Pathophysiology of

Cardiac arrest

 

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What motivates you to become or stay healthy?

 The concept of health and wellness differs greatly between people. Health can be the absence of disease, while wellness can imply a positive state of health in holism, encompassing the mental, emotional, spiritual, and even social aspects. Think about your own state of health. Do you consider yourself a healthy person? If so, what motivates you to be healthy? If not, what would motivate you to become so? 

 

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 Political issues for Nursing

I would say that a safe and healthy work environment would have to be the one I am interested in. The World Health Organization defines a healthy environment as a place of “physical, mental, and social well-being” supporting optimal health and safety (2019). Safe environment isn’t just keeping us physically safe but the mental aspect is so important.  We need to be confident and report something that we feel is unsafe or unethical whether it is for us nurses or if it is pertaining to a patient. If we report, we can’t be afraid of retribution. The management team needs to be supportive and make a real effort to better assist the nurses. If there is a patient who is making the nurses feel uncomfortable, the nurses need to bring it up so the patient is aware and so that it does not happen again. More than likely if it makes us uncomfortable or even scared it is affecting other patients if they happen to see it.

Reference

ANA. (2019). Healthy Work Environment. Retrieved from https://www.nursingworld.org/practice-policy/work-environment

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 Teamwork

A form of interdisciplinary collaborative care that I have seen is when I am at work. The team comes together as one to include lab techs, Oncologist, RN, schedulers and our radiology team, research team. Every once in a while I am fortunate enough to shadow the Oncologist which is a great opportunity for me as a nursing student to see the entire process. In this case the doctor had recommended that this patient have a CT scan done today in the clinic and also wanted the patient to get scheduled for a thoracentesis. He had asked me to put in an order for additional blood work since we already had labs done on her. I was able to put in the order and inform our lab techs that we added it on and needed to use the “just in case” tube.  Once the doctor was done with this patient he had sent in his RN to go over what the chemotherapy drugs and how the remainder of the day would go for her. I walked her over to the scheduler to get the patient scheduled for a CT and the thoracentesis. Once our CT tech was available I walked the patient and her family over there before she headed over for the thoracentesis.     

          The patient was able to move from one area in the clinic to another with a very smooth transition and her needs were met. Our schedulers will sit with the patient and schedule the upcoming appointments and any outside appointments that the Oncologist has ordered making it easier (typically) on the patient. As a new nurse I don’t think I would have done anything differently as the patient didn’t have to travel all around and the RN even provided her with a new patient portfolio with all the resources she will need at this time. adding to my original post. As I had stated in my scenario is that the patient was able to move throughout the clinic smoothly with all of the team members she was working with and we too were able to communicate efficiently. In one of our reading assignments for the week, Patricia Yoder-Wise (p321) states that “teams are critical for patient safety because they encourage frequent and ongoing communication and create a safety net.” I read that and I think about when a patient is at our clinic or just in general and how crucial interdisciplinary collaborative care is. If one member misses something when meeting with the patient there are others involved in the care vs just one nurse who could be very distracted during that interaction.

Reference

Yoder-Wise, P. (2015). Leading and managing in nursing 6th edition. St. Louis, MO. Elsevier Mosby. retrieved from https://ambassadored.vitalsource.com

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 Teamwork.

  A teamwork approach includes team members from different disciplines working collaboratively, for a common purpose, to set goals; make decisions and share resources and responsibilities. During the team work, a group of clinicians from different disciplines, come together with the patient, perform assessment, make a diagnosis, intervene, and sett goal. The patient and their family are also involved in any discussions about the patient condition, prognosis and care plan (O’Reilly, Lee, O’Sullivan, Cullen, Kennedy, & MacFarlane, 2017).

In interdisciplinary teamwork, communication across disciplines and with the patient and their family is vital to setting the goals that most exactly reflect the patient’s health care needs.

In my experience, I had an opportunity to work with nursing assistant to give bath for a client and a physiotherapist to ambulate a patient who had general weakness during my clinical. As student nurse, I was just following both time and they were coordinating the care we gave to the clients. During both situations, the patient’s out come met because the plan was to give bath for the first patient and ambulating the second one to improve muscle strength. I personally liked both experience because it was good educational event to interact with patients.  

Reference

O’Reilly, P., Lee, S. H., O’Sullivan, M., Cullen, W., Kennedy, C., & MacFarlane, A. (2017). Assessing the facilitators and barriers of interdisciplinary team working in primary care using normalisation process theory: An integrative review. PloS one, 12(5), e0177026. doi:10.1371/journal.pone.0177026

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