Professional Development and Reflection
Assess your progress toward achieving your practicum professional development objectives, including how your involvement in specific practicum activities has contributed to your development.
Explain what you will do to ensure you achieve your objectives by the end of your practicum.
Summarize challenges or unexpected opportunities that have arisen in achieving your practicum objectives as well as any challenges that you anticipate may arise. Explain how you will address those challenges.
Part 2: Connections to Your Site
Document specific objective(s) for the specific time frame.
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 the degree to which the problem, situation, or issue was addressed in a manner that is consistent with the theory, concepts, and principles detailed in the evidence.
Given the various evidence-based approaches that can be used in addressing the problem, situation, or issue, formulate a plan for approaching the matter differently.
Include APA-formatted references immediately following the content
Death, Dying and Grief
When I worked in a long-term care facility, I experienced more deaths than when I moved to the hospital setting. I have experienced quite a lot of deaths, from chronic conditions to dying from a fall. Death and dying can be very difficult and stressful for every family because they just lost or is in the process of losing a loved one. Emotions are all over the place and people are in various stages of grief. Hoehner, P., J. (2020). The first time I witness death in my facility was with a patient, He was admitted months ago with advance colon cancer in the Nursing Home, and His illness was being managed by the Doctor. And out of the blue one morning, He c/o (complain of) terrible stomach pain 10/10 on a scale of 0-10, the facility doctor signed an order to take him to the ER, after few days at the hospital He was discharged to the facility on Hospice care, I never thought He was going to go that fast, He was put on Morphine from the hospital, He couldn't eat and couldn't talk, after two days the patient started making that gurgling sound, and as a Nurse you are trained of that sound, that death is eminent, the facility doctor was notified and the seeing and hearing the patient, gave the order to call the family, and inform Hospice. The patient died that Night. We went to the patient’s funeral the family especially wanted the Nurses that cared for their father present.
As a Nurse, every patients death experienced is one too many, because the patient was cared for by you, you have laughs together and they commended you for taking care of them so when they pass, it brings comfort when the Nurse advocate for the patient, for the facility to allow the family all the time they need to grief and not immediately want them to clear the patients room. Attend the funeral if possible because that is a closing moment for the nurse too. And as I grew older, I realized that death has no power at all, because it is our only way to transition to the afterlife. The body we are living in will only last for a while, but our true spirits will return to God our owner knowing that we are not from this world. I think death will be less scary and easier to deal with if we view life as a mission or an assignment. When our time is up, we return home to our Lord and live in his kingdom.
How often do you engage with or witness death in your work? How has this experience or the lack of it shaped your view of death? Has it gotten easier or harder for you to accept the fact of death? As you explain, include your clinical specialty.
Using 200-300 words APA format with at least two references. Sources must be published within the last 5 years.
Influencing Health Care Through Advocacy
One such legislation is Palliative Care and Hospice Education and Training Act (PCHETA). PCHETA would establish fellowship programs within new palliative care and hospice education centers to provide short-term, intensive training on palliative care and hospice. The courses would provide supplemental training for medical school faculty as well as other educators in health care fields such as nursing, pharmacy, social work and chaplaincy. I think this is a great step as the level of education of nurses has a direct impact the position of nurses in the job market(Williams et al., 2018). The healthcare industry is in shortage of nurses. However, the competition among nurses is high. The qualified nurses are always in demand and education helps nurses to differentiate themselves (Young et al., 2015). With this regulation, there would be more skilled nurses that can take care of patients. The future advocacy can be done with a continued support from nurses. It is important that nurses should emerge as key stakeholders that can spread the word about the need of skills and education for nurses.
Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy. Describe the legislation and what was accomplished. What additional steps need to be taken to continue advocacy for this issue?
Using 200-300 words APA format with at least two references. Sources must be published within the last 5 years.
Discussion
We are living in the data mining age. Provide an example on how data mining can turn a large collection of data into knowledge that can help meet a current global challenge in order to improve healthcare outcomes. APA style. 250 words minimum. One reference.
https://www.ijstr.org/final-print/oct2013/Data-Mining-Applications-In-Healthcare-Sector-A-Study.pdf
Nursing academic and practical discipline
Why does the distinction between nursing as a practice and academic discipline matter? Should PhD prepared nurses assume a role in resolving this issue?
Pharmacology therapeutics
Stress and burnout are very common in nursing practice. As nursing students you are aware of the many demands nurses and prospective nurses face each day. 3 Good Things is an intervention to promote resilience and individual happiness
Reflect on this course and identify 3 Good Things about Virtual Learning, 3 good things about the pharmacology 2 class content and 3 Good Things about why you want to become an RN?
Nursing
Heart disease remains one of the top causes of mortality in the United States. Consider the various types of heart disease covered in class this week. For your discussion, complete these items:
The etiology of the selected heart disease
Modifiable factors
Non-modifiable factors
Use at least one scholarly source to support your findings. Examples of scholarly sources include academic journals, textbooks, reference texts, and CINAHL nursing guides. Be sure to cite your sources in-text and on a References page using APA format.
You can find useful reference materials for this assignment in the School of Nursing guide:
Have questions about APA? Visit the online APA guide:
Discussion
A 7-year-old boy has a one-week history of leg pains. He wakes up at night and cries because his legs hurt; however, during the day, he feels fine with no pain and no movement limitations. He has no history of trauma, fever, or joint swelling. The family history is negative for rheumatic or collagen vascular disease. The boy's height and weight are at the 50th percentile for age, he is afebrile, and the physical examination is unremarkable.
What are 3 differential diagnoses of leg pains in school-age children? Include the pathophysiology of the 3 differentials.
What laboratory or radiographic studies are appropriate for children with leg pains? Explain
How do musculoskeletal injuries in children differ from those in adults? In terms of injury type and location.
How does the nurse practitioner decide the extent of the diagnostic work-up in a child with extremity pain?
What fractures are common in pediatric patients, and what are the ages associated with them?
Choosing one of the diagnoses you’ve come with; how would you treat the condition?
NURSING PHD QUESTION
Why does the distinction between nursing as a practice and academic discipline matter? Should PhD prepared nurses assume a role in resolving this issue?
Discussion
How has the patient's control over his own health care changed?
DQ2
What part does negotiation play in patient education?
Read chapters 9, 12, and 13.
URL:http://gcumedia.com/digital-resources/jonesandbartlett/2010/effective-patient-education_-a-guide-to-increased-adherence_ebook_4e.php
Watch: Communicating with Aged-Care Residents (28:18)
Effective communication with elderly people living in residential care is key to the delivery of high-quality treatment that not only meets the physical needs of patients, but also their mental, emotional, social, and spiritual needs. This program examines the basic elements of communication and how they can be adapted to older people who are living with hearing, vision, speech, and cognitive losses. The video also looks at effective communication methods for those from culturally diverse backgrounds. Viewable/printable educational resources are available online. A part of the series Aged Care.
URL:https://lopes.idm.oclc.org/login?url=http://digital.films.com.lopes.idm.oclc.org/PortalPlaylists.aspx?aid=12129&xtid=40256
