NR341 Complex Adult Health
RUA Interdisciplinary Management of Healthcare Technology Guidelines
This purpose of this assignment is for the student to present a complete picture of interdisciplinary care using specific therapeutic modalities in the care of a complex adult health client. The student will demonstrate clinical reasoning skills and will discuss interdisciplinary care that had been incorporated and/or anticipated using a healthcare technology or therapeutic modality for the care of the complex health client.
Course outcomes: This assignment enables the student to meet the following course outcomes:
1. Provide patient and family centered nursing care to adults with complex health needs using theories and principles of nursing and related disciplines. (PO 1)
2. Initiate the use of appropriate resources in direct care responsibilities within complex adult health situations. (PO 2)
3. Demonstrate effective therapeutic communication and relationship skills in family centered nursing care to adults with complex health needs. (PO 3)
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 with complex adult health needs. (POs 4 and 6)
5. Implement a plan of care for continued personal, professional, and educational development related to nursing practice with complex adult health situations. (PO 5)
7. Use evidence including research findings from nursing and related disciplines to answer clinical questions related to nursing care of patients with complex adult health needs. (PO 8)
Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment.
Total points possible: 100 points
Preparing the assignment
Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.
1) Choose a therapeutic modality or healthcare technology.
2) Examples of a therapeutic modality include Extracorporeal Membrane Oxygenation, Automatic rotating pronation beds, right and/or left ventricular assist devices, nontraditional ventilator modes.
3) Examples of healthcare technology can include regional O2 saturation monitoring (NIRS).
4) Refer to your faculty member if your selection requires prior approval.
5) Write a 4-5 page paper (not including the title page or reference page) using APA format.
6) For APA, formatting, or grammar assistance visit the APA Citation and Writing page in the online library.
7) Include the following sections (detailed criteria listed below and in the Grading Rubric):
a. Introduction – 5 points/5%
• The chosen therapeutic modality or healthcare technology meets one of the following criteria:
o Has been introduced recently at the bedside for care of the complex adult patient.
o Is a non-traditional modality for very ill patients in special circumstances.
o Is being used in a new way to treat a patient with complex needs.
o Requires specific training above and beyond general entry-level nursing education.
• Introduce the therapeutic modality or healthcare technology.
NR341 Complex Adult Health
RUA Interdisciplinary Management of Healthcare Technology Guidelines
• Name the therapeutic modality or healthcare technology.
• A brief fictional case is used to illustrate the therapeutic modality or healthcare technology.
b. Explanation and Background– 15 points/15%
• Include a clear description of the therapeutic modality or healthcare technology.
• Discuss how the therapeutic modality or healthcare technology works.
• Describe the patient population it is used for.
• Include medication, safety, and cost considerations as applicable.
c. Risks and Benefits– 15 points/15%
• Describe how the therapeutic modality or healthcare technology can benefit the patient.
• Discuss ways to promote positive outcomes.
• Explain the complications that may arise.
• Discuss considerations for preventing complications.
d. Interdisciplinary team’s Roles and Responsibilities– 20 points/20%
• Identify all interdisciplinary team members caring for the patient, such as respiratory therapy, assistive personnel, providers, case managers, clinical nurse specialists, and researchers.
• Describe the roles and responsibilities of each member of the healthcare team that is involved in the use of the therapeutic modality or healthcare technology.
• Discuss the roles and responsibilities of the nurse as a member of the interdisciplinary team caring for the patient.
• Discuss one challenge in working with an interdisciplinary team.
e. Nursing Scope of Practice – 15 points/15%
• Discuss the knowledge needed for the Registered Nurse to provide care for the patient using the therapeutic modality or healthcare technology.
• Describe skills needed for the Registered Nurse to provide care for the patient using therapeutic modality or healthcare technology.
• Discuss attitudes needed for the Registered Nurse to provide care for the patient using therapeutic modality or healthcare technology.
f. Patient Education – 20 points/20%
• Describe the information to be taught to the patient and/or family.
• Discuss how information will be taught.
• Discuss potential cultural considerations to teaching
• Explain how the effectiveness of the teaching will be evaluated.
g. Conclusion – 5 points/5%
• Provide a summary of the paper.
• No new information is introduced.
• Include additional resources for further learning.
h. APA Style and Organization – 5 points/5%
• References are submitted with paper.
• Uses current APA format and is free of errors.
