Mrs. Doe is 68 years old, 30 hours post-stroke with left hem ✓ Solved

Mrs. Doe is 68 years old, 30 hours post-stroke with left hemiparesis. Her bedding is wet and her urine is dark amber with a foul smell. Mrs. Doe is asking for an indwelling catheter. Notify the stroke rehabilitation team of the incontinence. Initiate a prompted voiding schedule and appropriate absorbent padding. Encourage her to drink more water, if not on fluid restriction. Provide patient teaching regarding the risk of UTI with an indwelling catheter.

Reflect on achievements in this course based on three criteria: Program Outcome, MSN Essential, NONPF Core Competency. Choose one from each category and reflect over the past eight weeks, describing how achieving the course outcomes have prepared you to meet one program outcome, one MSN essential, and one NONPF competency. Provide a specific example for each category.

MSN Program Outcome: Provide high quality, safe, patient-centered care grounded in holistic health principles. Advocate for positive health outcomes through compassionate, evidence-based, collaborative advanced nursing practice.

MSN Essential: Background for Practice from Science and Humanities, Clinical Prevention and Population Health for Improving Health, Master’s Level Nursing Practice.

NONPF Core Competencies: Scientific Foundation Competencies ensure that nurse practitioners graduate with a comprehensive background in medical sciences.

Examples of competencies include critical thinking about data, allowing knowledge from humanities to inform nursing work, incorporating research findings to enhance practice methods, and creating evidence-based approaches.

Preparing the written portion of the assignment in a WORD document and submitting to the course is required. Grammar, punctuation, and spelling should be observed. In-text citations and reference pages should follow APA format. The student must identify at least one program outcome, one MSN essential, and one NONPF competency, providing a specific example for each. The total points for the assignment are 50.

Paper For Above Instructions

The evolution of the nursing profession is marked by continual advancement in education and practice standards, particularly for advanced practice roles such as family nurse practitioners (FNPs). Over the last eight weeks, my journey through this course has been transformative and reflective of the core competencies necessary for my development as an FNP, particularly in regards to patient-centered care, the synthesis of scientific knowledge with clinical practice, and a commitment to quality improvement.

MSN Program Outcome Reflection

One significant program outcome is the ability to provide high-quality, safe, patient-centered care grounded in holistic health principles. My understanding of this outcome was enriched during a case study project focused on managing chronic illness in elderly patients. For instance, I managed a care plan for a hypothetical patient similar to Mrs. Doe, who presented multiple health challenges post-stroke. In creating the care plan, I utilized a comprehensive assessment that included fall risk, a nutritional plan to encourage hydration, and referrals to the rehabilitation team, integrating physical, emotional, and social factors influencing health (Biskobing & Fischer, 2020).

MSN Essential Reflection

In alignment with the MSN Essential of “Clinical Prevention and Population Health for Improving Health,” my learning included a focus on preventive care and the implications of public health policies on individual patient care. A specific example was seen in discussions on urinary incontinence (UI), reflecting on how educational strategies can empower patients to manage their conditions effectively. This ties to my experience with Mrs. Doe, where increased awareness regarding fluid intake and potential catheter-associated urinary tract infections (UTIs) was crucial. By promoting informed decision-making, I can advocate for healthier outcomes within my patient population (Rafique et al., 2021).

NONPF Core Competency Reflection

Regarding the NONPF Core Competency, particularly the scientific foundation competencies, critical thinking has been pivotal in applying evidence-based practices in patient management. A reflective exercise involved analyzing research articles related to urinary incontinence management where I evaluated clinical guidelines and their practical applications. It became clear how incorporating research findings could significantly enhance practice methods; for example, the use of Kegel exercises to strengthen pelvic floor muscles was substantiated by evidence linking them to improved outcomes in UI (Rizvi et al., 2022).

Integration of Learning

This course has heightened my awareness and skills related to critical assessment and planning for individualized care, especially in vulnerable populations. The interplay between holistic assessment, the use of evidence-based practices, and active patient engagement supports safe, effective care delivery. I must ensure that care plans are not only clinically sound but also responsive to patients' preferences and circumstances (Mitchell & Crouch, 2019).

Conclusion

In conclusion, the reflections from this course highlight the importance of integrating knowledge from the MSN Program Outcomes, MSN Essentials, and NONPF Core Competencies into practice. By focusing on high-quality, patient-centered care, the teachings from the program have prepared me to effectively advocate for patients and utilize precautionary health measures. Continuous learning and adaptation of these principles will further enhance my ability to provide comprehensive care as a family nurse practitioner.

References

  • Biskobing, D. M., & Fischer, R. W. (2020). Patient-centered care: A case study approach. Journal of Nursing Practice, 15(4), 234-240.

  • Mitchell, J. E., & Crouch, A. (2019). Holistic assessment: A framework for patient care. Healthcare Journal, 12(1), 12-20.

  • Rafique, Z., Zafar, S., & Ali, S. D. (2021). Empowering patients through education: A pathway to better health outcomes. Nursing and Health Sciences, 8(5), 36-42.

  • Rizvi, S. J., Loya, K., & Rahdar, A. (2022). Kegel exercises and urinary incontinence: A systematic review of the literature. European Journal of Urology, 78(3), 322-330.

  • North American Nursing Diagnosis Association. (2018). Nursing diagnoses definitions & classification 2018-2020. Thieme Medical Publishers.

  • American Urological Association. (2019). Guidelines for urinary incontinence. Urology Practice, 23(3), 115-123.

  • National Institute for Health and Care Excellence. (2020). Management of urinary incontinence. NICE Guidelines.

  • World Health Organization. (2021). Comprehensive sexual health education: A global approach. WHO Press.

  • O’Sullivan, K., & Kelleher, C. (2021). Assessing urinary incontinence in the elderly: A practical guide. Geriatric Nursing, 42(2), 205-210.

  • Gray, M., & Landis, J. R. (2020). The impact of nursing on population health outcomes: A systematic review. Nursing Outlook, 68(4), 550-558.