Module 10 Nursing Practice Professional Identity Paper
Description
MODULE 10 COURSE PROJECT – FINAL SUBMISSION
Prepare a two to three page written assignment that includes the following:
Introduction to the assignment (sections of the assignment: caring, professional identity, and professional organizations/associations)
Explain your belief of caring in nursing (self, nursing, environment, and profession)
Describe your professional identity including your beliefs, values, motives, and experiences
Discuss one to two professional organizations/associations you plan to be involved in during your nursing career
Conclusion (reflect on the criteria of the assignment; caring, professional identity, and professional organizations/associations)
Use at least two credible resources to support your findings. For example, one of the resources could be the website for a professional organization or association, and another resource could be a textbook. These resources must be integrated into the body of your paper using at least two in-text citations. Be sure to use proper APA format and style.
The document linked below contains the project rubric as well as helpful resources.
Title of Assignment
Professional Identity of the Nurse: Putting it All Together
Purpose of Assignment:
According to Larson, Brady, Engelmann, Perkins, and Shultz (2013), ”the development of professional identity is a continuous process that begins with admission to the nursing program and evolves throughout one’s professional career in a dynamic and fluid process where interacting relationship of education and practice lead to self-reflection, growth, and human flourishing” (p. 138).
Larson, J., Brady, N., Engelmann, L., Perkins, B., & Shultz, C. (2013). The formation of professional identity in nursing. Nursing Education Perspectives.34 (2). p 138.
Course Competency(s):
Describe the foundations of nursing practice.
Identify roles and responsibilities for safe nursing practice in the healthcare environment.
Explain the roles and scope of practice for members of the intraprofessional team.
Instructions:
This course includes a project with three parts. Each part builds off prior knowledge to help you create your nurse professional identity. In the first part, you examine the role of the nurse and scope of practice, which will help you identify the nurses’ role. In the second part, you examine the standards of nursing practice for the role you are obtaining during the nursing program, and you identify your beliefs, values, motives, and experiences. The final submission requires you to use the first two parts of your assignment to create your professional identity and identify a potential professional organization that you may join to help support your development.
Content:
Prepare a two to three page written assignment that includes the following:
Introduction to the assignment (sections of the assignment: caring, professional identity, and professional organizations/associations)
Explain your belief of caring in nursing (self, nursing, environment, and profession)
Describe your professional identity including your beliefs, values, motives, and experiences
Discuss one to two professional organizations/associations you plan to be involved in during your nursing career
Conclusion (reflect on the criteria of the assignment; caring, professional identity, and professional organizations/associations)
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This assignment will address the current issues in pediatric healthcare related to safety. Growth and development is an important factor that should be considered along with safety in many areas of pediatric health alterations. Many times the health alterations experienced by children can be prevented if safety education is provided.
This discussion will focus on the importance of teaching a chosen safety concern in the pediatric population. You will present your response in the discussion addressing the following questions: (discussion should be 300 words).
Initial Post:
Determine the age and developmental stage and how that impacts the child related to the safety concern.
Describe why you believe the safety education you chose will benefit the pediatric population. Who do you believe is the target age range for this specific educational teaching?
DESCRIBE AT LEAST THREE NURSING DIAGNOSES RELATED TO THE INCIDENT YOU ARE PROVIDING TEACHING TO PREVENT. SUPPORT YOUR CHOICES WITH RATIONALES CITING 1-2 SCHOLARLY SOURCES.
Response Posts:
RESPOND TO TWO CLASSMATES’ POSTS WITH A DIFFERENT SAFETY EDUCATION THAN YOU CHOSE AND ADD ADDITIONAL RATIONALE FOR WHY THIS TYPE OF EDUCATION IS BENEFICIAL. CITE 1-2 SCHOLARLY SOURCES TO SUPPORT EACH RESPONSE.
DUE DATES FOR YOUR INITIAL AND RESPONSE POSTS CAN BE FOUND BY CHECKING THE COURSE SYLLABUS AND COURSE CALENDAR
2 RESPONSE POST
RESPONSE POST 1
For safety consideration, I am writing about urinary tract infections in children. Urinary tract infection (UTI) usually occurs in girls than boys due to anatomy structure. Girls have a shorter urethra compared to boys, and its location is closer to the vagina and anus. UTIs are a more common, short-term illness, but every discomfort is very painful for a newborn, toddler, or child; however, they can cause complications if not treated promptly. It is hard to notice if UTIs occur in toddlers because they cannot verbalize their feelings. There are two types of UTIs in toddlers: lower and upper (Cleveland clinic, 2021).