• Grammar and mechanics are free of errors.
• At least three (3), nursing, scholarly, peer reviewed, primary sources from the last 5 years, excluding the textbook, are provided.
Please note that your instructor may provide you with additional assessments in any form to determine that you fully understand the concepts learned.
MY TOPIC IS – AUTOMATIC ROTATING PRONATION BEDS
Expert Solution Preview
In this assignment, the student is required to present a comprehensive understanding of interdisciplinary care by incorporating a specific therapeutic modality or healthcare technology in the care of a complex adult health client. The purpose of this assignment is to demonstrate the student’s clinical reasoning skills and their ability to discuss interdisciplinary care in relation to a therapeutic modality or healthcare technology. The chosen healthcare technology in this scenario is an automatic rotating pronation bed.
Automatic rotating pronation beds have recently been introduced at the bedside for the care of complex adult patients. This therapeutic modality is a non-traditional approach used for very ill patients in special circumstances. The use of an automatic rotating pronation bed involves placing the patient in a prone position and continuously rotating the patient to different positions to facilitate lung recruitment and improve oxygenation.
In a fictional case scenario, a patient with acute respiratory distress syndrome (ARDS) is admitted to the intensive care unit. The patient’s oxygenation is severely compromised, and conventional prone positioning has failed to improve their condition. As a result, the interdisciplinary team decides to utilize an automatic rotating pronation bed to enhance oxygenation and promote positive outcomes for the patient.
The automatic rotating pronation bed works by gently rotating the patient in a series of positions, including supine, prone, and lateral positions. This constant movement helps to prevent pressure ulcers and facilitates adequate ventilation and perfusion in different areas of the lungs. The technology also includes pressure redistribution features to minimize the risk of skin breakdown.
This therapeutic modality is primarily used for patients with severe respiratory conditions, such as ARDS, who require intensive care and prolonged periods of pronation. It is beneficial for improving oxygenation, facilitating secretion clearance, and preventing pulmonary complications. However, complications such as hemodynamic instability, pressure ulcers, and musculoskeletal discomfort may arise during the use of automatic rotating pronation beds.
To prevent complications, it is essential to closely monitor the patient’s vital signs, skin integrity, and comfort level. Frequent repositioning, maintaining proper pressure redistribution, and implementing appropriate infection control measures are essential. The interdisciplinary team, including respiratory therapists, clinical nurse specialists, and assistive personnel, plays a crucial role in ensuring the safe and effective use of the pronation bed.
As a member of the interdisciplinary team, the nurse’s responsibilities include assessing the patient’s respiratory status, monitoring vital signs, administering medications as ordered, and providing emotional support to the patient and their family. A challenge in working with an interdisciplinary team may arise from differences in communication styles, conflicting priorities, or variations in knowledge and skill levels among team members.
The nurse caring for a patient using an automatic rotating pronation bed must possess the knowledge of respiratory physiology, understanding of the equipment, and proficiency in assessing and managing respiratory complications. Skills such as effective communication, critical thinking, and the ability to collaborate with other team members are crucial in providing optimal care. Attitudes such as empathy, compassion, and cultural sensitivity are necessary to establish a therapeutic nurse-patient relationship and ensure patient satisfaction and safety.
Patient education is essential to promote the effective use of the therapeutic modality and to enhance patient and family engagement in care. The nurse should provide information to the patient and/or their family regarding the purpose of the pronation bed, the benefits, the potential complications, and the preventive measures. Teaching strategies should be tailored to the patient’s learning preferences and cultural considerations, ensuring the provision of information in a clear and understandable manner.
The effectiveness of patient education can be evaluated through various methods, such as assessing the patient’s understanding through verbalization or demonstration of skills related to pronation bed management. Additionally, patient satisfaction surveys can be used to gather feedback on the education provided and identify areas for improvement.
In conclusion, automatic rotating pronation beds have become a valuable therapeutic modality for the care of complex adult patients, particularly those with severe respiratory conditions. Through interdisciplinary collaboration and appropriate nursing interventions, the use of this technology can significantly improve patient outcomes. It is essential for nurses to possess the necessary knowledge, skills, and attitudes to provide safe and effective care while prioritizing patient education to optimize the management of automatic rotating pronation beds. References:
(Note: Please remember to include references from nursing, scholarly, peer-reviewed, primary sources from the last five years, excluding the textbook.)