This week, we talked about the Resilience Portfolio Model and profiles of strengths and resilience. We also took a look at the Resilience Portfolio Interview, which can be found here:

There are two tasks for this assignment: One is to reflect on yourself, and the other is to discuss counseling practice applications of assessing resilience. How you do that could be quite variable, however!

(1) For this reflection, ask yourself some of the questions from this interview and share a little about some of your personal resilience factors. Of course, only share what you are comfortable sharing with me. You DO NOT need to answer all of the questions. You could spend the whole paper answering one question in depth (with a story, as they say), or you could answer multiple questions at a more vague level if you prefer. 🙂

(2) If you have experience assessing strengths with clients, talk a little about this experience—was it effective/helpful? Were there any challenges? If you have not assessed strengths with clients, is this something you would consider doing in the future? How might it be incorporated into your work with trauma/PTSD?

Grading Criteria

I'm really not looking to take off points for the reflection assignments. I don't have specific rubrics for them, but if you do not seem to be engaging with the prompt or answering the questions, I may take off points. Each reflection assignment is worth
5 points.

 

• Week 3: General Quality Strategies and Tools (300) 
  • Create a comparative table that shows the various definitions, risks, and value of each of the following quality management tactics:
    • Establishing customer expectations
    • Designing quality
    • Defining metrics
    • Mistake-proofing
    • Kaizen
    • Six Sigma

Chamberlain

NR599-11532

Week 7

Post TANIC Self-Assessment and Reflection Post

Note: Compared to week 2, this one went much better, my computer knowledge has improved

 Reflection Questions: 

Reflect and respond to 
EACH of the following questions.  

1. Regarding the Post-TANIC Self-Assessment for this week, how does your competency level compare to the Week 2 Self-Assessment?

2. Which two competencies do you think may benefit you in your future role as an APN and why?

3. As discussed in the lesson this week, healthcare providers must be competent in informatics in order to make ethical decisions about informatics technologies and patients' intimate healthcare data and information. To the extent that information technology is reshaping healthcare practices or promises to improve patient care, healthcare professionals must possess certain competencies which will assist with consistency and quality. Which two competencies did you achieve in this course? Explain.

Clinical Case Report

Part 2: Case Description and Conceptualization

Part 2 of the clinical case report assignment should be in APA style (title page,

references, etc. but does not require an abstract). This part of the case report will likely

be 6-7 pages, without references. It should include:

(1) The case, with provisional diagnoses (already completed for the paper proposal but

likely modified based on my feedback and any other client information you find helpful in

conceptualization below). See above for guidelines about an effective case. (around 2

pages)

(2) A case conceptualization, to include risk and maintenance factors in the client's

diagnosis(es): (around 4-5 pages)

(2a) Should include a range of etiological factors, based on class readings and

discussions (i.e., cognitive model, memory, emotion, neurobiology,

social/contextual factors),

(2b) These etiological factors should be tied specifically to the case description

(that is, don't speak only generally of risk factors, but how this manifests for the

particular client). In some places (e.g., neurobiology), you may need to use some

conjecture, based on the literature. That is OK. However, your case should

include sufficient detail to be able to relate several risk factors to the

conceptualization.

(2c) Should include discussion of risk factors for, AND maintenance of, PTSD

and/or related symptoms

(2d) Should be integrative, as all risk and maintenance factors intersect (e.g.,

environment affects biology, social context influences both; don't just list

etiological factors)

(2e) Should consider culture and intersectionality of client.

(2f) Should include references to literature (in APA style). NOTE: Please avoid

excessive use of quoted text, instead summarizing/paraphrasing when possible.

Quoted text should be limited to points in which you think the initial wording is

absolutely necessary to convey the author's point, and, in many papers, does not

need to be used at all.

Grading Rubric for Clinical Case Report Part 2: Case Description and

Conceptualization (75 points)

____/22 Case description. Student provides detail on client's background, traumatic

experience(s), symptoms and presenting problems, impairment/distress, and within this

description, sufficient detail to support the case conceptualization.

____/35 Case conceptualization. Student describes risk AND maintenance factors

in the client's diagnosis(es), including a range of etiological factors (i.e., cognitive

model, memory, emotion, neurobiology, social/contextual factors and culture and

identity). These factors are tied specifically to the case description, when possible

and are integrative (i.e., intersections among etiological factors are discussed).

____/9 Incorporation of empirical research. Empirical research and course materials

are incorporated effectively to advance arguments and are cited appropriately in-text.

____/9 Grammar, style, mechanics. Paper is in APA style, includes references, is

proofread, and contains proper grammar, flow, transitions, and headings as appropriate.

 Mr. Nguyen is a 58-year-old patient that had septic shock and developed Acute Respiratory Distress Syndrome. He is orally intubated and on a mechanical ventilator. He is paralyzed and sedated.

• What manifestations might you observe for a patient with ARDS?
• What complications can Mr. Nguyen develop from being mechanically ventilated?
• List priority nursing interventions to prevent complications associated with ventilatory support.
• What interventions can be implemented specifically to prevent the development of Ventilator Acquired Pneumonia (VAP)?
• You are orienting in the ICU, the nurse you are working with is not implementing the VAP interventions. What would you do?

