NURS 6531 Week 11 Part 2 Assignment 2: Practicum Experience Journal

As a future advanced practice nurse, it is important that you are able to connect your classroom experience to your Practicum Experience. By applying the concepts that you study in the classroom to clinical settings, you enhance your professional competency. Each week, you complete an Assignment such as Journal Entries and SOAP Notes that prompts you to reflect on your Practicum Experiences and relate them to the material presented in the classroom. This week, you begin documenting your Practicum Experiences in your Practicum Journal. NURS 6531 Week 11 Part 2 Assignment 2: Practicum Experience Journal

To prepare for this course’s Practicum Experience, address the following in your Practicum Journal:

Select and describe a nursing theory to guide your practice. NURS 6531 Week 11 Part 2 Assignment 2: Practicum Experience Journal

Develop goals and objectives for your Practicum Experience in this course. When developing your goals and objectives, be sure to keep the seven domains of practice in mind.

Create a timeline of practicum activities based on your practicum requirements. NURS 6531 Week 11 Part 2 Assignment 2: Practicum Experience Journal

By Day 7 of Week 4

This Assignment is due. You will submit this Week 1 Journal Entry, along with the Week 2 Journal Entry, the Week 3 SOAP Note, and Week 4 Journal Entry by Day 7 of Week 4. NURS 6531 Week 11 Part 2 Assignment 2: Practicum Experience Journal

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Week 11 Part 2 Assignment 2: Practicum Experience

Journal

NURS 6531 Week 3 Assignment 1 SOAP Note Hypertension

In clinical settings, advanced practice nurses frequently use various strategies to treat and manage patients with hypertension and other cardiovascular disorders. These strategies often include pharmacologic and nonpharmacologic therapies, natural remedies, and/or changes in patient behavior. For hypertension patients, behavioral changes including increased exercise, healthier diet, and smoking cessation have proven to be particularly beneficial. However, it is important to recognize that treatment and management plans centered around changes in behavior often require greater patient commitment. This creates the need for patient-provider collaboration, as well as appropriate patient education. When patients are actively involved in their own care and better understand implications of their disorders, they are more likely to adhere to treatment plans.

To prepare:

Review Part 11 of the Buttaro et al. text and the National Heart Lung Blood Institute article in this week’s Learning Resources.

Reflect on your Practicum Experiences and observations. Select a case from these experiences that involves a patient who presented with a hypertension problem. When referring to your patient, make sure to use a pseudonym or other false form of identification. This is to ensure the privacy and protection of the patient.

Think about the patient’s history including drug treatments and behavioral factors such as diet, exercise, smoking, etc.

Review the National Heart Lung Blood Institute article in the Learning Resources. Reflect on health promotion strategies for the patient. Consider ways to reinforce hypertension management.

Post on or before Day 3 a description of a patient who presented with a hypertension problem during your Practicum Experience. Explain the patient’s history including drug treatments and behavioral factors. Then, suggest two health promotion strategies for the patient. Include suggestions for reinforcing hypertension management.

NURS 6531 Week 3 Assignment 2 Practicum Experience Journal

Preview:

Theory: Self Care

As a nurse transitioning into a primary care provider, my roles will change significantly. Although my roles will change, one thing that will not change will be my duty to educate and promote self-awareness and self-care. As healthcare providers, we are to encourage our patients and their family to be active in their care. Throughout this journal, Dorothea Orem’s Self-Care Deficit Theory will be discussed and illustrated how this theory would guide my personal practice.

Guidance

Dorothea Orem created this theory when working towards her goal of refining the quality of nursing in general hospitals in her state.

NURS 6531 Week 3 PT 3 Assignment Practicum Experience Journal

As I begin my practicum, I believe it is important to familiarize myself with and utilize established nursing theories to maximize the experience. As I pondered on which theory to use I thought about what theory I would want a healthcare provider to use as they are caring for me. I feel that Paterson & Zderad’s Humanistic Nursing Theory will assist me and guide my practicing. It portrays the potential to mold me into the practitioner I hope to become. NURS 6531 : Practice Care of Adults – Practicum Experience Journal.

The Humanistic Nursing Theory rose up out of Paterson’s and Zderad’s desire for an approach to improve things for healthcare professionals and their patients as they interacted with and performed the day to day activities of nursing practice (Parker & Smith, 2010). They felt the need to offer a method for reacting to the call of human needs NURS 6531 : Practice Care of Adults – Practicum Experience Journal. At the point when a healthcare professional reacts to a call of a health-related concern, she enters the universe of another, offering to, figuratively, experiences existence with that individual. From these experiences, they can encourage patients or their friends and family to be as much as they can be in the circumstances in which they are in. Humanistic Nursing Theory offers nurses an approach to light up the qualities and implications central to their lived encounters, so they may impart them to other healthcare providers and coordinate them into their nursing practice (Parker & Smith, 2010) NURS 6531 : Practice Care of Adults – Practicum Experience Journal.

Practicum Objectives

The accompanying objective for this practicum encounter are framed from the Humanistic Nursing Theory while including the professionals seven domains of practice.

Objective 1 – Scientific Foundation Competence

Demonstrate competence in the utilization of scientific foundation. This objective will be fulfilled by thinking critically, pondering on research information, applying this evidence to enhancing practice methods and improving patient outcomes NURS 6531 : Practice Care of Adults – Practicum Experience Journal.

