NUR2349 Week 02 Assignment: Communication Techniques Worksheet

NUR2349 Week 02 Assignment: Communication Techniques Worksheet

NUR2349 Week 02 Assignment: Communication Techniques Worksheet

Your written assignment for this module is a worksheet that describes the following:

Communication techniques that can be used to promote safety within the healthcare facility.

How communication can assist in providing optimal patient care.

You should be using complete sentences to answer the questions. Ensure that you are using correct grammar. In addition, support your answers using your textbook, course materials, credible internet resources, and scholarly journals. All citations must be in APA format.

Please click here to download the Communication Techniques Worksheet.

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Name:

Date:

Complete all of your lesson materials and assigned readings. Make sure that you are focusing on:

• Communication techniques that can be used to promote safety within the healthcare facility.

• How communication can assist in providing optimal patient care.

You should be using complete sentences to answer the questions. Ensure that you are using correct grammar. In addition, support your answers using your textbook, course materials, credible internet resources, and scholarly journals. SkyScape is a great suggestion for assistance in completion of this assignment. All citations must be in APA format. 1 Point

1. Identify and Describe communication techniques that can be used to promote safety within the healthcare facility? 2 Points

2. Describe how communication can assist in providing optimal patient care? 2 Points

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NUR2349 Week 03 Assignment: Care Plan Case Study

Rapid Reasoning: Clostridium difficile Colitis

Chief Complaint/History of Present Illness:

Mindy Perkins is a 48 year old woman who presents to the ED with 10-15 loose, liquid stools daily for the past 2 days. She completed a course of oral Amoxacillin seven days ago for a dental infection. In addition to loose stools, she complains of lower abd. pain that began 2 days ago as well. She has not noted any blood in the stool. She denies vomiting or fever/chills. She is on Prednisone for Crohn’s disease as well as Pantaprazole (Protonix) for severe GERD.

Past Medical History:

• Crohn’s disease

• GERD

Your Initial VS:

	WILDA Pain Scale (5th VS)
	Words:	Crampy
	Intensity:	7/10
	Location:	Generalized throughout RLQ-LLQ
	Duration:	Persistent since onset 2 days ago
	Aggreviate:	None
	Alleviate:	None
T:100.2 (o)
P:92
R:20
BP:122/78
O2 sats:98% RA
Ortho BP’s:Lying: 122/78 HR: 92
Standing: 120/70 HR: 114

Your Initial Nursing Assessment:

GENERAL APPEARANCE: appears weak and uncomfortable. Easily fatigued

RESP: breath sounds clear with equal aeration bilat., non-labored

CARDIAC: pink, warm & dry, S1S2, no edema, pulses 3+ in all extremities

NEURO: alert & oriented x4

GI/GU: active BS in all quads, abd. soft/tender to palpation in lower abd-no rebound tenderness or guarding

MISC: Lips dry, oral mucosa tacky with no shiny saliva present in mouth

Nursing Interventions:

• Orthostatic BP’s (ED standing order)

• Establish PIV (ED standing order)

• Initiate enteric precautions (ED standing order)

Physician Orders:

• 0.9% NS 1000 mL IV bolus

• Hydromorphone (Dilaudid) 1 mg IVP

• Stool culture for C. difficile

• BMP, CBC

• Vancomycin 250 mg po

o 1000 mg/20 mL…determine dosage to administer

• Admit to medical unit

Lab/diagnostic Results:

• Stool culture for C. difficile: Positive

BMP	Current	High/Low
Sodium	132		CBC	Current	High/Low
Potassium	3.5		WBC	12.6
Creatinine	1.45		HGB	14.5
BUN	47		PLTS	188
CO2	18		Neuts. %	86
			Lymphs %	10

1. What data from the chief complaint, VS & nursing assessment is RELEVANT that must be recognized as clinically significant to the nurse?

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RELEVANT data:	Rationale:
Chief complaint:

VS/assessment:

2. What lab/diagnostic results are RELEVANT that must be recognized as clinically significant to the nurse?

	RELEVANT Diagnostic results:	Rationale:

3. What is the primary problem that your patient is most likely presenting with?

4. What is the underlying cause /pathophysiology of this concern?

5. What nursing priority will guide your plan of care?

6.What interventions will you initiate based on this priority?

Nursing Interventions	Rationale:	Expected Outcome:
1.	1.	1.
2.	2.	2.
3.	3.	3.
4.	4.	4.

7. What is the relationship between the following nursing interventions/physician orders and your patient’s primary medical problem?

Nsg. Interventions/MD orders:	Rationale:	Expected Outcome:
Orthostatic BP’s
(ED standing order)
Establish PIV
(ED standing order)
Initiate enteric precautions
(ED standing order)
0.9% NS 1000 mL IV bolus
Hydromorphone (Dilaudid) 1 mg
IVP
Stool culture for C. difficile
BMP
CBC
Vancomycin 250 mg po
Admit to medical unit

8. What body system(s) will you most thoroughly assess based on the patient’s chief complaint and primary/priority concern?

9. What is the worst possible complication to anticipate? (start with A-B-C priorities)

10. What nursing assessment(s) will you need to initiate to identify and respond to quickly if this complication develops?

11. What is the patient likely experiencing/feeling right now in this situation?

12. What can you do to engage yourself with this patient’s experience, and show that they matter to you as a person?

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• Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

• Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week. NUR2349 Week 02 Assignment: Communication Techniques Worksheet

• APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

• Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

• LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

• Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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