family Nurse Practitioner- Doctor of Nursing Practice (DNP) program because I knew the program will give me all what I mentioned and more

The DNP program will not only allow me to earn the knowledge of what will make  me a great family nurse practitioner but also it has a research part that will allow me to research on the current issue related to health care and/ or the nurse practitioner role in the society. As nurse practitioners we see a lot of patients from hospital to home setting and understanding research is vital to improve the care we provide to the communities we serve. Research in nursing is what bring about evidence-based practice which is the best way of practicing our daily nursing activities.

I took a theory class in the spring 2016 when I began my DNP course and I was amazed how all the nursing theories were pretty much what makes modern nursing better today. One of my favorite theories was “the theory of goal attainment” by Dr. Imogene King. This theory talks about the importance of nurses and patients having mutual goals that will improve patients’ health (King & Fawcett, 2012). For example, if a patient comes to the ER with several symptoms, instead of only telling them this is what we are going to do and this is what you are going to do. It is best to say, this is what I think we should do and give them a chance to say what they want done and what they do not want done. This does not mean you should not explain the rationale of your interventions but allow the patients to participate in their own care by making decisions with you. This will make it easier for the both of you because you will not have to struggle trying to do something to a patient that she/he does not like or later get sued because you did something that the patient did not agree to.

The DNP class has also allowed me to learn the importance of cost effectiveness and how nurse practitioners can be more cost effective compared to primary care physicians in providing their care. Learning all this information also allows me later as a nurse practitioner to be a great mentor to staff nurses and student nurse practitioners as well. Encouraging them on the constant use of evidence-based practice during direct patient care. And explain all the whys that they may have so that they feel better and understand what they have to care for the patient(s) in a different way compared to what they are already used to base on the current evidence and research at the time.

Having all that said, I believe nursing is an art that can never be explained in one simple word. The art of nursing is fulling to both patients and nurses themselves. Being a nurse practitioner will allow me to continue to advocate for my patients and do more for them like diagnosing and treating their symptoms in a cost effective manner, adhering to the ethical principle and the holistic approach at all times. I will also continue to learn more about nursing, medicine and all the current evidence based studies to ensure I provide the best care to my patients.

                                            Reference

King, I. M., & Fawcett, J. (2012). Imogene King. interacting systems framework. [electronic resource (video)] :. Athens, OH : FITNE, 2012.

—————————————————————————————————————————-

This example has been downloaded from /giving credit to it and be used only for educational purpose: https://maryville.instructure.com/eportfolios/21286/PracticeBased_Evidence/2b_Personal_statement_or_philosophy_statement_relating_to_your_role_as_an_APN

Participatory Healthcare Informatics

After viewing the video “Let Patients Help”, address the following in your paper:

• Explain the driving forces behind the emergence and continuing evolution of the ePatient movement.
• Analyze the issues and challenges associated with the use of social media in healthcare and healthcare education.
• Describe driving forces behind the mHealth movement.

Include a minimum of two scholarly resources to support your statements.

Provide current creditable sources supporting your statements. 

Prepare this paper according to current APA guidelines.