Read Chapter 6 & 7   

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?   

2-You have to look at the unit census and prioritize the patient care:  

A- Give the rationale foryour choices.  

3.Answer the following questions during your clinical experiences: 

 a. What specific tasks did your patients require that you might have been able to delegate?  

b. How effective was your nurse/preceptor in delegating tasks to others?   

c. How did your nurse/preceptor ensure that the tasks were completed safely and appropriately?

Assignment Details

Health Maintenance and Screening Plans 

Clinical preventive services, such as routine disease screening and scheduled immunizations, are key to reducing death and disability and improving the Nation’s health. Yet, despite the fact that these services are covered by Medicare, Medicaid, and many private insurance plans under the Affordable Care Act, millions of children, adolescents, and adults go without clinical preventive services that could protect them from developing a number of serious diseases or help them treat certain health conditions before they worsen.

Discuss preventative services and ways to promote and overcome the barriers in your clinical practice to deliver holistic care including the recommended services for all patients across a lifespan. Please include examples, evidence-based information and references to support your work.

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

Assignment Requirements:

Before finalizing your work, you should:

• be sure to read the Assignment description carefully (as displayed above);
• consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
• Utilize spelling and grammar check to minimize errors.

Your writingAssignment should:

• follow the conventions of Standard English (correct grammar, punctuation, etc.);
• be well ordered, logical, and unified, as well as original and insightful;
• display superior content, organization, style, and mechanics; and
• use APA 6th Edition format as outlined in the APA Progression Ladder.

   End-of-life care becomes an issue at some point for elderly clients. Even with the emergence of palliative care programs and hospice programs, the majority of elderly people do not die in their own home as is their preference. What are the reasons for this trend? Discuss what you can do as a nurse to support your clients in end-of-life care and in supporting their desires. Support your response with evidence-based literature

Create a concept map graphic and write a 2-4 page narrative on the patient scenario presented in Assessment Case Study: Evidence-Based Patient-Centered Concept Map. Base your report on the information provided in the case study and your own research of 3-5 evidence-based resources.

In this assessment, you will apply evidence-based practice and personalized care concepts to ensure quality care and improve the health of a single patient. The concept map that you will create is an example of a visual tool that you can use for patient and family education.

Scenario

The charge nurse at the wellness center has sent you an email to request that you review a patient file before the patient arrives at the clinic. She has asked you to put together a concept map for your patient’s care plan. The concept map is intended to help you think through the best strategy for your patient’s care and for subsequent use for patient education. In addition, the nurse needs a narrative report that describes your patient with up to five diagnoses, in order of urgency.

Your Role

You are a nurse at a community wellness center who has received a request for patient case review and preparation for an upcoming appointment.

Instructions

Review the Assessment Case Study: Evidence-Based Patient-Centered Concept Map media activity.

Create your concept map and narrative as separate parts of your document. Be sure to note where you must include your evidence-based support and clarify your strategies for communicating information to the patient and the patient’s family.

Integrate relevant evidence from 3-5 current scholarly or professional sources to support your assertions.

Part 1: Concept Map

• Develop a graphical concept map for the patient based on the best available evidence for treating your patient’s health, economic, and cultural needs. 
  • Many organizations use the spider style of concept maps (see the Taylor and Littleton-Kearney article for an example).
  • The Assessment Case Study: Evidence-Based Patient-Centered Concept Map, which includes an example of a concept map, may help you prepare your assessment.
  • If a particular style of concept map is used in your current care setting, you may use it in this assessment.

Part 2: Narrative Report

• Develop a narrative (2-4 pages) for your concept map.
• Analyze the needs of a patient and his or her family to ensure that the intervention in the concept map will be relevant and appropriate for their beliefs, values, and lifestyle. 
  • Consider how your patient’s economic situation and relevant environmental factors may have contributed to your patient’s current condition or could affect future health.
  • Consider how your patient’s culture or family should inform your concept map.
• Determine the value and relevance of the evidence you used as the basis of your concept map. 
  • Explain why your evidence is valuable and relevant to your patient’s case.
  • Explain why each piece of evidence is appropriate for the health issue you are addressing and for the unique situation of your patient and the family.
• Propose relevant and measurable criteria for evaluating the outcomes the patient needs to achieve. 
  • Explain why your proposed criteria are appropriate and useful measures of success.
• Explain how you will communicate specific aspects of the concept map to your patient and the family in an ethical, culturally sensitive, and inclusive way. Ensure that your strategies: 
  • Promote honest communications.
  • Facilitate sharing only the information you are required and permitted to share.
  • Are mindful of your patient’s culture.
  • Enable you to make complex medical terms and concepts understandable to your patient and his or her family, regardless of language, abilities, or educational level.

Additional Requirements

• Organization: Use the following headings for your Diabetes Patient Concept Map assessment: 
  • Concept Map.
  • Patient Needs Analysis.
  • Value and Relevance of the Evidence.
  • Proposed Criteria for Patient Outcome Evaluation.
  • Patient and Family Communication Plan.
• Length: Your concept map should fit on one page (possibly a horizontal layout) and your narrative report will be 2-4 double-spaced pages, not including title and reference pages.
• Font: Times New Roman, 12 points.
• APA Format: Your title and reference pages must follow current APA format and style guidelines. The body of your paper does not need to conform to APA guidelines. Do make sure that it is clear, persuasive, organized, and well written, without grammatical, punctuation, or spelling errors. You also must cite your sources according to APA guidelines.