Chapter 20, Problem 1RP

Summary Introduction

To discuss:

How and why would the nurse practitioner respond to this situation?

Case summary:

The critical care nurse practitioner from the neuro-intensive care unit has specialized in palliative care. The nurse practitioner found that most of the staffs in the palliative care did not understand much of the palliative care. The staffs like physician and nurse have confused themselves that palliative care is giving up on the patient instead of rescuing the patient. In contrast to the failure of the staffs in the palliative care unit, the mortality rates are only 50%. The nurse practitioner also finds the medical director of this unit is not a fan of palliative care.

Explanation of Solution

The nurse practitioner should accept that the whole unit of staff needs to be thought of palliative care is the process of rescuing the patient and not giving up on the patient. The nurse practitioner should able to win over a conversation about palliative care and also should increase the number of referral to the palliative care unit.

Summary Introduction

To discuss:

The adequacy of the skills for professional practice and what that is told about the nurse practitioner?

Explanation of Solution

Though a nurse practitioner is an Advanced Practice Registered Nurse (APRN), she still needs a Doctor of Nursing Practice (DNP) to implement full system-wide change in the palliative care unit.

Summary Introduction

To discuss:

Whether there are any other ways to respond?

Explanation of Solution

The nurse practitioner could have hosted a seminar of palliative care for neurological patients, what are the systems that can be used by the medical professionals during palliative care, and why the palliative care important to medical professionals.

Summary Introduction

To discuss:

The knowledge, skills, and attitudes do you need to develop to continuously improve quality and safety when caring for the patients like Mr. J?

Explanation of Solution

• The nurse practitioner should have interpersonal skills to effectively communicate with the health care providers when caring for a patient like Mr. J.
• The nurse practitioner should develop a new design that could be used by nursing staff and health care provider when caring for patients like Mr. J.
• The nurse practitioner should always ensure that the patients always get quality care from the new design that is developed for patients like Mr. J.
• The nurse practitioner should always upgrade and develop new test scripts when caring for patients like Mr. J.