Lucinda, an RPN, works on the Rehabilitation Unit at Durham General Hospital. She has been working on this unit for 2 years. The patient’s on this unit primarily are recovering from hip fractures, repairs and replacements and knee replacements. The patient population is mainly the older adult, ages 60 years old and up. Lucinda considers this a rewarding unit to work on because as a nurse you are mostly part of a very successful process; watching someone progress from being dependant to independent. Sometimes patients are suffering from additional medical conditions along with their rehabilitation. This added complexity increases the patient care needs dramatically. Today, Lucinda’s day on the Rehabilitation Unit has been very busy and tough. Presently, the unit has a large number of patients who are recovering from hip replacement surgery but are also very sick with a number of different medical conditions. Lucinda’s load is heavy and she has three considerably challenging patients. Mrs. Lacey has had post-operative complications and has been in the hospital for 10 days. She has had an infection and is now suffering with delirium. Ever since she has been demonstrating signs of delirium it is very challenging to leave her alone. Mrs. Lacey’s daughter and son are regular visitors and often stop and talk to the nurses about their mother’s care. They ask about how Mrs. Lacey is doing and are occasionally critical of her care. In the morning, Mrs. Lacey’s daughter was into visit. She stopped Lucinda with many questions about her care. Lucinda was on her way into to an assessment on one of her other patient’s but did make the time to listen carefully and discuss the issues and concerns raised. Later that afternoon, Mrs. Lacey’s son visited his mother. He also had a number of questions that were similar to his sister’s questions but once again Lucinda, even though she was running behind and had a patient who was not very stable, she stopped, listened and explained his mother’s care. About an hour and a half later, the unit manager told Lucinda that Mrs. Lacey’s family had phoned in with questions and concerns about her care. They reported that when they approached Lucinda with questions she was “busy” and “unhelpful.” At the end of Lucinda’s shift she was very angry and upset with how her day went. She took pride in the care she provided. She was exhausted after such a busy day. She sat down to relax and signed on to Facebook. She read some new posts and decided to update her status. She wrote: “So much for being patient and understanding L family – some people apparently just don’t want to hear!” #4thDGH #lifeofaRPN. make three nursing practice recommendations using the rationale from three scholarly resources and at least one CNO document. Nursing Recommendations: Recommendations may include any relevant nursing intervention, action, or strategy that is within the scope of practice of an RPN. 1000 word essay

Lucinda, an RPN, works on the Rehabilitation Unit at Durham General Hospital. She has been working on this unit for 2 years. The patient’s on this unit primarily are recovering from hip fractures, repairs and replacements and knee replacements. The patient population is mainly the older adult, ages 60 years old and up. Lucinda considers this a rewarding unit to work on because as a nurse you are mostly part of a very successful process; watching someone progress from being dependant to independent. Sometimes patients are suffering from additional medical conditions along with their rehabilitation. This added complexity increases the patient care needs dramatically. Today, Lucinda’s day on the Rehabilitation Unit has been very busy and tough. Presently, the unit has a large number of patients who are recovering from hip replacement surgery but are also very sick with a number of different medical conditions. Lucinda’s load is heavy and she has three considerably challenging patients. Mrs. Lacey has had post-operative complications and has been in the hospital for 10 days. She has had an infection and is now suffering with delirium. Ever since she has been demonstrating signs of delirium it is very challenging to leave her alone. Mrs. Lacey’s daughter and son are regular visitors and often stop and talk to the nurses about their mother’s care. They ask about how Mrs. Lacey is doing and are occasionally critical of her care. In the morning, Mrs. Lacey’s daughter was into visit. She stopped Lucinda with many questions about her care. Lucinda was on her way into to an assessment on one of her other patient’s but did make the time to listen carefully and discuss the issues and concerns raised. Later that afternoon, Mrs. Lacey’s son visited his mother. He also had a number of questions that were similar to his sister’s questions but once again Lucinda, even though she was running behind and had a patient who was not very stable, she stopped, listened and explained his mother’s care. About an hour and a half later, the unit manager told Lucinda that Mrs. Lacey’s family had phoned in with questions and concerns about her care. They reported that when they approached Lucinda with questions she was “busy” and “unhelpful.” At the end of Lucinda’s shift she was very angry and upset with how her day went. She took pride in the care she provided. She was exhausted after such a busy day. She sat down to relax and signed on to Facebook. She read some new posts and decided to update her status. She wrote: “So much for being patient and understanding L family – some people apparently just don’t want to hear!” #4thDGH #lifeofaRPN. make three nursing practice recommendations using the rationale from three scholarly resources and at least one CNO document. Nursing Recommendations: Recommendations may include any relevant nursing intervention, action, or strategy that is within the scope of practice of an RPN. 1000 word essay

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)

6th Edition

ISBN:9781305964792

Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Chapter4: Therapeutic Communication Skills

Section: Chapter Questions

Problem 4.1CS

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Question

Lucinda, an RPN, works on the Rehabilitation Unit at Durham General Hospital.
She has been working on this unit for 2 years. The patient’s on this unit primarily are
recovering from hip fractures, repairs and replacements and knee replacements. The
patient population is mainly the older adult, ages 60 years old and up. Lucinda
considers this a rewarding unit to work on because as a nurse you are mostly part of a
very successful process; watching someone progress from being dependant to
independent. Sometimes patients are suffering from additional medical conditions
along with their rehabilitation. This added complexity increases the patient care needs
dramatically.
Today, Lucinda’s day on the Rehabilitation Unit has been very busy and tough.
Presently, the unit has a large number of patients who are recovering from hip
replacement surgery but are also very sick with a number of different medical
conditions. Lucinda’s load is heavy and she has three considerably challenging
patients. Mrs. Lacey has had post-operative complications and has been in the hospital
for 10 days. She has had an infection and is now suffering with delirium. Ever since
she has been demonstrating signs of delirium it is very challenging to leave her alone.
Mrs. Lacey’s daughter and son are regular visitors and often stop and talk to the nurses
about their mother’s care. They ask about how Mrs. Lacey is doing and are
occasionally critical of her care.
In the morning, Mrs. Lacey’s daughter was into visit. She stopped Lucinda with
many questions about her care. Lucinda was on her way into to an assessment on one
of her other patient’s but did make the time to listen carefully and discuss the issues and
concerns raised. Later that afternoon, Mrs. Lacey’s son visited his mother. He also had
a number of questions that were similar to his sister’s questions but once again Lucinda,
even though she was running behind and had a patient who was not very stable, she
stopped, listened and explained his mother’s care. About an hour and a half later, the
unit manager told Lucinda that Mrs. Lacey’s family had phoned in with questions and
concerns about her care. They reported that when they approached Lucinda with
questions she was “busy” and “unhelpful.”
At the end of Lucinda’s shift she was very angry and upset with how her day
went. She took pride in the care she provided. She was exhausted after such a busy
day. She sat down to relax and signed on to Facebook. She read some new posts and
decided to update her status. She wrote: “So much for being patient and understanding
L family – some people apparently just don’t want to hear!” #4thDGH #lifeofaRPN.

make three nursing practice recommendations

using the rationale from three scholarly resources and at least one CNO document.

Nursing Recommendations:
Recommendations may include any relevant nursing intervention, action, or strategy that is within the scope of practice of an RPN.

1000 word essay

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