PLEASE USE CDU(CHARLES DARWIN UNIVERSITY

PLEASE USE CDU(CHARLES DARWIN UNIVERSITY) APA REFERENCING STYLE FOR THIS ASSIGNMENT.            Assessment Task:
 
You will find four questions below relating to an evolving clinical scenario. Respond to each question in chronological order. Each response must use correctly structured paragraphs in response to the task (400 words maximum per question).

You are a new graduate nurse and part of a small multidisciplinary team in a large 24-hour medical clinic. A young woman has just presented. She is dishevelled, appears nervous, constantly moving about the waiting room looking closely at different objects. She responds warily to any interaction with other patients. She has asked reception several times if a doctor can see her now. The duty doctor asks you to sit in and assist him with the interview.

1. Describe the key communication skills you will use in order to engage with her in the interview. (400 words)

The young woman gives her name as Sarah. In response to asking why she has attended, she gives a clearly articulated story about a school teacher using radiation to control her thoughts. She describes difficulty getting onto the train to attend school as she feels other passengers can find out what she is thinking. When you ask her how she feels about her situation she says it is very confusing and frightening. In response to the doctor asking if he can help, she says she wants him to “make it all stop”.

2. There are a number of clinical signs and symptoms in the scenario so far. Identify three significant signs or symptoms and support your clinical opinion with evidence from the scenario. (400 words)

Following a basic physical and presenting history the doctor acknowledged the confusion and distress, explaining she is experiencing psychotic symptoms. He seeks Sarah’s permission to ring her mother. He also makes an appointment for the next day to see her again. Before leaving she is provided with a script for 5mg olanzapine nocte.

3. Discuss the education you will need to provide to Sarah about her medication. (400 words)

Sarah briefly acknowledges the education you provided to her. However, you notice that her responses are monosyllabic with a flat tone, and she did not ask any questions.

4. Her response may suggest that she did not fully grasp the information you were providing. Discuss your clinical plan to address compliance issues that might arise for Sarah. (400 words)

 

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CAREER AS A NURSE

At the beginning of my career as a nurse, I started working as a licensed practical nurse (LPN) at a nursing home. I used to work at least 72 hours a week with the same residents. Initially, when I witnessed death at work, it was very difficult for me because I had become attached to residents emotionally. I used to interact with the residents almost every day of my life, and I treated them like family. Later, after I had experienced many deaths, I had learned to be more compassionate, able to accept and tolerate delays without becoming anxious or frustrated, and I made sure I was providing the best care of the residents during the last stages of their lives. I have decided to make sure they have the respect, compassion, and dignity that they deserve until their last breath. I make sure that they are comfortable, clean, and dry. The most important thing is that they are not suffering.  I have held their hands after my shift and stayed at the bedside for the patient and the family. I understand now that it is not about me, it is about them. According to Domrose (2011), “studies suggest that nurses go through a unique grieving process when patients die, and how they manage this process is important to their well-being.

To answer the question of if it gotten easier or harder for me to accept the fact of death, my answer is “easier.” It is easier because I can talk to my co-workers, friends, and the chaplain at the hospital where I work, and I have experienced many deaths in the years that I’ve worked as a float pool nurse, so it is not a complete oddity to see death. Also, the hospital where I work offers a committee for debriefings after a difficult death or a sentinel event. I’d like to add that float pool nurses in particular are often assigned patients who are dying.

 

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Ethical theories and principles are the foundations of ethical analysis because they are the viewpoints from which guidance can be obtained along the pathway to a decision.

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Ethical theories and principles are the foundations of ethical analysis because they are the viewpoints from which guidance can be obtained along the pathway to a decision. Each theory emphasizes different points such as predicting the outcome and following one’s duties to others in order to reach an ethically correct decision. However, in order for […]

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Discussion: Topic; Principalism.

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Discussion: Topic; Principalism. This is a discussion post, about 250 words, tittle page not require In- text citation is required original work please, reference source. QUESTION principalism, especially in the context of bioethics in the United States, has often been critiqued for raising the principle of autonomy to the highest place, such that it trumps […]

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