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examine the prevalence of pressure ulcers in nursing homes and develop strategies for increasing awareness and reducing incidence

Week 3 discussion
Discussion Part I: Limitations and Challenges
The nursing field requires professionals to be committed to
life-long learning and growth. Because a large part of this learning and growth
is achieved through clinical experiences, it is invaluable for advanced
practice nurses to be able to apply knowledge recently gained from clinical
experiences to new situations. By collaborating with colleagues and sharing
these experiences and knowledge, advanced practice nurses can further enhance
their professional competency.
This week in order to demonstrate collaborative learning;
discuss a situation in your acute hospital experience of a collaboration that
occurred. Reflect on the experience and the impact it had on your care of this
patient. How will this experience possibly impact you in your future practice
with these type of patients? What are some limitations and challenges you
encountered during this clinical experience?
To prepare:
Reflect on this weeks clinical experiences.
Consider one limitation or challenge you encountered.
Think about how you overcame this limitation or challenge
and how this might impact your future practice in acute care settings.
Post on or before Day 3 a description of at least one
limitation or challenge you encountered during your clinical experience this
week. Explain how you overcame this limitation or challenge and how this might
impact your future practice.
Read a selection of your colleagues responses.

Respond on or before Day 6 to two colleagues by sharing
additional insights or alternative perspectives.
Discussion Part II: Pharmacology
To Prepare:
Read the following article to enhance your knowledge on commonly
prescribed medications:
Overgaard, C. B., & Dzavik, V. (2008). Review of
Physiology and Clinical Use in Cardiovascular Disease. Circulation, 118:
1047-1056. Copyright 2008 by Llippincott Williams & Wilkins Journals.
Reprinted by permission of Llippincott Williams & Wilkins Journals via the
Copyright Clearance Center.
All of the following groups of medications are commonly
prescribed in the acute care setting. Choose one of the topics below to
discuss. If it is a medication group, select a specific drug within that group.
(This is a good way to prepare for clinical practice, because you will get to
know the drugs you will prescribe for patients.). Focus your discussion on the
hospital or ICU setting and IV usage.
Antiemetic:
Zofran
Kytril
Phenergan;
Positive Inotropes:
Digoxin
Catecholamines:
Dobutamine
Dopamine
Epinephrine
Norepinephrine
Vasopressin
Nitroglycerine;
Amrinone
Midodrine
Milrinone
Note: When sharing your initial post, select a topic that
has not yet been discussed. If all topics have been discussed, then you may
select that topic again, but select a different drug within the medication
group.

For this Discussion, address 1 of the following options.
Post by day 3:
Option 1: Post a description of a patient you have taken
care of (inpatient as an RN, or as an NP student) who has been prescribed the
medication you selected. Include the scenario, indication, dosing,
complications, and outcome. Then explain whether or not you would have ordered
the same drug and same dose.
Option 2: Conduct an evidence-based drug search on the drug
you selected and post an explanation of any possible issues. Are there any drug
interactions? Any black box warnings? To what type of patient would you
prescribe this medication?
Option 3: Post an explanation of the properties of the drug
you selected, including usages and dosing in the hospital or ICU. Discuss a
patient to whom you would prescribe this medication.
Note: To be considered as one of your required responses,
your pharmacology rationale must include a supporting reference.
Click on the Reply button below to reveal the textbox for
entering your message. Then click on the Submit button to post your message.
Week 3 discussion Discussion Part I: Limitations and ChallengesThe nursing field requires professionals to be committed to
life-long learning and growth. Because a large part of this learning and growth
is achieved through clinical experiences, it is invaluable for advanced
practice nurses to be able to apply knowledge recently gained from clinical
experiences to new situations. By collaborating with colleagues and sharing
these experiences and knowledge, advanced practice nurses can further enhance
their professional competency.This week in order to demonstrate collaborative learning;
discuss a situation in your acute hospital experience of a collaboration that
occurred. Reflect on the experience and the impact it had on your care of this
patient. How will this experience possibly impact you in your future practice
with these type of patients? What are some limitations and challenges you
encountered during this clinical experience?To prepare:Reflect on this weeks clinical experiences.Consider one limitation or challenge you encountered.Think about how you overcame this limitation or challenge
and how this might impact your future practice in acute care settings.Post on or before Day 3 a description of at least one
limitation or challenge you encountered during your clinical experience this
week. Explain how you overcame this limitation or challenge and how this might
impact your future practice.Read a selection of your colleagues responses.Respond on or before Day 6 to two colleagues by sharing
additional insights or alternative perspectives.Discussion Part II: PharmacologyTo Prepare:Read the following article to enhance your knowledge on commonly
prescribed medications:Overgaard, C. B., & Dzavik, V. (2008). Review of
Physiology and Clinical Use in Cardiovascular Disease. Circulation, 118:
1047-1056. Copyright 2008 by Llippincott Williams & Wilkins Journals.
Reprinted by permission of Llippincott Williams & Wilkins Journals via the
Copyright Clearance Center.All of the following groups of medications are commonly
prescribed in the acute care setting. Choose one of the topics below to
discuss. If it is a medication group, select a specific drug within that group.
(This is a good way to prepare for clinical practice, because you will get to
know the drugs you will prescribe for patients.). Focus your discussion on the
hospital or ICU setting and IV usage.Antiemetic:ZofranKytrilPhenergan;Positive Inotropes:DigoxinCatecholamines:DobutamineDopamineEpinephrineNorepinephrineVasopressinNitroglycerine;AmrinoneMidodrineMilrinoneNote: When sharing your initial post, select a topic that
has not yet been discussed. If all topics have been discussed, then you may
select that topic again, but select a different drug within the medication
group.For this Discussion, address 1 of the following options.
Post by day 3:Option 1: Post a description of a patient you have taken
care of (inpatient as an RN, or as an NP student) who has been prescribed the
medication you selected. Include the scenario, indication, dosing,
complications, and outcome. Then explain whether or not you would have ordered
the same drug and same dose.Option 2: Conduct an evidence-based drug search on the drug
you selected and post an explanation of any possible issues. Are there any drug
interactions? Any black box warnings? To what type of patient would you
prescribe this medication?Option 3: Post an explanation of the properties of the drug
you selected, including usages and dosing in the hospital or ICU. Discuss a
patient to whom you would prescribe this medication.Note: To be considered as one of your required responses,
your pharmacology rationale must include a supporting reference.Click on the Reply button below to reveal the textbox for
entering your message. Then click on the Submit button to post your message.

