To discuss:
The communication skills needed by the nurse to continue to function as a resource and advocate for patient D?
Case summary:
The nurse is caring for a 14-year-old patient D, who is an unmarried pregnant teenager. The patient’s past history shows, she is homeless, had multiple sex partners, history of smoking and drinking, and father of the baby is unknown. The medical resident who is providing her car is very furious about her health, and stated a rude comment that is she trying to kill the baby and why should they waste time on her when there are other women who really need help. Though the patient is hurt, she did not show any signs. Both the nurse and medical resident is upset over the health status of the patient.
To discuss:
What if the nurse confronted the resident in front of the patient? Would this be considered as professional behavior?
To discuss:
Whether the resident functioned in a professional manner?
To discuss:
What is the role of the nurse in facilitating the ongoing professional development and education of the resident?
To discuss:
How will the nurse constructive feedback make a difference?
To discuss:
Whether the apology from the resident will help encourage patient D to trust health care professionals? Why or why not?
To discuss:
Whether there are other community resources that may help the patient in the care of her baby following the baby’s birth?
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Chapter 22 Solutions
EP CPE+TAYLOR FUNDAMENTALS OF NURSING
- Do Nurses at your facility carry their own malpractice insurance? Are nursing students liable when performing duties? Please cite in text source and list referencesarrow_forwardFive crucial traits—emotional intelligence, visionary wondering, conversation, adaptability, and empathy discuss how these traits support someone in becoming an effective leader in a management position.arrow_forwardEmotional Intelligence: Ability to understand and manage one's emotions to create strong relationships. Visionary: Ability to motivate others toward a long-range view. Communications: Being able to articulate ideas along mutually accepted lines of dialogue. Adaptable: Capable of operating through change and ambiguity. Empathy: To understand and connect with the feelings of others to build trust and collaboration. 1.In as much detail as possible, discuss how the leader’s ability to demonstrate these skills would help build a positive organizational culture where staff feel engaged and can participate in decision-making. Use examples to help you convey meaning. Provide citations where applicable 2.In as much detail as possible, discuss how these traits support you in becoming an effective leader in a management position. Be specific. Provide citations where applicablearrow_forward
- Describe EBP to include the components of research evidence, clinical expertise and patient/family values. Please cite in text source and list reference source.arrow_forwardCreate 5 separate mnemonics of the following: Vitamin A Vitamin C Vitamin D Vitamin E Vitamin K What to know from each vitamin (just an idea, please add more if needed, and needs to be mneomic): What is it Why is it important Good food sources Recommended daily amount for men and womenarrow_forward32. is generated or produced from dietary protein and tissue catabolism. 33. What is the ideal level for nPCR? 34. What can mask albumin levels? 35. Name causes of malnutrition in dialysis patients. 36. What is CAPD? 37. Should a HD pt eat more potassium then a PD pt? Why or why not? 38. What percent of a HD pt's protein should come from HBV sources? 39. Why would there be an increase in triglycerides in CAPD and briefly review nutrition therapy to decrease. 40. What is epogen? Why is it given to patients with renal disease? 41. List 8 fruits and 8 vegetables that are considered high in potassium for renal patients. 42. List 10 foods that are considered high in phosphorus for renal patients.arrow_forward
- Focus Part II: Please create an electronic bulletin board for each of the following concepts (one per bullet): . Bulletin board 1: List of foods/beverages that are high and low in phosphorus Bulletin board 2: List of foods/beverages that are high and low in potassium Bulletin board 3: List of foods/beverages that are high and low in protein Harrow_forwardFolic Acid Vitamin B6 Vitamin C Vitamin B12 14. What are the dietary recommendations for a dialysis patient? Calories Protein-HD- Potassium-HD- Phosphorus- PD-3000-4000mg/d 15. Should dialysis pts take fat-soluble vitamins why or why not? 16. Should patients take their B-complex vitamins prior to treatment? Why or why not? 17. What are the recommendations for physical activity? 18. What are some possible causes of low serum albumin? What are some possible dietitian Interventions? 19. What are some possible causes of dry weight loss? Dietitian intervention? 20. What are some possible causes of hyperkalemia? Dietitian Intervention? 21. What are some possible causes of hypokalemia? Dietitian Intervention? 22. What are some possible causes of hyperphosphatemia? Dietitian Intervention? 23. What are some possible causes of hypophosphatemia? Dietitian Intervention? 24. What are some possible causes of Hypercalcemia? Hypocalcemia? Dietitian Intervention? +Hypercalcemia- Hypocalcemia- Dietition…arrow_forwardStudy Guide on anatomy, physiology and pathophysiology of kidneys (basics)arrow_forward
- Renal Experience: Complete and turn into your weekly submission. Part 1: 1. Define the following terms related to renal nutrition: BUN b. Dry weight- Interdialytic wt. Gain (IDWG d CRF ARF f. nPCB- B PTH- h. Kt/v- Kinetic modeling Creatinine clearance 3. What are the main functions of the kidney? 4. List several causes of CRF 5. What is the difference between Hemodialysis (HD) and Peritoneal Dialysis (PD)? 6. What are the two different types of Peritoneal Dialysis? 7. How does the dialyzer/artificial kidney work? 8. What are some possible complications of HD? 9. What are some possible complications of PD? 10. What are some advantages of HD? 11. What are some advantages of PD? 12. Describe the differences between a graft, catheter, and fistula. Include pros and cons of each 13. List vitamin/mineral guidelines for dialysis patients. Sodium- Potassium HD- ♦Phosphorus- Calcium- Magnesium Water soluble vitamin supplementation to replace dialysate losses:arrow_forwardDaVita Dietitian Reference Manual Module 9 - Counseling Skills CASE STUDIES Case 1 Sandy is a 28 year old female patient who is new to dialysis and is having difficulty adjusting to her diagnosis of chronic kidney failure. She has poor vision as a result of poorly controlled diabetes for over 15 years. She has had excessive fluid weight gains between her first two treatments. What is your approach to counseling and what tools would you use? Case 2 Smiley is a 90 year old gentleman who is new to dialysis. He is hard of hearing and speaks little English. He lives with his wife who also has limited comprehension of the English language. His daughter states that he has a diagnosis of multiple myeloma. How would you plan for counseling Smiley about his new diet regimen and what materials would you use?arrow_forwardDaVita Dietitian Reference Manual Module 12--Peritoneal Dialysis CASE STUDIES Case 1 A 38 year old female patient with polycystic kidney disease is here for a clinic visit. She presents with the following labs: albumin 3.5, Hgb 12.1, Corrected Ca 10.8 (3rd time 10.2), Phosphorus 6.9, K 5.4. Her weight is 185 lbs and she is 6'1" tall. She reports a good appetite and weight has been stable. Two months ago, intact PTH was 1972. She has been counseled numerous times on the importance of controlling calcium and phosphorus, however, she loves milk and cheese. She is on Rocaltrol 0.25 mcg/day. She takes Renvela 800 mg as her phosphate binder, using 3 with meals and 2 with snacks, and she is adherent. Her nephrologist has just prescribed Sensipar 30 mg q dinner. What is your care plan for this patient and what nutritional counseling and patient education would you provide? Case 2 A 65 year old man, S/P heart transplant, Hepatitis C and six-month history on hemodialysis is beginning PD. He is…arrow_forward
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