Individually read over this scenario and outline
Individually read over this scenario and outline the research topics needed for it. It should resemble a draft for an essay with Main topics with subcategories within these. One of these categories should include information that is missing from the scenario as well as why you require it. The category on Nursing Diagnoses should be subcategorized with terms that do not follow NANDA as searching for the proper terms will be a part of the subsequent research. Be prepared to share your list with the group. Individually complete the research, especially focusing on areas you do not already know. Draw links between seemingly unrelated points when you see one (such as determinants of health and a diagnosis or a treatment methods. Be prepared to share your research and participate on the discussion about this client. List the skills required to work with this client. They could include physical skills such as catheterization or verbal skills such as doing an SBAR. Mr. Watanabe is a 68-year old man who was just admitted to your medical ward for COPD exacerbation and pneumonia. He has a medical history of HTN, CAD, hyperlipidemia, and diabetes. Orders: · IV 0.9% NS at 125ml/hr · O2 sats between 88-92% · AAT · DAT · S/S Regular Insulin QID ac meals and hs He currently takes amlodipine, metformin, glyburide, ramipril and rosuvastatin as well as his salbutamol and budesonide inhalers. He says he knew something was wrong when he was taking his puffers “all the time” and was still SOB. He lives in a retirement community with his wife who was diagnosed with Parkinson’s 2 years ago. He is her main caregiver when she has “bad days” but she is still mostly independent other than shopping, driving and some meal prep. Their grown children live out-of-town and visit yearly. Learning Objectives: 1. Practice within the Standards of Practice Framework: Professional Standards for Licensed Practical Nurses, Practice Standards, and Scope of Practice Standards, Entry Level and facility specific policies and procedures. 2. Provide safe, competent, and ethical care to clients experiencing medical or surgical challenges. 3. Independently apply critical thinking, clinical judgment, and knowledge of assessment to plan, implement, and evaluate the agreed upon plan of care for stable post-operative or medical clients across the lifespan. 4. Independently implement nursing interventions and make practice decisions that are client specific and consider client acuity, complexity, variability, and available resources. 5. Recognize changes in client status and collaborate with other members of the health care team to develop a plan of care. 6. Provide a caring environment for clients and families by connecting, sharing, and exploring with them in a collaborative relationship. 7. Deliver person-centered care that recognizes and respects the uniqueness of each individual and is sensitive to culture and diversity. 8. Demonstrate teaching and learning through a continuum of care and discharge planning. 9. Provide leadership, direction, assignment, and supervision of unregulated care providers in the acute care setting.
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