Signs and symptoms of UTIs in toddlers may differ from children. The toddler may experience fever, abdominal pain or feel fullness, strong, foul-smelling urine, poor growth, failure to thrive, weight loss or failure to gain weight, irritability, vomiting, diarrhea, poor feeding, exhaustion, and jaundice. For children, they may experience a frequent, urgent need to urinate and have only small urine output; incontinent during the day or at night (after full party trained); painful urination; dysuria; discomfort above the pubic bone; full odor urine; blood in the urine; nausea and vomiting; fever or chill; pain in at the back or the side (below the ribs); and fatigue (Cleveland clinic, 2021).
To prevent UTIs in toddlers and children, a student nurse should provide information on the signs and symptoms of UTI in toddlers and children to parents so they can detect them early if it occurs. Next, keep their children hydrated during the day, especially in the warm weather or during exercise. Parents should offer them to use the toilet at least every three hours to prevent stasis of urine in the bladder. Parents should teach the girl to wipe from front to back, and perineal hygiene is essential. If UTI symptoms occur in children, call the provider right away (Silberg-Flagg et al., 2017).
The first nursing diagnosis would be acute pain while urination related to prolong holding urine in the bladder for too long. The next nursing diagnosis would be impaired urinary elimination related to improper perineal hygiene, which causes bacterial craw up to the urethra. The third nursing diagnosis would be ineffective health maintenance related to deficit knowledge regarding treating or preventing UTIs (Silberg-Flagg et al., 2017).
Reference
Urinary Tract Infection (Children’s). (2021, April 19th). Cleveland Clinic.
The safety consideration I am choosing to write about is dehydration in toddlers. Toddlers are at risk for dehydration because they are often “too busy” to take time to sit down to eat or drink. Dehydration could also occur in a toddler due to illness where vomiting, diarrhea, and/or fevers are involved. A toddler may not recognize that they are dehydrated and refuse to drink fluids (clevelandclinic.org, 2022).
Symptoms of dehydration in a toddler can include a dry tongue and dry lips, no tears when crying, fewer than six wet diapers in 24 hours or no urination for 8 hours, sunken soft spots on their head, sunken eyes, deep rapid breathing, and cool, blotchy hands and feet (clevelandclinic.org, 2022).
I believe this teaching is important because parents and caregivers may not understand how important it is to ensure that their toddler is hydrated. They may think that their toddler will let them know when they feel thirsty or they may not think about it. It is important to educate parents on how toddlers think at this stage of development and why it is important to have fluids available at all times so their toddler can drink while “on the go. (rch.org.au, 2022).”
Nursing diagnosis would be fluid volume deficit related to dehydration due to fever as evidenced by a temperature of 102.1. The desired outcome would be that within 48 hours the patient will have stabilized a temperature within normal ranges. Intervention would be that the parent or caregiver will encourage the patient to drink more fluids and give the patient fluids that they enjoy (clevelandclinic.org, 2022).
A second nursing diagnosis related to dehydration would be the risk for fluid volume deficit due to osmotic diuresis secondary to diabetes. The desired outcome is that the patient will demonstrate adequate hydration and balanced fluid volume. Intervention is to start intravenous therapy as prescribed and encourage oral fluid intake of at least 2500 ml per day (clevelandclinic.org, 2022).
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explain how technology has been used to improve healthcare delivery and information management, as well as implications, challenges, risks, and opportunities, within the focus area you selected on your project outline.
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The instructions and rubric are in the appendix C attached below. There is an example and template to help you as a guide.The health Alteration is Parknson disease, make a power point presentation.
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Staffing Justification Email Acuity-Base Model Essay
Description
Competency
Apply principles of professional identity and professionalism.
Scenario
You are making a staffing assignment knowing that you are short staffed. You have five registered nurses (RNs), two licensed practical nurses (LPNs), and two nursing assistants. These nine employees need to provide a 12-hour shift to 30 clients with the acuity level listed below for a ratio of nurse to client at 1:3.
Client acuity level
Six acuity level 1
Eight acuity level 2
Nine acuity level 3
Seven acuity level 4
You will use the acuity-based staffing model to develop the staffing assignment based on the needs of the clients and a template has been created to use. Download and complete the template.
NUR4590 Staffing Template
Instructions
As you create this assignment, include the following in an email to your manager to justify your short staffing plan:
Complete the staffing assignment based on the acuity level.
Defend how you would direct the staff to their assigned roles for this shift and provide a rationale for the staffing assignment.
Describe how you would communicate with each level of care provider to assure the best outcomes possible.
Address how you would ensure client equity in the delivery of services.
