Explain the etiology of the hematologic disorder.

Select a hematologic disorder and complete the fields included on the map.

Include the pathophysiology of the hematologic disorder
Explain the etiology of the hematologic disorder.
Describe the clinical manifestations of the hematologic disorder
Provide the treatment for the hematologic disorder

Demonstrate students have developed knowledge of the theories, concepts, and empirical research findings which inform nursing interventions when working with specialist groups.

Description

A workbook designed to:

Demonstrate students have developed knowledge of the theories, concepts, and empirical research findings which inform nursing interventions when working with specialist groups.

Demonstrate students have developed knowledge and understanding of specific evidence-based assessment tools utilised when working with specialist groups.

Discuss the process of how the event was selected or nurse was chosen to shadow.

1. Attend any advocacy meeting to observe and assess interactions between participants, communication styles, ethical and legal principles, and the effectiveness of the observed styles and processes.
2. Use the following template to evaluate the meeting and record your evaluation.

Meeting/Agency/Nurse (email or phone number) and type of activity
Mission/Vision or Purpose of Event
Contact person (and their role)
Date and hours
Who you observed and how decisions are made

Identify communication styles used by the participants in the meeting
Add more rows to the table, if needed.

3. Write at least 3 paragraphs to discuss the meeting and be sure to include your personal reflection and evaluation of the advocacy process.
Include the following points:
Summarize the process observed, the agenda of the meeting, and the results of the event attended:
Discuss the process of how the event was selected or nurse was chosen to shadow.
Summarize the topics discussed.
Identify legal and/or ethical issues considered during the individual’s or group’s decision making.
Personal reflection:
Discuss your observations about the advocacy process. Use specific language to discuss the role of advocacy in nursing.
Reflect on your overall impression of the event/nurse and the overall shadowing experience.
How will your practice be influenced by this experience?

Describe the outcome of the situation and whether or not it contributed to a healthy work environment and culture of safety.

Describe a situation in the workplace that pertained to team effectiveness and culture of safety that you either observed or were a part of and how the nurse manager or leader responded.
Identify appropriate and inappropriate behaviors that were manifested.
What principles of conflict resolution were observed?
Describe the outcome of the situation and whether or not it contributed to a healthy work environment and culture of safety.
Give an example of how AI could be used to focus on a positive resolution.
If the situation had an undesirable outcome, discuss strategies and principles of conflict resolution that could have improved the outcome.

What common mistakes has BF made when using the inhaler?

Scenario: BF, a 31 year-old man who lives in a small mountain town in West Virginia, is highly allergic to dust and pollen and has a history of mild asthma. BF’s wife drove him to the emergency room when his wheezing was unresponsive to his fluticasone/salmeterol (Advair) inhaler, he was unable to lie down, and he began to use accessory muscles to breathe. BF is immediately started on 4L of oxygen by nasal cannula and intravenous (IV) D5W at 75 mL/hr. A set of arterial blood gases (ABG) is sent to the laboratory. BF appears anxious and says that he is short of breath.

Chart:
Vital signs:
BP 152/84
Pulse 124 bpm
Resp rate 42 breaths/min
Temp 100.® F

Discussion topics:
What is the rationale for immediately starting BF on oxygen?
Keeping in mind BF’s health history and presenting complaints, what are the most important areas you need to evaluate during your physical assessment?
Chart:
ABGs
pH 7.31
Paco2 48
HCO3 26
Pao2 55

Chart:
Medication Orders:
Albuterol 2.5mg plus ipratropium 250 mcg nebulizer treatment stat
Albuterol (Ventolin) inhaler 2 puffs po q4hrs
Metaproterenol sulfate (Alupent) 0.4% nebulizer treatment q3hrs
Fluticasone (Flovent HFA) MDI: 220 mcg, 1 puff twice daily

What is the rationale for the albuterol 2.5 mg plus ipratropium 250 mcg nebulizer treatment STAT (immediately)?
Indicate the drug classification and expected outcome BF should experience with using metaproterenol sulfate (Alupent) and Fluticasone (Flovent).
You assess BF and find that he has diminished lung sounds with inspiratory and expiratory wheezing in all lung fields with a nonproductive cough and accessory muscle use. His skin is pale, warm, and dry. The electrocardiogram shows sinus tachycardia without ectopy. He is alert and oriented x4 spheres. He appears anxious and is sitting upright, leaning over the bedside table, and continuing to complain of shortness of breath.
What is your primary nursing goal at this time?
You will need to monitor BF closely for the next few hours. What is the most serious complication to anticipate?
Identify four signs and symptoms of this complication you will assess for in BF.
When combination inhalation aerosols are prescribed without specific instructions for the sequence of administration, you need to be aware of the recommendations for safe drug administration. Describe the correct sequence for administering BF’s treatments.
What are your responsibilities for administering aerosol therapy?

After several hours and aerosol treatments, BF’s wheezing and dyspnea resolve, and he is able to expectorate his secretions. The provider discusses BF’s asthma management with him; BF says he has had several asthma attacks over the last few weeks. The provider discharges BF with a prescription for oral steroid “burst” (prednisone 40 mg/day X 5 days), fluticasone/salmeterol (Advair HFA 230/21) two inhalations every morning and evening, albuterol (Proventil) metered-dose inhaler (MDI) two puffs q6h as needed (prn) with spacer, and montelukast (Singulair) 10 mg daily each evening. He instructs BF to call the pulmonary clinic for follow-up with a pulmonary specialist.
What is the rationale for BF being on the oral steroid burst?
How does montelukast (Singulair) differ from other asthma medications?
BF state that h had taken his Advair that morning, then again when he started to feel short of breath. He states, “It did not help,” and wants to know why he has to remain on it. Is fluticasone/salmeterol (Advair) appropriate for use during an acute asthma attack? Explain.
Based on this information, what specific issue do you need to address in discharge teaching with BF?
You ask BF to demonstrate the use of his MDI. He vigorously shakes the canister, holds the aerosolizer at an angle (pointing toward his cheek) in front of his mouth, and squeezes the canister as he takes a quick, deep breath.
What common mistakes has BF made when using the inhaler?
You review the proper use of an MDI with BF and possible side effects he may experience, including hoarseness, dry mouth, white spots in the oral cavity, coughing, and headaches. What actions can you teach him to prevent or diminish the incidence of these effects? Select all that apply:
Decrease his fluid intake
Use a spacer on the inhaler
Use the inhaler only as prescribed
Rinse out his mouth immediately after using the inhaler
Clean the spacer in the dishwasher on “hot cycle with heated dry” daily

Discuss risk and protective factors related to the incident and explore the historical events and legislative initiatives that contribute to the current state of this problem.

Experiencing social services in the United States – Social justice in the community

In this clinical activity, students 2 page paper, that describes a current news item that addresses an issue or concern related to social services and/or public assistance programs. discuss risk and protective factors related to the incident and explore the historical events and legislative initiatives that contribute to the current state of this problem. Application of the Public Health Interventions Wheel is also included in this assignment.

Reflect on how you will apply what you have learned to educating nursing students or if you are in a professional development role, nursing and hospital staff.

What is something new you learned while listening to the webinar that may change your practice as an advanced practice nurse.
What is something new you learned when completing the learning activity that may change your practice as an advanced practice nurse.
Reflect on how you will apply what you have learned to educating nursing students or if you are in a professional development role, nursing and hospital staff.