Bernard K. Kardos November 27, 2017
Week 8 discussion Nursing Homes in Your Community and Neighboring Communities N
Week 8 discussion
Nursing Homes in Your Community and Neighboring Communities
Nursing homes have become a viable option for geriatric
patients who require routine care and need help performing basic activities of
daily living, with about 3.3 million patients residing in nursing homes in the
United States (Centers for Medicare & Medicaid Services, 2013). While
nursing homes provide care and services to patients, problems can arise
resulting in reduced quality of care and, in some cases, illness and morbidity.
The severe implications of pressure ulcers make them a major concern for elders
residing in nursing homes. The Centers for Medicare & Medicaid Services
(2013) estimate that 7.5% of nursing home residents have pressure ulcers and
about 82,000 patients develop them each year. In your role as the advanced
practice nurse, you must understand factors that contribute to the incidence of
pressure ulcers in order to improve patient outcomes. For this Discussion, you
examine the prevalence of pressure ulcers in nursing homes and develop
strategies for increasing awareness and reducing incidence.
To prepare:
Review Chapter 38 of the Flaherty and Resnick text and
Chapter 12 of the Holroyd-Leduc and Reddy text.
Select four nursing homes in your community and/or
neighboring communities. Research and locate reports on these nursing homes
through organizations such as Centers for Medicare & Medicaid Services.
Compare the four nursing homes you selected based on
reported cases of the development of new pressure ulcers.
Think about factors in the nursing home setting that
contribute to pressure ulcer issues, such as patient activity, nutrition, or
the number of staff available to care for patients.
Research guidelines for the prevention of pressure ulcers.
Think about how you might increase awareness among nursing home staff about the
incidence and consequences of pressure ulcers in patients.
Post on or before Day 3 a brief description of the four
nursing homes you selected from your community and/or neighboring communities.
Compare these four nursing homes based on the reported cases of new pressure
ulcers. Then, explain factors in the nursing home setting that might contribute
to incidence of pressure ulcer issues. Finally, based on guidelines for the
prevention of pressure ulcers, explain how you might increase awareness among
nursing home staff about the incidence and consequences of pressure ulcers in
patients.
Read a selection of your colleagues responses.
Respond on or before Day 6 to at least two of your
colleagues on two different days in one or more of the ways listed below.
Respond to colleagues who selected different nursing homes than you did.
Offer and support an alternative perspective based on your
own experience and additional literature search.
Validate an idea with your own experience and additional
literature search.
Click on the Reply button below to reveal the textbox for
entering your message. Then click on the Submit button to post your message.Week 8 discussion Nursing Homes in Your Community and Neighboring CommunitiesNursing homes have become a viable option for geriatric
patients who require routine care and need help performing basic activities of
daily living, with about 3.3 million patients residing in nursing homes in the
United States (Centers for Medicare & Medicaid Services, 2013). While
nursing homes provide care and services to patients, problems can arise
resulting in reduced quality of care and, in some cases, illness and morbidity.
The severe implications of pressure ulcers make them a major concern for elders
residing in nursing homes. The Centers for Medicare & Medicaid Services
(2013) estimate that 7.5% of nursing home residents have pressure ulcers and
about 82,000 patients develop them each year. In your role as the advanced
practice nurse, you must understand factors that contribute to the incidence of
pressure ulcers in order to improve patient outcomes. For this Discussion, you
examine the prevalence of pressure ulcers in nursing homes and develop
strategies for increasing awareness and reducing incidence.To prepare:Review Chapter 38 of the Flaherty and Resnick text and
Chapter 12 of the Holroyd-Leduc and Reddy text.Select four nursing homes in your community and/or
neighboring communities. Research and locate reports on these nursing homes
through organizations such as Centers for Medicare & Medicaid Services.Compare the four nursing homes you selected based on
reported cases of the development of new pressure ulcers.Think about factors in the nursing home setting that
contribute to pressure ulcer issues, such as patient activity, nutrition, or
the number of staff available to care for patients.Research guidelines for the prevention of pressure ulcers.
Think about how you might increase awareness among nursing home staff about the
incidence and consequences of pressure ulcers in patients.Post on or before Day 3 a brief description of the four
nursing homes you selected from your community and/or neighboring communities.
Compare these four nursing homes based on the reported cases of new pressure
ulcers. Then, explain factors in the nursing home setting that might contribute
to incidence of pressure ulcer issues. Finally, based on guidelines for the
prevention of pressure ulcers, explain how you might increase awareness among
nursing home staff about the incidence and consequences of pressure ulcers in
patients.Read a selection of your colleagues responses.Respond on or before Day 6 to at least two of your
colleagues on two different days in one or more of the ways listed below.
Respond to colleagues who selected different nursing homes than you did.Offer and support an alternative perspective based on your
own experience and additional literature search.Validate an idea with your own experience and additional
literature search.Click on the Reply button below to reveal the textbox for
entering your message. Then click on the Submit button to post your message.

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"FIRST15"

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