Reflect on how you, as a nursing leader, created the staffing assignment based on your core professional values.
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The Initial Outbreak of Ebola Virus Disease and Prevalence Project
Description
Purpose
Professional nurses in the 21st century should have an understanding of current global health issues and the implications of the issues. A poster is a way to present your global health issue in a one-page document.
Course Competencies
Covers the following competencies:
Analyze the incidence, distribution, and control of emerging healthcare concerns in global populations.
Integrate social determinants, ethical concerns, and human rights for high-risk and vulnerable global populations.
Requirements
You are continuing to prepare for the upcoming global health conference where you will present a poster presentation. In the first part of your project, you chose a significant global health issue as your focus and researched the incidence, prevalence and implications. In the second part of your project, you discussed how determinants of health impact your issue. For the final part of your project, you will research strategies to control the global health issue, and put everything together in a poster presentation.You may use the template linked below, or you may create your own.
Poster-Template-(Editing-allowed).pptx
You may combine information under headings, but your poster must address the required components:
Title and your name
Significance of the issue
Incidence, prevalence, & implications of the issue
Impact of determinants of health on the global health issue
Strategies to address the issue, including each of the following:
Efforts to control, eliminate, and eradicate the disease/issue
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1. Research five evidence based articles or scholarly websites (not google, either a .gov, .edu, etc..) related to target population (FIVE references on last slide) –
2. Describe and discuss the target population, correlating factors/circumstances, their needs, and comorbidities
3. Apply Maslow’s Hierarchy of Needs and Erikson’s Stages of Psychosocial Development to the target population
4. Describe the impact of the disease process on the individual, family, community, nation, global
5. Describe three community resources related to the target population
· Neurocognitive Disorder (NCD) due to traumatic brain injury-.
· Dementia-
· Vascular NCD-
· Frontotemporal NCD-
· NCD due to Lewy Body dementia-
· NCD due to Parkinson’s disease-
· NCD due to HIV infection-
· Substance/medication-induced NCD-
· NCD due to Huntington’s disease
· NCD due to Prion disease-
part 2
Find an article related to ‘mental health during the covid pandemic’
Please write 3-5 sentence summary and be prepared to share with your classmates.
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2 hours; Additional Time for Study, Research, and Reflection: 1 hour
Directions:
Initial post
Pick one hematological disorder covered in this module. For this disorder, identify and describe three treatment strategies for the disorder.
What challenges could arise in carrying out these strategies and providing care to the patient?
Reply Post
What interventions could be utilized in order to overcome these challenges?
Please make your initial post by midweek, and respond to at least one other student’s post by the end of the week. Please check the Course Calendar
RESPONSE POST 1
Hematological disorder- Leukemia
Leukemia is a type of blood cancer in which a malignant white blood cell multiplies inside the bone marrow. Acute leukemia (quick and severe) and chronic leukemia (slowly progressing) are two different types of leukemia. Treatment for your leukemia is determined by several factors. Treatment options are determined by the doctor based on the age and overall health of the patient, the type of leukemia, and whether it has spread to other areas of your body, including the central nervous system.
RADIATION THERAPY IS A TYPE OF TREATMENT THAT DAMAGES LEUKEMIA CELLS AND STOPS THEIR GROWTH BY USING X-RAYS OR OTHER HIGH-ENERGY BEAMS.
Chemotherapy is the most common type of leukemia treatment. Chemicals are used to kill leukemia cells in this medicinal treatment. A single medicine or a combination of drugs is given depending on the type of leukemia. These medications can be taken as pills or injected straight into a vein.
TRANSPLANTATION OF BONE MARROW. A STEM CELL TRANSPLANT, COMMONLY KNOWN AS A BONE MARROW TRANSPLANT, AIMS TO RESTORE HEALTHY STEM CELLS BY REPLACING DISEASED BONE MARROW WITH LEUKEMIA-FREE STEM CELLS THAT REBUILD HEALTHY BONE MARROW. DOSES OF CHEMOTHERAPY OR RADIATION THERAPY ARE USED BEFORE A BONE MARROW TRANSPLANT TO ERADICATE LEUKEMIA-PRODUCING BONE MARROW. THEN YOU’LL HAVE A BLOOD-FORMING STEM CELL INFUSION TO HELP REPAIR YOUR BONE MARROW.
What challenges could arise in carrying out these strategies and providing care to the patient?
There is currently no cure for leukemia, as there is for other types of cancer. After diagnosis and therapy, people with leukemia may go into remission, a state in which the cancer is no longer detectable in the body. However, cancer cells that remain in the body may cause it to reoccur.
