Individuals with psychiatric mental health disorders are frequently  stigmatized not only by society as a whole, but also by their friends, family, and sometimes healthcare providers. In your role, however, you  have the opportunity to become a social change agent for these  individuals. Consider how you might make a positive impact for your clients and advocate for social change within your own community. 

Assignment:

Provide an explanation of how you, as a nurse  practitioner, might become a social change agent for psychiatric mental health. Include how you might advocate for change within your own community.

** No plagiarism

** Four references required

** 2 pages required

herbal supplements

The practice of using herbal supplements dates back thousands of years. Today, there is a renewal in the use of herbal supplements among American consumers. However, herbal supplements are not for everyone. In fact, some herbal products may cause problems for people treatments for chronic ailments. Because they are not subject to scrutiny by the FDA or other governing agencies, the use of herbal supplements is controversial.

Herbal supplements are products made from plants for use in the treatment and management of certain diseases and medical conditions. Many prescription drugs and over-the-counter medicines are also made from plant derivatives. These products contain only purified ingredients and, unlike herbal supplements, are closely regulated by the FDA. Herbal supplements may contain entire plants or plant parts. Herbal supplements come in all forms: dried, chopped, powdered, capsule, or liquid, and can be used in various ways. Please address the followings:

1.     Discuss advantages and disadvantages of dietary supplements, including adverse reactions, drug-drug interactions, drug-food interactions, and specific laboratory issues that may arise from using these products.

2.     Discuss the position of the FDA and other governmental agencies on over the counter herbal supplements. Support your post with at least 3 evidenced-based guidelines published within the last 5 years.

All posts must be referenced as mentioned above and written in APA 6th edition format. 

Comment1

A problem in nursing that still needs to studied is the prevention of blood and body fluid (BBF) exposures. An article in American Nurse Today by (Mitchell & Parker, 2015) reveals that 49% of all BBF exposures happen to nurses with 48.6% of these occurring at bedside or in the patient’s room. The ICU and ED were second and third. The BBF accounted for did not just come from the patient but also IV leaking tubing/bags, feeding and ventilator tubing breaking or spilling, indwelling catheters, wound irrigations and even broken gloves. The most prevalent exposure was urine at 90.2%. Blood 67.9%, other fluids 18.6% and sputum 12.4% followed respectively. The eyes had the highest exposure at 62.4% followed by intact skin at 39.9% and non-intact skin at 13.5%. So, with all these statistics, with high numbers, I find it very alarming that BBF prevention is still not getting much attention. Sure, accidents happen but the least the hospitals can do is implement the use of better quality gloves and eye shields and masks should be stocked in all rooms and not just the contact carts. Perhaps better medical devices that are resistant to penetration would suffice as well.

If I am wrong, please share your thoughts. Although I know there may be hospitals that are already implementing better BBP prevention methods.

Comment2.

Nursing research is used to study both dilemmas and problems. A dilemma that is frequently seen is staff to patient ratios that are not equal to work load and that can turn a nurses response to be overworked leading to compassion fatigue. Nurses may experience compassion fatigue, which is the combination of burnout, psychological and physiological responses to prolonged chronic emotional and interpersonal stressors and secondary traumatic stress (STS), which is health care workers’ responses to vicarious exposure to trauma arising from treating patients who have directly experienced traumatic or extremely stressful events (Kelly & Todd, 2017). High intensity environments with poor staffing are seen in the area I work in. Right now we are offering incentive pay to pick up extra shifts. Due to the stress and poor staffing ratios, no one seems eager to pick up. The motivation behind the lack of effort is due to stress, not getting breaks, insufficient support and lack of patient empathy.

I believe compassion fatigue should be studied more in the health care setting because it can have major consequences for nurses, the healthcare organizations itself and the outcomes of the patients healing process with teaching and care.      We have a large turnover on our floor due to it is a hard unit to work on. Being a surgery floor it is constant admits and discharges and we at times have the support staff of a admit nurse on duty to help out. Labor is stretch with nurses having five to six patients at times which is a real concern in my opinion for safety.  Healthier work environments have relatively better communication, collaboration, safety, and patient satisfaction. I believe that more research into compassion fatigue could help not only with patient satisfaction but helping nurses feel like they are helping others and want to continue with the practice they are in.

Note: Refer to the attachment for Isbar guide. APA Style, at least three citations and references

1. Discuss the importance of effective communication in the personal relationship, the therapeutic relationship, and the relationship within the interprofessional health-care team.

2. What similarities and differences can you identify among the above interactions? 

3. Explain the concept of congruence between verbal and nonverbal communication.

4. There are many pitfalls to electronic communication. Identify a situation in which an electronic form of communication may result in a miscommunication. What other method of communication would have been more effective? 

5. How have you seen ISBAR used during your clinical experiences? 

6- Develop a hand-off report for yourself. Include items that you believe are pertinent for safe and effective nursing care. Refer to the information in the chapter for creating this report form. Using the information from the chapter, determine the effectiveness of the system currently in use on your unit for communicating shift-to-shift reports. 

7-Dr. Roberts comes into the nurses’ station demanding, “Where are Mr. Adams’s lab reports? I ordered these stat, and they’re not here! Who’s responsible for this patient?” How would you, as the nurse, respond? 

8-Explain the concept of accountability in delegation. What are the legal ramifications of accountability in delegation?

9. Dennie and Elias arrive in the unit for the 7:00 p.m. to 7:00 a.m. shift. Both nurses completed orientation 4 weeks ago. They find that they will be the only two RNs on the floor that night. There is a census of 48 clients. The remaining staff consists of two NAPs/UAPs and one LPN. What are the responsibilities of the RN, NAP/UAP, and LPN? Can Dennie and Elias effectively delegate client care tasks and care safely for all 48 clients? Use the Delegation Tree to make your decisions.

10. Discuss the differences between direct delegation and indirect delegation. 

1. You have to observe delegation procedures in your assigned unit:

A-What considerations does the RN take into account when delegating patient care?