The purpose of this assignment is for the student to reflect on the nursing care of a critically‐ill individual from a clinical experience. The student will demonstrate clinical reasoning skills and will discuss interdisciplinary care that had been incorporated and/or anticipated during the care of the critically‐ill individual.
This assignment enables the student to meet the following course outcomes:
CO 1: Provide nursing care to patients and their families in critical and emergent care settings based on theories and principles of nursing and related disciplines.
CO 2: Initiate the use of appropriate resources in direct care responsibilities within critical‐care and emergent care settings.
CO 3: Demonstrate effective therapeutic communication and relationship skills in providing care to patients and families in critical‐care and emergent care settings.
CO 4: Demonstrate effective clinical decision‐making based on critical thinking skills and legal, ethical, and professional standards and principles when caring for patients and families in critical care and emergent care settings.
CO 5: Implement a plan of for continued personal, professional, and educational development related to nursing practice within critical‐care and emergent care settings.
CO 7: Use evidence including research findings from nursing and related disciplines to answer clinical questions related to nursing care of patients in critical care and emergent care settings.
TOTAL POINTS POSSIBLE: 100 POINTS
REQUIREMENTS: THE FOLLOWING ELEMENTS MUST BE INCLUDED IN THE PAPER
Background Information Summary:
History of present illness
Relevant past medical and surgical history
Admitting diagnosis (diagnoses)
Course of current hospitalization to date
Significant assessment findings during day(s) of care. Include vital signs, focused assessment, and data from monitoring devices. (This information can be presented in a table).
Laboratory and Diagnostic Tests
Identify and list a summary of relevant and significant lab values and diagnostic tests/procedures performed. Include the rationales for performing the tests and for any abnormal results. Provide an analysis of the relationships between/among the diagnostic tests and lab results with the critically‐ill individual’s current condition(s).
Identify and list a summary of relevant and significant medications. Indicate the trade name and generic name, the medication classification, the therapeutic use, major adverse effects, timing, dosage, route of administration, and the nursing implications. Also include the rationale(s) as to why the medication is prescribed for treatment. For example, document the rationale for how the treatment corrects the critically‐ill individual’s condition or a side effect of another drug that is prescribed for treatment. *This information can be presented in a table.
In order of priority, identify three (3) nursing diagnoses for the individualized plan of care for this patient. Two of the nursing diagnoses must address actual problems, and one of the nursing diagnoses must be a “Risk for” or “Potential Complication” (PC). For each nursing diagnosis, include three (3) nursing outcomes, three (3) nursing interventions, and three (3) collaborative interventions. *This section can be presented as a table or concept map.
Interventions ‐ ROUTINE NURSING MANAGEMENT
Describe independent nursing care you provided in the care of the critically‐ill individual. Examples include, but are not limited to: activity level, position, ongoing monitoring, and nutrition (prescribed diet, tube feedings/TPN, formula, rate, and calculation of basal energy expenditure (BEE), patient education, wound care etc.). The rationale must be included for each intervention.
Interdisciplinary (ID) Care
Identify the members of the interdisciplinary team caring for the critically‐ill individual. Provide a brief description of their roles and responsibilities. Interdisciplinary team members include, but are not limited to: physician, pharmacist, lab/diagnostic tests personnel, respiratory therapy, physical therapy, occupational therapy, speech therapy, social work/case management, pastoral care, ethicist, etc.
Describe the various therapeutic modalities used in the management of care for the critically‐ill individual. Discuss the extent of the nurse’s responsibilities and skills required to manage the therapeutic modality in comparison to the responsibilities of the members of the interdisciplinary team. Therapeutic modalities include but are not limited to: oxygen therapy (mode, FiO2,), dialysis/CRRT (settings), ventilator therapy (mode of ventilation, settings, FiO2).
The rationale must be included for each modality.
Nursing Role Reflection
Provide a brief summary of how your role interacted with the members of the interdisciplinary team. Include in your summary
Analysis of communication style preferences among interdisciplinary team members and with the critically‐ill individual and family members. What is the impact of your own communication style on others?
System barriers and facilitators. Did the organizational framework for interdisciplinary management of care facilitate or hindered the quality of care/outcomes for the critically‐ill individual? What recommendations can you make to the organizational system for enhancing
Provide at minimum two (2) evidence‐based literature sources to support your recommendations.
Professional Development. Based on your experience(s), write ideas for your own professional self‐development plan to enhance your potential for becoming an effective member in an interdisciplinary team.