Indeed, today’s nursing environment has exposed nurses to many reasons to be conflicted.  For instance, some patients declare wishes to be permitted to die with dignity and request that their wishes are respected. Others may wish that their life support is terminated. It can also involve actions like nurses taking two tablets of oxycodone as ordered but keeping one for herself. From a biblical point of view, I feel it is wrong to help a patient die with dignity. However, from a professional point of view, nurses must advocate and support the patients’ decision including one to make their own decisions.  Making decisions in such a situation can cause ethical dilemmas. Having not come across such a situation, I can comment that it is essential for nurses to familiarize themselves with legal and moral issues surrounding the issue (Smith et al., 2016).

Also, in these cases, nurses should possess a basic understanding of the scope of practice and standard of care. Also, they should refer to the code of ethics for nurses with interpretive terms like beneficence, justice, and autonomy. For example, the law permits it and a person (an adult) has the right to be assisted to die at his or her request especially they are terminally ailing and in unmanageable pain. Also, sometimes life-sustaining therapies may prolong suffering at the cost of decreasing the patient’s quality of life. Besides, nurses caring for the patient at the end of life have a professional and moral obligation to follow guidelines depicted in ethical and professional standards (Dahlqvist et al., 2016). Most importantly, nurses should advocate ascertaining the goals of their patients are met while following principles.

Please respond to the discussion above

 

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 Modifiable vs. Unmodifiable Risk Factors 

Summarize from the journal article.

 

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 Intuition vs Experience in Nursing

Nurses promote a place of safety for the patients. We promote healing and wellness within the health care industry. The nurse advocates for safety, educates the patients and their family and even the community. They have a vital role in the medical field.Technology is constantly changing and is the medical field so is medicine. Always using evidence based practices, research studies and trials. There are NP’s, PA’s, doctors that walk around with a tablet in hand as they are doing rounds in a hospital, so they pretty much have everything at their finger tips versus how things were 10 or more years ago. I could see a robot or even an avatar greeting patients, checking them in at a clinic or hospital. It could be possible that the avatar may even collect patient information, provide discharge instructions to the patients. It all seems so far out however we have a machine which I believe is called “The Da Vinci” that is very similar to one playing a video game. I have seen this in action as the surgeon is not even touching the patient, it is the machines hands.
               Technology is constantly changing and we need to be up to speed with it. For example, when electronic charting rolled out, I am sure it was not a smooth transition. As with any new product that is trying to streamline things there will be some draw backs and even setbacks however in the long run it will make things run more efficiently . The nurses had to learn how to navigate through the new systems versus the old paper charting system.  In doing some research I found an article that discusses less invasive and more accurate tools for diagnostics and treatment which is to include a tattoo that will monitor blood glucose levels. The dye from the tattoo will light up when the levels get too high and when the blood sugar gets too low the colors will become dark (Huston, 2013). With changes like this it can make not only the nurses life easier but also the patient’s. They should be able to manage their diabetes easier.  With the changes in technology, nurses will be able to deliver better patient care which can contribute to a better outcome.

reference

Huston, C. (2013). The impact of the emerging technology on nursing care. The Online Journal of Issues in Nursing (18)2. Retrieved from https://www.ojin.nursingworld.org

Respond to the discussion above.

 

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 Teamwork.

Think back to your most recent time in the clinical setting when another discipline (respiratory, physical therapy, nutrition, occupational therapy) was utilized.
Describe a form of interdisciplinary collaborative care you’ve seen on your current assigned clinical or work site. Then have a discussion about the following questions:

• Who coordinated that care? What was the nurse’s role in ascertaining that the care was provided?
• Was the patient’s outcome met? How or why not? What would you, a novice nurse-leader, have done differently to achieve the patient’s goals?

 

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 Concepts for Clinical Judgement

Read the article “Thinking Like a Nurse: A Research-Based Model of Clinical Judgment in Nursing” by Christine Tanner, which is linked below:

Link to article

In at least three pages, answer the following questions:

1. What do you feel are the greatest influences on clinical judgment? Is it experience, knowledge, or a combination of those things?
2. In your opinion, what part does intuition play in clinical judgment? How do you think you’ll be able to develop nursing intuition?

Additional sources are not required but if they are used, please cite them in APA format.

 

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