Concept explainers
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.
![Check Mark](/static/check-mark.png)
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.
To discuss:
The adequacy of the skills for professional practice and what that is told about the nurse practitioner?
![Check Mark](/static/check-mark.png)
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.
To discuss:
Whether there are any other ways to respond?
![Check Mark](/static/check-mark.png)
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.
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?
![Check Mark](/static/check-mark.png)
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.
Want to see more full solutions like this?
- DaVita Dietitian Reference Manual Module 7 - Adequacy of Hemodialysis REVIEW QUESTIONS True False 1. 27 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. Urea Reduction Ratio is a more accurate measurement of dialysis adequacy than Urea Kinetic Modeling. A fistula is the preferred type of vascular access. In the formula Kt/V, the V represents volume of total body water in which urea is distributed. In the formula Kt/V, time is measured in 15-minute increments, so 220 minutes would be rounded off to the nearest quarter hour. The DaVita minimum goal for adequacy is a spKt/V≥ 1.0. A measured height and accurate dry weight are required to obtain an accurate Kt/V result. A very low post BUN result usually means the patient is not eating enough protein. KRU is a measure of residual urea clearance by the patient's kidney, requiring a 24-hour urine collection. The Kt/V Delivered (single pool) is the value used for determining adequacy and comparing outcomes in DaVita facilities. Catheters are…arrow_forwardDaVita Dietitian Reference Manual Module 7 - Adequacy of Hemodialysis Case 3 Beverly's monthly adequacy of dialysis results came back lower than usual. Her Kt/V is 1.13. Flow sheet data reveals the following: Prescribed BFR 400, patient ran BFR 325 during treatment Blood pressure dropped to 72/58 during treatment, so UFR was turned off. Dry weight 65 kg, pre dialysis weight 69 kg, post dialysis weight 66.5 kg 1. What are DaVita's goals for Kt/V? 2. What is your impression of why the Kt/V is low? 3. What additional information would help in determining why Beverly's adequacy results were below goal?arrow_forwardDaVita Dietitian Reference Manual Module 7-Adequacy of Hemodialysis DISCUSSION QUESTIONS Define the following abbreviations: • UKM • URR . . • Kt/V What are the minimum DaVita outcome goals for Kt/V and URR? How is the DaVita Quality Index calculated for Kt/V? Discuss effect of adequacy on: ⚫ Phosphorus . ⚫ Potassium • Hemoglobin • Appetite, intake and weight ⚫ Albumin . How is residual renal function measured? What term is used for residual clearance of urea? What are advantages and disadvantages of each dialysis access? Which dialyzes the least efficiently and why?arrow_forward
- Nutrition monitoring and evaluating ptarrow_forwardIs a blood pressure of 117/71 considered normal in an 11 month old male?arrow_forwardQuestion #1: Have there been any hospital mergers in Kern County,CA? If so, describe the hospital merger (describe only one merger-there are several). Here are some hints for your research: Tehachapi hospital AND Adventist Health; Memorial Hospital AND CHW/Dignity Health; Dignity Health AND Catholic Health Initiatives. Describe only one merger-there are several to choose from. Question #2: What happened to Westside District Hospital in Taft, CA? PLS PROVIDE REFERENCE TO BACK YOUR ANSWERS TO EACH.arrow_forward
- Nutrition Intervention Nutrition Monitoring & Evaluation Needed: Protein sources Amount to eat daily Protein and other foods high in phosphorus (I.e. cheese, legumes) Cooking method of protein sources Urine produced daily Dividing fluids throughout the day Types of fluid Acceptable fluids (Le. ginger ale) Fluids to avoid (I.e. dark colas) Food considered fluid (I.e. jello) Tips to reduce thirst How would you educate the pt?arrow_forwardWhy does a dietitian manager need to know about the importance of herbs in their scope of practice and how it can impact their work performance.arrow_forwardAs a nursing student with a tgrow and smart goal of being able to identify key sources of fear and anxiety in school age patients related to hospitalization. Meaningfully reflects on TGROWs and S.M.A.R.T. goals,offering specific examples of their use in conflict, growth, or discomfort.arrow_forward
- 5:48 PM • REC 440 ASSIGNMENT What are the diagnostic modalities used by the pathologist? Describe the course of disease. What are the purposes of tissue fixation What is pathogenesis? III = AU O narrow_forwardAs a nursing student with a smart goal of being able to identify common sources of fear and anxiety in school age patients, describe how this influence future growth in reflective practice with detailed and/or relevant insights.arrow_forwardAs a nursing student trying to implement strategies on how to alleviate anxiety and fear in school age children, what are some roadblocks and how would you overcome it? (Example not having the opportunity to care for a school age patient with anxiety)arrow_forward
- Phlebotomy EssentialsNursingISBN:9781451194524Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)Publisher:JONES+BARTLETT PUBLISHERS, INC.Gould's Pathophysiology for the Health Profession...NursingISBN:9780323414425Author:Robert J Hubert BSPublisher:SaundersFundamentals Of NursingNursingISBN:9781496362179Author:Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.Publisher:Wolters Kluwer,
- Fundamentals of Nursing, 9eNursingISBN:9780323327404Author:Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNEPublisher:Elsevier ScienceStudy Guide for Gould's Pathophysiology for the H...NursingISBN:9780323414142Author:Hubert BS, Robert J; VanMeter PhD, Karin C.Publisher:SaundersIssues and Ethics in the Helping Professions (Min...NursingISBN:9781337406291Author:Gerald Corey, Marianne Schneider Corey, Cindy CoreyPublisher:Cengage Learning
![Text book image](https://www.bartleby.com/isbn_cover_images/9781451194524/9781451194524_smallCoverImage.gif)
![Text book image](https://www.bartleby.com/isbn_cover_images/9780323414425/9780323414425_smallCoverImage.gif)
![Text book image](https://www.bartleby.com/isbn_cover_images/9781496362179/9781496362179_smallCoverImage.jpg)
![Text book image](https://www.bartleby.com/isbn_cover_images/9780323327404/9780323327404_smallCoverImage.gif)
![Text book image](https://www.bartleby.com/isbn_cover_images/9780323414142/9780323414142_smallCoverImage.gif)
![Text book image](https://www.bartleby.com/isbn_cover_images/9781337406291/9781337406291_smallCoverImage.gif)