Practicum Experience Week 7

As a nurse engaged in advanced practice, you are likely to find that discussing findings of an evidence-based project with your mentors and colleagues can expand your awareness of the implications.

By tomorrow Friday 7/12/19, submit  your journal entry of a minimum of 550-word essay for your practicum experiences in APA format with at least three scholarly references that include the level one headers as numbered below:

1) Discuss relevant evidence-based project outcomes with individuals in your practicum setting. 

2) Ask what implications they would draw from the findings.

3) Ask what insights they can share from other projects that may relate to your project outcomes. 

4) Discuss your Post-Graduation Plan for professional growth and development with individuals in your practicum setting and ask for advice on developing skills or expanding your areas of expertise throughout your career.

 

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Write a 250- to 300-word journal entry (identified as Journal Entry 2) in which you do the following:

• Describe a problem, issue, or situation that you have observed during your Practicum Experience (no more than a half page).
• Using no fewer than three peer-reviewed sources of evidence, analyze what you have observed within the context of your specialty using appropriate concepts, principles, and theories. Give special attention to observed events that vary from scholarly literature.
• Explain how the problem, situation, or issue was handled in a manner that is consistent and a manner that is inconsistent with the theory, concepts, and principles detailed in the evidence.
• Given the various evidence-based approaches that can be used in handling the problem, situation, or issue, formulate a plan for approaching the matter differently.
• Include references immediately following the content.
• Use APA style for your journal entry and references.

 

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 Practicum Learning Objectives

Life is a succession of lessons which must be lived to be understood.

—Ralph Waldo Emerson

The practicum experience provides a significant hands-on opportunity to cultivate your professional growth and development. This course includes a 216-hour practicum as part of the 1,000 clinical hours that are required for the DNP credential.

During your practicum experience for this course, you will cultivate effective interactions to promote the implementation, evaluation, and dissemination of an evidence-based project. In addition, you should pay close attention to the role of leadership in such endeavors and reflect on your own development of leadership competencies, including skillful communication. As you do this, also think about how you may meaningfully contribute to the organization during your remaining time in the setting.

This week you prepare for the practicum experience by developing a plan, including learning objectives and activities. (This is addressed in this week’s Discussion as well).

To prepare:

• Think      about learning objectives that will guide your practicum hours, as well as      the activities you will undertake to achieve those objectives. Draft three      learning objectives that are related to the AACN Essentials, your practice area specialty competencies,      and the focus of this course (see course outcomes below).
• Develop      a timeline for your practicum experience.

Complete by Friday May 31, 2019 before 10 pm America/New York time

Write a 2-page paper in APA format with at least 3 scholarly references that includes the level one headers as numbered below: (refer to the DNP Essential IV in the attached file named “AACN 2006 DNP Essential” to write the objectives).

1) Three learning objectives for your practicum hours that are aligned to the AACN Essentials, your specialty area competencies, and the focus of this course (i.e., implementation, evaluation, and dissemination of an evidence-based project).

2) Key leadership and other activities you will undertake to fulfill your identified learning objectives

3) A proposed timeline for accomplishing your practicum hours (please divide 216 hours over a ten weeks period).

Required Readings

The Learning Management Corporation. (n.d.). Developing clear learning outcomes and objectives. Retrieved from http://www.thelearningmanager.com/pubdownloads/developing_clear_learning_outcomes_and_objectives.pdf

Osters, S., & Tiu, F. S. (n. d.). Writing measurable learning outcomes. Retrieved from http://www.gavilan.edu/research/spd/Writing-Measurable-Learning-Outcomes.pdf

Course Outcomes

By the conclusion of this course, you should be able to:

• Synthesize      principles of evidence-based practice and appropriate theoretical      frameworks in order to evaluate the interventions utilized to address a      health care problem at the aggregate, systems, or organizational level
• Evaluate      the planning and implementation of evidence-based interventions used to      address a health care issue
• Appraise      the evaluation process of implemented evidence-based interventions to      address health care issues at the aggregate, systems, or organizational      level
• Engage      in the scholarly dissemination of evidence-based practice activities that      promote quality and improved health outcomes
• Demonstrate      leadership skills during the practicum experience that demonstrate      advanced nursing practice knowledge

 

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 Select two clients you observed or counseled this week during a family therapy session and  then, address in your Practicum Journal the following;

  

Describe (without violating HIPAA regulations) each client, and identify any pertinent history or medical information, including prescribed medications.

Using the Diagnostic and Statistical Manual of Mental Health Disorders, Fifth Edition (DSM-5), explain and justify your diagnosis for each client.

Explain any legal and/or ethical implications related to counseling each client. Support your approach with evidence-based literature.

   

 

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                    Pre-Briefing Simulation And Drug Cards 

                            PATIENT: Keola Akana 

THIS ASSIGNMENT HAS TWO PART QUESTIONS

                                                INSTRUCTION

Please keep in mind you will also be required to recognize a variety of signs and symptoms linked to abnormalities in these skills. 

Therefore, in order to prepare for the simulation, you are required to complete the Pre-Briefing questions & Drug Cards below and submit to the faculty facilitating the simulation prior to the start of pre-briefing. If you do not complete the pre-briefing questions below and submit to faculty facilitating the simulation prior to the start of pre-briefing, you will not be permitted to participate in the simulation. 

                                  PART 1  QUESTIONS   

SCENARIO OVERVIEW: 

Keola Akana is a 70-year-old male with a history of heart failure. He was admitted to the medical-surgical unit early on Monday morning for medication adjustment, monitoring, and cardiac rehabilitation. The scenario takes place on Monday at 0900, at which time morning medications are due. 

1. What are the nutritional implications, key assessment findings, and nursing interventions for a patient with hypokalemia? 

2. What are the signs and symptoms of digoxin toxicity and how would the nurse assess for these symptoms? In your response, be sure to include specific body systems. 

3. How would the nurse provide family-centered care? 

PLEASE USE REFERENCE LESS THAN 5 YEARS OLD AND APA FORMAT NEEDED.

                          PART 11 QUESTIONS   

SCENARIO OVERVIEW: 

Keola Akana is a 70-year-old male with a history of heart failure. He was admitted to the medical-surgical unit early on Monday morning for medication adjustment, monitoring and cardiac rehabilitation.  During this scenario, students will have the opportunity to assess and manage medication administration for a patient experiencing digoxin toxicity.

FOR EACH OF THE FOLLOWING DRUGS BELOW THAT WAS PRESCRIBED FOR THE ABOVE PATIENT WITH HEART FAILURE, WRITE OUT IN DRUG CARD FORMAT FOLLOWING THE HEADING BELOW

1) THE INDICATION, (2) DOSAGE, (3) CONTRAINDICATION, (4) SIDE EFFECTS, (5) ADVERSE EFFECTS AND (6) NURSING CONSIDERATION

⦁ Patient: Keola Akana Drug Lists

Lasix 40 mg po now and daily 

Potassium Chloride CR 10 mEq po daily

Digoxin 0.25 mg po now and daily 

Atenolol 50mg po now and daily 

Acetaminophen 650 mg po Q 4 hrs PRN mild pain or temp greater than 101.3 

IV saline flush Q 8hrs and PRN 

N:B: SEE THE ATTACHED SAMPLE OF THE DRUG CARD LIST

 

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