Purpose of the Assignment

1. Identify the common pharmacologic treatments for inflammatory diseases of the human body.
2. Review the potential effects medication has on the clients’ basic care and comfort needs.
3. Identify nursing interventions meeting the basic care and comfort needs of clients receiving these pharmacological agents. Pharmacological Treatment for Arthritis Assignment
   

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Course Competencies

• Describe strategies for safe, effective multidimensional nursing practice when providing care for clients experiencing immunologic, infectious, and inflammatory disorders.
• Explain components of multidimensional nursing care for clients with musculoskeletal disorders.
• Select appropriate nursing interventions when providing multidimensional care to clients experiencing alterations in mobility. Pharmacological Treatment for Arthritis Assignment

Instructions

Complete the table directly below these instructions in your own words for each of the following medications:

• Ibuprofen
• Methotrexate
• Leflunomide
• Hydroxychloroquine
• Infliximab
• Anakinra
• Abatacept
• Rituximab
• Golimumab
• Tocilizumab

Use at least two scholarly sources to support your findings. Be sure to cite your sources in-text and on a reference page using APA format. Pharmacological Treatment for Arthritis Assignment

According to Freemantle and Watt (1994), “effective dissemination encompasses more than just the distribution and diffusion of information. It involves the processes by which target groups become aware of, receive, accept and utilize information.” (p. 133).

Think about your Practicum Project. Which groups would find your project findings, conclusions, and recommendations most valuable? Why? How might your focus differ if you were delivering a presentation at a professional conference versus at your practicum site? What would you emphasize if you were publishing an article in a peer-reviewed journal related to your specialization as opposed to in an online forum with a wider healthcare readership? Dissemination of scholarship Related to the Practicum Project

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In this Discussion, you analyze your Practicum Project in terms of conventional means of scholarly dissemination: presentations, posters, and publication.

To prepare:

• Reflect on your Practicum Project.
• Speak with various individuals, especially those in your practicum setting, about presentations or poster sessions they have given and/or publications they have authored. Ask which organizations or journals they would recommend you consider for dissemination based on your Practicum Project topic. Dissemination of scholarship Related to the Practicum Project
• Consider the following questions related to dissemination:
  • Who is your target audience? Who would be most interested in your project findings, conclusions, and recommendations? Consider how the needs or dispositions of the intended audience may inform your choice of dissemination method.
  • Which method of dissemination would you choose to convey the findings, conclusions, or recommendations from your Practicum Project? What are the relative benefits and challenges of giving a presentation, sharing your findings through a poster session, and/or publication?
  • Consider various nursing, health care, informatics, and leadership and management organizations and journals. What is one organization or journal you would select for your presentation or publication? Dissemination of scholarship Related to the Practicum Project
  • What are some potential challenges? Evaluate what you could do to promote the possibility that your presentation, poster, or manuscript would be accepted.
• Conduct a search of the literature using the Walden Library and other reliable sources. Locate two or more articles published in peer-reviewed journals within the last five years that relate to your Practicum Project. These articles should demonstrate the significance of the topic for nursing leadership and management or nursing informatics. Note: These articles may also help you determine if your project findings are related to an area that will contribute to a more comprehensive literature base. Dissemination of scholarship Related to the Practicum Project

By Day 3

Post a brief description of your Practicum Project, including the anticipated outcomes and implications for nursing practice in your specialty area. Explain why your results warrant dissemination. Describe your target audience, and explain which method of dissemination you would use as well as the organization or journal you would choose for sharing findings related to your Practicum Project. Support your response with at least two citations from the literature.

Read a selection of your colleagues’ responses. Dissemination of scholarship Related to the Practicum Project

Share an example from your nursing practice setting of how a decision was made to change a procedure or practice.

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• What steps were used in the decision-making process?
• What evidence was considered for decision-making?
• Throughout the decision-making process, what research did you reference and present in order to support the proposed change?
• Was the change effective?  Provide rationale. Nursing Practice Setting Assignment

In your response to your peers respond to the following:

· Consider how healthcare systems may have helped or hindered the peer’s situation as described.

· Provide at least one recommendation for your peer in the situation described.

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Respond to your peer in one paragraph. These posts should be thoughtful, respectful, and add value to the discussion. This response could include relating your experience to whatever they initially posted. Use a different scholarly source, reference it using APA format, and include in-text citations when using the referenced material in your post. Nursing Leadership week 6 peer responses1st peer post

McKenna Davis

Apr 8, 2024 at 7:19 PM

An example I found of  a nurse manager or leader who was held legally responsible for a patient outcome, was that of a male patient in his 90s who was admitted to a rehabilitation/skilled nursing facility for physical therapy following a hip fracture. When the patient was admitted he had a deep tissue injury on his sacrum and blanchable redness on both heels. The facility had a treatment nurse (wound care RN) who was responsible for wound care. While this particular resident was at the facility, the wound care nurse was on leave, and the DON (who is responsible for staff assignments) assigned an LPN to be the wound care nurses replacement who was not properly or adequately trained for wound care.  Nursing Leadership week 6 peer responsesAs a result, the resident’s wounds were not treated properly, and their pressure injuries on their heels and sacrum worsened during their time at the facility. The resident was admitted at the facility for 27 days in which time he developed stage III bilateral pressure injuries to his heels and hyponatremia resulting in hospitalization.  Allegations against the facility included failure to ensure proper treatment/services to prevent pressure injuries, failure to ensure proper nutritional status and sufficient fluid intake contributing to tissue breakdown, failure to maintain proper clinical records on each resident, and failure to maintain accurate pressure documentation. While these were issued to the facility allegations specifically against the DON included: failure to perform nursing duties in a competent manner (incompetence), and unprofessional conduct (Nursing Service Organization, 2023).