Initial Post 1:(A.T)

 Severe respiratory distress and low oxygenation are characterizations of ARDS. Manifestations of ARDS include severe dyspnea (difficulty breathing), shallow, rapid breathing, Low oxygen concentrations or hypoxemia, cyanosis (bluish lips or skin as a result of low oxygen levels), reduced lung compliance, increased effort of breathing, bilateral infiltrates seen on the X-ray of the chest, altered mental state as a result of hypoxia. A number of complications can develop for Mr. Nguyen from being on mechanical ventilation, such as ventilator-associated pneumonia (VAP), oxygen toxicity, ventilator-induced lung injury (VILI), barotrauma (high airway pressure-induced lung damage), and ventilator-associated events (VAEs). Priority nursing interventions to prevent complications with ventilatory support include regular evaluation of Mr. Nguyen’s respiratory condition, to avoid self-extubation and lessen agitation continue to administer appropriate sedation and analgesics, keep an eye on and maintain the proper ventilator alarm settings, changing positions frequently to avoid pressure sores and atelectasis, oral hygiene to stop VAP, ensure appropriate ventilation circuit and endotracheal tube hygiene, trials of weaning to evaluate preparedness for extraction. The following are some interventions to avoid ventilator-associated pneumonia (VAP): To lessen the chance of aspiration, raise the bed’s head to a position between 30 and 45 degrees. using chlorhexidine for oral hygiene to stop the growth of microorganisms, routine evaluation of endotracheal tube (ETT) suctioning requirements, To reduce contamination, use a closed suctioning system. To avoid microaspiration, the ETT cuff pressure should be regularly assessed. Reduce the amount of time that patients need mechanical ventilation by using a sedative strategy. Sedation vacations are interrupted every day to evaluate preparation for extubation. It would be imperative to take immediate action if I saw an ICU nurse failing to apply VAP preventative treatments. I would document the circumstance and your activities for my charge nurse or unit manager and If the problem persists, I would talk to my nurse manager or supervisor to make sure that best practices and procedures are followed and maybe consider reeducation for the nurse. In the ICU, patient safety is the top priority. 

Initial Post 2:(B.M.)

Acute Respiratory Distress Syndrome, or ARDS, is a dangerous lung condition that can develop in people who are critically ill and necessitates frequent mechanical ventilation to maintain breathing. One of the symptoms of ARDS identified in Mr. Nguyen was a cluster of respiratory and systemic symptoms. The underlying lung tissue injury and inflammation that obstruct the lungs’ ability to exchange oxygen and carbon dioxide are reflected in these signs and symptoms. Extreme shortness of breath, rapid breathing (tachypnea), cyanosis (bluish skin color), restlessness, fatigue, decreased urine output, tachycardia, low blood pressure (hypotension), and altered mental status are a few of the main symptoms.

When caring for critically ill patients, nurses must consider the potential difficulties of mechanical ventilation, as in Mr. Nguyen’s case. The process of mechanical ventilation requires placing a tube in the patient’s airway in order to deliver oxygen and remove carbon dioxide. Even while treatment can save lives, there are risks and a chance of problems. Ventilator-associated pneumonia (VAP), barotrauma (high air pressure lung damage), ventilator-associated lung injury (VALI), ventilator-associated events (VAE), pressure ulcers, cuff-related tracheal injury, sedation-related complications (such as excessive sedation or inadequate pain management), and infection at the site of the endotracheal tube insertion are a few potential side effects of mechanical ventilation.

Priority nursing interventions include regular evaluations of the patient’s vital signs, oxygen saturation, and respiratory status to gauge how they are responding to mechanical ventilation. Maintaining proper ventilation settings and keeping an eye out for signs of high or low airway pressures are necessary to prevent lung injury and maximize respiratory assistance. The patient must be moved frequently to lessen the chance of pressure sores and to improve lung expansion, which may be compromised in ARDS patients. Regular sedation intervals and assessments of extubating readiness are necessary to avoid prolonged artificial breathing and reduce the risk of sedation-related issues.

In order to prevent the emergence of Ventilator-associated Pneumonia (VAP), nurses should implement specific measures. Among them are regular suctioning of the endotracheal tube to remove secretions and reduce the risk of aspiration, maintaining proper positioning of the endotracheal tube to prevent micro aspiration of gastric contents, and routine oral hygiene using antiseptics to lessen bacterial colonization in the oropharynx. Raising the head of the bed by at least 30 degrees can prevent aspiration, and closely following infection control protocols such hand hygiene and sterile procedures lowers the risk of infection.

While orienting in the ICU, if I see a nurse not using VAP treatments, I would do the following:

I would speak to the nurse politely and respectfully to express my worries on the lack of VAP interventions. I want to underline how important VAP prevention is for patient safety and outcomes, and how it is our responsibility to adhere to best practices in the ICU.I would share my knowledge and understanding of the importance of VAP prevention, emphasizing how it may significantly impact patient recovery and minimize the likelihood of issues. I would give the nurse the tools and knowledge she needs to carry out the VAP interventions, or I would volunteer to help her. Accurate documentation is essential for maintaining a culture of cooperation and stability in our healthcare system and delivering high-quality care to our patients.