Objective 2 – Leadership Competencies

Demonstrate competence in application of leadership skills. This objective will be fulfilled by embracing leadership skills to facilitate change, establish a working relationship with an interdisciplinary team and other parties to improve healthcare, and portraying the ability to effectively communicate.

Objective 3 – Quality Care Competencies

Demonstrate competence in the application of quality care. this objective will be fulfilled by applying the best and most contemporary research discoveries to clinical practice, tailor care to each situation and utilize intercessions as necessary, and thinks about the complex connections between cost, safety, access, and quality in healthcare conveyance. NURS 6531 : Practice Care of Adults – Practicum Experience Journal.

Objective 4 – Ethical Competencies

Demonstrate competence in the application of ethics. This objective will be fulfilled by using ethics in decision-making, analyzing the ethical impact of all decisions, and comprehending moral complexities in healthcare conveyance to people and populaces.

Objective 5 – Health Delivery System Competencies

Demonstrate competence in the understanding of health care delivery system. This objective will be fulfilled by minimizing patient/provider risks, developing culturally competent care, dissecting effect of health care on all partners, incorporating knowledge of associations and systems to enhance healthcare and working with others to enhance the continuum of healthcare.

Objective 6 – Policy Competencies

Demonstrate competence in the application of health policy. This objective will be fulfilled by understanding the association of clinical practice and policy, analyzing cross-disciplinary effect of approach, and elevating ethical ways to deal with enhancing access, cost, and quality.

Objective 7 – Technology & Information Literacy Competencies

Demonstrate competence in the application of technology. This objective will be fulfilled by appropriately using technology to manage information, to evaluate the care delivered and translate health information to other members of the healthcare team.

Weekly Goals

The following are goals that I hope to adequately achieve during this practicum experience over these next ten weeks.

Week 1 – Establish a relationship with preceptor, develop an understanding of the expectations of the clinical site, observe basic workflow and population of patients seen and set realistic and achievable goals with preceptor.

Week 2 – Demonstrate the ability to adequately communicate with preceptor and other members of the health care team at clinical site.

Week 3 – Begin to effectively demonstrate the ability to perform a physical assessment on patients and document findings within the electronic medical record.

Week 4 – Demonstrate the capacity to successfully evaluate patient side effects, determine the conceivable intercessions required and apply those indications to justifications for interventions.

Week 5 – Demonstrate the capacity to perform a problem centered appraisal and aid in the patient specific care plan development NURS 6531 : Practice Care of Adults – Practicum Experience Journa.

Week 6 – Demonstrate the ability to apply assessment findings to a treatment plan and document interventions/plan

Week 7 – Demonstrate the ability to assess and give suitable recommendations to interventions and additional treatments.

Week 8 – Assess objectives/goals set with preceptor and have effectively finished or partially finished 80% of those objective/goals.

Week 9 – Conduct thorough assessment and documentation of an established/returning individual and suggest fitting treatment or mediations.

Week 10 – Perform and document a complete and thorough assessment of a patient that is new to the clinical site and suggest suitable medications and additional intercessions.

References

Consensus Model for ARNP Regulation. Retrieved from

http://www.nursecredentialing.org/APRNConsensusModelReport.aspx

Parker, M. E., & Smith, M. C. (2010). Nursing theories & nursing practice. 3rd ed.

Philadelphia: F.A. Davis Co.

The National Organization of Nurse Practitioner Faculties. (2017). Nurse practitioner core competencies content. Retrieved from https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/2017_NPCoreComps_with_Curric.pdf

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NURS 6531 Week 4 Week 4 Assignment-Blood Clot (Walden)

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Pulmonary Function Testing

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In clinical I had a 24- year old male with a one–day history of abdominal pain…

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Cardiovascular disorder

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NURS 6531 Week 9 Assignment (Walden University)

Chronic Kidney Disease

According to the National Kidney Foundation, 26 million adults in the United States have chronic kidney disease with millions of others at risk (National Kidney Foundation, 2012). Over time, this disorder will become progressively worse, and patients will eventually experience a loss of renal function. Early detection and prevention is key for patients with this disorder. For this reason, it is important for you, as the provider, to be aware of various signs, symptoms, and risk factors of chronic kidney disease. In this Assignment, you explore the disorder including the role that patient history, physical exams, and diagnostics play in diagnosis and treatment.

To prepare:

Review Chapter 149 in Part 13 of the Buttaro et al. text in this week’s Learning Resources. Reflect on the clinical presentation of chronic kidney disease.
Think about how you might diagnose a patient with chronic kidney disease. Consider the role that patient history, physical exams, and diagnostics play in diagnosis.
Reflect on potential treatment options for chronic kidney disease including the implications of prescribed drugs.
Consider the following patient factors: genetics, gender, ethnicity, age, and behavior. Think about how these factors might impact the diagnosis and treatment of patients with chronic kidney disease.

To complete:

Write a 2- to 3-page paper that addresses the following:

Describe the clinical presentation of chronic kidney disease.
Explain how you might diagnose a patient with chronic kidney disease including the role that patient history, physical exams, and diagnostics play in diagnosis.
Explain implications of potential treatment options for this disease including prescribed drugs.
Describe how patient factors might impact the diagnosis and treatment of patients with chronic kidney disease.