I think that the professional standard that was not met was:  assignment, delegation, supervision as well as  failure to warn. 

The role of the nurse leader/manager: The DON was responsible for staff assignments, facility policies and procedures, and overall operation of the nursing team. She should have noted that the LPN was not properly trained on wound care, ensured that changes to the patients status/condition were noted in the healthcare information record, reported to the charge nurse, as well as the residents physician and family.

The burden of responsibility and liability that nurse leaders assume in their role is significant. They are responsible for making sure that all of the nursing staff under their leadership adheres to policies, evidence based practice, and regulations ensuring safe patient care. In addition, they can be held responsible legally for actions (or omissions) made by their staff that results in poor outcomes.  Nursing Leadership week 6 peer responses

Resources, strategies, or support that can be used to help mitigate liability, and could have improved this patients outcome include maintaining open communication with staff and creating and promoting a culture of safety and accountability. This DON should have held her staff to a higher standard and been very clear about the expectations for doing full assessments on patients, charting abnormal findings, and reporting these findings to necessary healthcare professionals/members of the interdisciplinary team (Hofmeyer et al., 2021). In addition, this DON should have done a better and more thorough job of staffing a replacement for the wound care nurse.  Nursing Leadership week 6 peer responses

References

Hofmeyer, A., & Taylor, R. (2021). Strategies and resources for nurse leaders to use to lead with empathy and prudence so they understand and address sources of anxiety among nurses practicing in the era of COVID-19.  Journal of clinical nursing. https://doi.org/10.1111/jocn.15520

Nursing Service Organization. (2023). Nurse leader case study: failure to perform director of nursing duties in a competent manner. https://www.nso.com/Learning/Artifacts/Legal-Cases/Failure-to-perform-Director-of-Nursing-duties

2nd peer post

Kala Neopaney

Apr 10, 2024 at 12:14 AM

I choose discharge planning or transfers between units or healthcare organizations. Imagine a scenario where a nurse manager oversees the discharge planning process for a patient who requires specialized care upon leaving the hospital.  Nursing Leadership week 6 peer responses.When a patient moves between healthcare places for special care, the nurse manager in charge of the transfer must ensure all the patient’s medical records and care instructions are sent to the new place. If this isn’t done correctly, the patient might have to wait longer for treatment or may not get the proper care, which could make their condition worse or cause other problems. If harm comes to the patient because of this, the nurse manager could be legally responsible.

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The professional standard wasn’t met because there was inadequate communication and coordination of care. Nurse leaders must ensure patients move smoothly between places, with all their medical info and care continuing as needed. In this situation, the nurse leader supervises the discharge process, ensuring everything is done to help the patient, like sending medical records, communicating clearly between nurses, and following up on abnormal test results. Nurse leaders have a big responsibility for patient safety and care continuation. They must meet professional standards, follow rules, and ensure their staff gives good care. Not doing this can lead to legal trouble for negligence or malpractice. To handle this situation, the nurse leader can use standardized processes and checklists for discharge planning, electronic health records for secure info transfer, and train staff on discharge planning, communication, and patient safety.  Nursing Leadership week 6 peer responses.Evidence shows that medication reconciliation boosts patient satisfaction and treatment outcomes during transitions from hospitals to other care settings or home. Clear communication between providers and patients, through methods like post-discharge calls and telehealth, is vital for successful care transitions (Mansukhani et al., 2015). Effective transitional care, which includes accurate medication reconciliation, is crucial for improving patient outcomes, lowering hospital readmissions, and cutting healthcare costs.

Reference

Mansukhani, R. P., Bridgeman, M. B., Candelario, D., & Eckert, L. J. (2015a, October).  Exploring transitional care: Evidence-based strategies for improving provider Communication and Reducing Readmissions. P & T : a peer-reviewed journal for formulary management.  Nursing Leadership week 6 peer responseshttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4606859/. 

The needs of the pediatric patient differ depending on age, as do the stages of development and the expected assessment findings for each stage. In a 500-750-word paper, examine the needs of a school-aged child between the ages of 5 and 12 years old and discuss the following:

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Compare the physical assessments among school-aged children. Describe how you would modify assessment techniques to match the age and developmental stage of the child. School Age Child Development Assessment Assignment
Choose a child between the ages of 5 and 12 years old. Identify the age of the child and describe the typical developmental stages of children that age.
Applying developmental theory based on Erickson, Piaget, or Kohlberg, explain how you would developmentally assess the child. Include how you would offer explanations during the assessment, strategies you would use to gain cooperation, and potential findings from the assessment. School Age Child Development Assessment Assignment
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. School Age Child Development Assessment Assignment