NR 577 Week 8 Reflection, Assignments of Nursing

NR 577 Week 8 Reflection NR 577 Week 8 Reflection

Typology: Assignments

2023/2024

Available from 11/23/2024

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MSN program Outcome #
5: Advocates for positive health
outcomes through
compassionate,
evidence-based, collaborative
advanced nursing practice. (Extraordinary nursing) The nurse
Practitioner can advocate for their patients by showing compassion
using evidence-based, and collaborative care with other health care
provider (chamberlain college of nursing,2016). Working together
for a common goal can build a trusting relationship with patients and
other health care provider. According to Pfaff, & Markaki (2017),
compassionate collaborative care is when caregiver from different
profession
and non-profession backgrounds work with patient and families to
provider ultimate care. I
share knowledge from evidence-based
information and
experience. An example I
have achieved this
outcome is during my diagnosis
and care practicum rotation. A
patient can in will a CC of moto vehicle accident. The patient was
prescribed pain medication, but it did not seem to be working, the
patient was also complained of join and muscle pain. The doctor
refers the patient
to Physical therapy and orthopedic for forth
management. Another example is during my diagnosis and care
practicum rotation I have
a 56-
year-old female with a complain of
flank pain and burning urinations. A urinalysis test was completed,
the result shows that the patient had UTI. Reviewing the patient
history, I saw that the patient had previous histories of frequent
UTI. I had to used evidence- base studies to education the patient
about UTI and how to prevent UTI problem
Reflect on your learning over the past eight weeks.
Describe how achieving the course outcomes has
prepared you to meet program outcome #5, MSN
Essential VIII, and Nurse Practitioner Core Competency #
8. Provide two specific examples from your clinical or
course activities for each that demonstrate your
achievement.
Program Outcome #5: Advocates for positive health
outcomes through compassionate, evidence-based,
collaborative advanced nursing practice.
In the past 8 weeks, I have learned so much. I had to look back
through my clinical logs to remember because it has been such a
whirlwind. However, there is no doubt that that my knowledge and
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MSN program Outcome # 5: Advocates for positive health outcomes through compassionate, evidence-based, collaborative advanced nursing practice. (Extraordinary nursing) The nurse Practitioner can advocate for their patients by showing compassion using evidence-based, and collaborative care with other health care provider (chamberlain college of nursing,2016). Working together for a common goal can build a trusting relationship with patients and other health care provider. According to Pfaff, & Markaki (2017), compassionate collaborative care is when caregiver from different profession and non-profession backgrounds work with patient and families to provider ultimate care. I share knowledge from evidence-based information and experience. An example I have achieved this outcome is during my diagnosis and care practicum rotation. A patient can in will a CC of moto vehicle accident. The patient was prescribed pain medication, but it did not seem to be working, the patient was also complained of join and muscle pain. The doctor refers the patient to Physical therapy and orthopedic for forth management. Another example is during my diagnosis and care practicum rotation I have a 56-year-old female with a complain of flank pain and burning urinations. A urinalysis test was completed, the result shows that the patient had UTI. Reviewing the patient history, I saw that the patient had previous histories of frequent UTI. I had to used evidence- base studies to education the patient about UTI and how to prevent UTI problem Reflect on your learning over the past eight weeks. Describe how achieving the course outcomes has prepared you to meet program outcome #5, MSN Essential VIII, and Nurse Practitioner Core Competency #

8. Provide two specific examples from your clinical or course activities for each that demonstrate your achievement. Program Outcome #5: Advocates for positive health outcomes through compassionate, evidence-based, collaborative advanced nursing practice. In the past 8 weeks, I have learned so much. I had to look back through my clinical logs to remember because it has been such a whirlwind. However, there is no doubt that that my knowledge and

skills have grown! I think that one experience that stands out is elderly female, who was losing weight and voiced a wish for Hospice. She wanted to die in her home with her family, be pain free, and at peace. First this conversation took a lot of strength on my part to participate in without breaking down myself, I have seen and truly believe in the evidence-based, compassionate care that it takes to have the conversation and then to carry-out the hospice orders. A true love of nursing and not wanting to see people suffer, in my experience! The second scenario is a elderly male that came into the office, with his wife. The wife had expressed that she had pancreatic cancer and knew that she was going to die soon. The husband was recently diagnosed with Dementia and Parkinson’s and was not exactly understanding of the diagnosis or how it was going to affect him. They did not have children or family. The wife expressed that they were seeking advice for Assisted living to move to, but the husband was resistant. So, she was seeking assistance. We did everything possible to encourage and advocate for both of their best interest, but it was without any success. In this situation, it took a collaboration of care. We referred the gentleman to the local psychiatric NP for evaluation and possible guidance. The result is still, to be determined, unfortunately, it will probably come down to some emergent situation. MSN Essential VIII: Recognizes that the master's prepared nurse applies and integrates broad, organizational, client-centered, and culturally appropriate concepts in the planning, delivery, management, and evaluation of evidence-based clinical prevention and population care and services to individuals, families, and aggregates/identified populations. An example of how a master’s prepared nurse applies and integrates broad, organizational, and client-centered care is during my rotation in primary care in had a 90+ year old female who had been intermittent hematuria. I had also seen her 2 times in the previous rotation, so it was to see her in follow up. She had been see to urology one of the first times, while she was there they found a bladder tumor, she initially wanted to has “everything done.” On this specific visit, she was in to see the preceptor. Who she asked for specifically, they had been long time friends and previous neighbors, and the patient asked for her honest opinion. And my preceptor gave her it. Again the pt was elderly, not in pain, still mobile and

releasing him from the practice. The next situation dealt with an legal/ethical situation. My preceptor and myself were completing a physical for DOT. The gentleman was a diabetic, he did not bring in his blood sugar log as the DOT required. His physical exam was negative and he met all of the standards, with the exception of that log. However, my preceptors license is on the line if she signed off that everything was ok. She gave the gentleman a 30 day conditional permit. He was required to return with a 30 blood sugar log or she would not pass him. He was angry! But she had a responsibility to make sure that the standards were met.