Infections occur frequently. If you have chronic lymphocytic leukemia, you may have infections regularly, which can be dangerous. Infections can occur when blood lacks sufficient germ-fighting antibodies (immunoglobulins).
People with chronic lymphocytic leukemia are more likely to develop other cancers, such as skin cancer, lung cancer, and digestive system cancer.
References.
Kliegman RM, et al. The leukemias. In: Nelson Textbook of Pediatrics. 21st ed. Elsevier; 2020. /orders/www.clinicalkey.com. Accessed Oct. 16, 2020.
Leukemia. American Society of Hematology. /orders/www.hematology.org/education/patients/blood-cancers/leukemia. Accessed Oct. 16, 2020.
Hematological DisordersHematologic SystemThe hematologic system is comprised of blood, blood cells, lymph, and organs involved in blood formation or blood storage. The hematologic system has three functions: transportation, regulation, and protection. These function aid in the removal of waste products, delivery of nutrients to tissues and organs, and the delivery of oxygen. The hematologic system regulates blood production and protects against other disease process. Disorders of the hematological system can have a minimal to significant impact on the patient. Patients that have multiple co-morbidities are at higher risk for poor outcomes.Sickle Cell DiseaseSickle cell disease is a group of inherited red blood cell disorders in which the hemoglobin blood cells are hard and sticky and resemble a “C” shape. These abnormal hemoglobin red blood cells adhere to the blood vessel and block the blood flow resulting in avaso-occlusive event. A vaso-occlusive event results in an increase in tissue hypoxia and more sickle cell formation that worsens the patient’s condition. Sickle cell disease can result in chronic anemia, pain, organ damage, increased risk for infection, and death.Risk Factors for Sickle Cell DiseaseHypoxiaDehydrationInfectionVenous stasisPregnancyAlcohol consumptionHigh altitudesLow or high environmental or body temperatureAcidosisStrenuous exerciseEmotional stressAnesthesia
AnemiaAnemia is the reduction in the number of red blood cells, the amount of hemoglobin, or hematocrit. Anemia is a common condition that can occur in healthy individuals. There are many types of anemia; each type is caused by a deficiency in one of the components that make fully functioning red blood cells. Some types of anemia are caused by decreased red blood cell production, increased red blood cell destruction, or chronic loss of red blood cells. Iron deficiency anemia is the most common type of anemia worldwide (Touhy & Jett, 2016).Types of AnemiaType of AnemiaGlucose-6-phosphate dehydrogenase (G6PD) deficiency anemiaAutoimmune hemolyticIron deficiencyVitamin B12 deficiencyFolic acid deficiencyAplasticDescriptionLack of the G6PD enzyme, which stimulates glucose metabolism for energy for RBC productionAutoimmunity resulting in the destruction of the RBCsDecreased iron supply for RBC productionFailure to move folic acid into the precursor RBC due to lack of enzyme activationCaused by a deficiency in folate intakeCan progress to megaloblastic anemiaDeficiency in circulating RBCs due to impaired cellular regulationCommon CausesX-linked recessive deficiency of the enzyme G6PDAbnormal immune functionDietary deficiencyRapid metabolismDietary deficiencyDietary deficiencyExposure to myelotoxic agents
Polycythemia VeraPolycythemia vera is a chronic, slow-growing blood cancer disorder in which there is an increase in red blood cell production leading to leukocytosis, thrombocytosis, and elevated hemoglobin levels above normal. These abnormal clonal stem cells interfere with normal cell growth. This uncontrollable growth results in abnormally viscous blood that impedes circulation and increases the risk of intravascular thrombosis formation.Causes of Polycythemia VeraUnknownPossible geneticHereditary HemochromatosisHereditary hemochromatosis is a hereditary disorder that causes the body to absorb too much iron. Excess iron is stored in the liver, spleen, heart, joints, skin, and pancreas. These iron deposits can result in organ failure.Causes of Hereditary HemochromatosisGeneticsMyelodysplastic SyndromesMyelodysplastic syndromes are a group of disorders caused by the formation of abnormal cells in the bone marrow. The abnormal cell production is due to a loss of normal cellular regulation. These abnormal cells are destroyed once they are released into the blood resulting in a reduction of white blood cells and platelets.Causes of Myelodysplastic SyndromesAge greater than 65 yearsChemical exposureSmokingExposure to radiation or chemotherapyLeukemiaLeukemia is blood cancer that results from a loss of cellular regulation, leading to an overproduction of immature white blood cells, also known as “blast” cells, in the bone marrow. Due to the increased production of immature cells, the bone marrow is unable to produce normal blood cells. Leukemia can be acute or chronic. Acute leukemia has a sudden onset; chronic leukemia has a slow onset and persists for years. Leukemia is classified based on cell type. There are also several subtypes for each disease that are based on degree of maturity of abnormal cells and specific cell type.Lymphocyctic or Lymphoblastic leukemias are cells produced in the lymphoid pathways.Myelocytic or Myelogenous leukemias are cells produced in the myeloid pathway.
