Please write a 4-5 page essay on the therapeutic modality Extracorporeal Membrane Oxygenation (ECMO) with the following instructions:
Follow these guidelines when completing this assignment.
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.
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.
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.
Expert Solution Preview
Extracorporeal Membrane Oxygenation (ECMO) is a therapeutic modality that has been introduced recently at the bedside for the care of complex adult patients. It is a non-traditional modality used in special circumstances for very ill patients. ECMO is also being used in a new way to treat patients with complex needs, and it requires specific training above and beyond general entry-level nursing education.
ECMO is a life-support technique that provides prolonged cardiac and respiratory support to patients whose heart and lungs are unable to function adequately. It involves the use of a machine that acts as an artificial lung and heart, allowing for the exchange of oxygen and carbon dioxide in the blood. Oxygenated blood is removed from the patient’s body and circulated through an artificial lung called an oxygenator, where carbon dioxide is removed and oxygen is added. The oxygenated blood is then returned to the patient’s body.
This therapeutic modality is primarily used for patients who have severe respiratory or cardiac failure that is unresponsive to conventional treatment methods. It is often employed as a last resort when other treatment options have been exhausted. ECMO can be used in various clinical settings, such as the intensive care unit, cardiac surgery, or during transplantation procedures.
There are several benefits of ECMO for patients. It provides temporary support to allow the patient’s heart and lungs to rest and recover from acute failure. It also allows for time to identify and treat the underlying cause of the organ failure. ECMO can improve oxygenation and perfusion, thereby preventing further damage to vital organs. Moreover, it can be a bridge to recovery or to more definitive treatment options, such as lung transplantation or heart surgery.
However, the use of ECMO also presents risks and potential complications. Complications may include bleeding, infection, clotting, and damage to blood vessels. These complications can be minimized by carefully monitoring the patient, maintaining anticoagulation therapy, and ensuring adequate perfusion. The interdisciplinary team plays a crucial role in preventing complications and promoting positive outcomes for the patient.
The interdisciplinary team involved in the use of ECMO includes respiratory therapists, assistive personnel, providers, case managers, clinical nurse specialists, and researchers. Each member of the team has specific roles and responsibilities in caring for the patient. For example, respiratory therapists are responsible for managing the ECMO machine and monitoring the patient’s respiratory status, while nurses are responsible for monitoring the patient’s overall condition, administering medications, and providing emotional support to the patient and their family.
Working with an interdisciplinary team can present challenges, such as communication barriers, differences in scope of practice, and conflicting opinions. It is important for nurses and other team members to effectively communicate and collaborate to ensure the best possible care for the patient.
To provide care for patients undergoing ECMO, registered nurses need specialized knowledge, skills, and attitudes. They must have a strong understanding of the principles and functions of ECMO, as well as knowledge of relevant medications and potential complications. Nursing skills needed for ECMO care include the ability to assess and monitor the patient’s condition, administer medications, and provide supportive care.
Attitudes needed for nurses to provide care for ECMO patients include empathy, patience, and the ability to remain calm in stressful situations. Nurses must be able to effectively communicate with the patient and their family, provide education, and address any concerns or questions they may have.
Patient education plays a vital role in the success of ECMO therapy. It is essential to provide the patient and their family with information on the procedure, expected outcomes, potential complications, and post-treatment care. Information can be taught through various methods, such as verbal instruction, written materials, videos, and demonstrations. Cultural considerations should be taken into account when providing education to ensure that the information is tailored and sensitive to the patient’s cultural background and beliefs.
The effectiveness of the teaching can be evaluated through various means, such as assessing the patient’s understanding of the information, their ability to independently manage the ECMO equipment (if applicable), and their adherence to post-treatment care instructions. Regular follow-up and support should be provided to address any concerns or questions that may arise after the education session.
In conclusion, Extracorporeal Membrane Oxygenation (ECMO) is a therapeutic modality that has been introduced recently for the care of complex adult patients. It is a non-traditional modality used in special circumstances, requiring specific training beyond general entry-level nursing education. ECMO provides prolonged cardiac and respiratory support for patients with severe organ failure, offering benefits such as rest and recovery for the heart and lungs, improved oxygenation, and a bridge to recovery or more definitive treatment options. However, it also presents risks and potential complications that can be minimized through careful monitoring and coordination by the interdisciplinary team. Nurses play a critical role in the care of ECMO patients, requiring specialized knowledge, skills, and attitudes. Patient education is essential to inform and empower patients and their families, ensuring their understanding and participation in the treatment process.