Malignant LymphomasMalignant lymphomas are cancers of the lymphoid tissue caused by an overproduction of lymphocytes. The cancer cells grow in the lymph system throughout the body as a solid tumor. There are two major forms of lymphoma: Hodgkin’s and non-Hodgkin’s.
Hodgkin’s Lymphoma (HL) – the cancer starts in a single lymph node or single chain of nodes. The specific cancer cells are the Reed-Sternberg cells.Risk Factors for Hodgkin’s LymphomaViral infectionHuman T-cell leukemiaLymphoma virusHuman immune deficiency virus (HIV)Exposure to chemicalsNon-Hodgkin’s Lymphoma (NHL) – includes all lymphoid cancers divided into indolent or aggressive. It spreads randomly through the lymphatic system. NHL is a group of diseases. Subgroups of this disease are based on histology, immunophenotyping by flow cytometry, and genetics.Risk Factors for Non-Hodgkin’s LymphomaSolid organ transplantImmunosuppressive drugs therapyHuman immune deficiency virus (HIV)Chronic infection from Helicobacter pyloriMultiple MyelomaMultiple myeloma is a cancer of the bone marrow plasma cells, specifically the B-lymphocytes. These cells produce antibodies called gamma globulins and fewer WBCs. RBCs and platelets are produced, resulting in anemia and increasing the patient’s risk of infection.Causes of Multiple MyelomaGeneticsEnvironmental and occupational hazardsAutoimmune Thrombocytopenic PurpuraAutoimmune thrombocytopenic purpura is also called idiopathic thrombocytopenic purpura (ITP). This condition results in a decrease in the number of circulating platelets. Antibodies are produced and coat the surface of the platelets making the platelets non-functional, resulting in clotting impairments.Causes of Autoimmune Thrombocytopenic PurpuraViral infectionAutoimmune disordersThrombotic Thrombocytopenic PurpuraThrombotic thrombocytopenic purpura (TTP) is a condition in which platelets clump together abnormally in the capillaries resulting in a reduction of circulating platelets. Due to a decrease in the number of circulating platelets, clotting is impaired.Causes of Thrombotic Thrombocytopenic PurpuraAutoimmune disorderHemophiliaHemophilia is an incurable hereditary bleeding disorder characterized by prolonged bleeding times. Hemophilia A results from a deficiency of factor VIII and is the most common type of hemophilia. Hemophilia B results from a deficiency in factor IX and is less common.Causes of HemophiliaGeneticHeparin-induced ThrombocytopeniaHeparin-induced thrombocytopenia (HIT) is an immune-mediated drug reaction in which the patient experiences a decrease in the platelet count while being treated by heparin. Heparin therapy is utilized in order to prevent the platelets from clumping together. HIT occurs when the body’s immune system identifies heparin as a foreign body and begins to develop antibodies.Transfusion TherapyTransfusion therapy is utilized for any blood product that is removed from a donor and transfused to a recipient. Types of products that can be transfused are whole blood, packed red blood cells, frozen plasma, cryoprecipitate, and platelets. Selection of blood product is based on the patient’s lab results and clinical condition.Prior to blood or blood product transfusion, the patient must have a type and screen performed in order to ensure the patient receives the compatible product. The chart below outlines the compatibility between the donor and recipient.RECIPIENTABABODONORAXXBXXABXOXXXXType of Blood ProductFresh Whole BloodPacked Red Blood cellsFresh Frozen PlasmaCryoprecipitatePlateletsReasons to TransfuseHemorrhageIncrease oxygen carrying capacity and restore volumeVolume expander and coagulation deficienciesTreat fibrinogen deficiencyReplenish low platelet countsCare of the patient during transfusion includes monitoring of the vital signs 15 minutes after the start of the transfusion and post transfusion. Monitor the patient for signs and symptoms of transfusion reaction such as:ChillsShortness of breathHivesItchingBack painChanges in vital signsIf the patient is experiencing a transfusion reaction, immediately discontinue the transfusion, flush the IV line, and notify the physician. Blood products must be returned to the lab for analysis.ReferenceTouhy, T. & Jett, K. (2016). Ebersole and Hess’ toward healthy aging. 9th ed. Mosby: St. Louis.
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