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Pass Nursing School Exams With an “A”

Written by kimmel52 on July 27, 2013 – 7:54 pm

 

Take Medical Surgical Nursing School Tests anyhwere

Take Medical Surgical Nursing School Tests anyhwere

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Clinical Practice Guidelines for Chronic Pain

Written by kimmel52 on January 8, 2013 – 9:55 pm

Relax, there is a study guide to help you

Relax, there is a study guide to help you

Clinical practice guidelines for chronic Pain
nancy kimmel
October 18, 2014

Clinical practice guidelines for chronic Pain
The purpose of this paper is to identify the current clinical nursing guidelines regarding the treatment of chronic pain and its financial impact on the healthcare system, community, patients and their families. Additionally, this paper will explore the expectations of the BSN in the implementation and documentation of evidenced based practice.
Nursing management of chronic pain
Pain is a symptom that frequently goes unreported and unrecognized in patient care settings. Pain also has negative effects on the patient and their families.(Stenner, Carey, & Courtenay, 2012, p. 3335) “It’s disheartening for frontline nurses and other providers to feel they are not meeting their patients’ needs,” LaFevers said. “Not everyone can go to a pain specialist.”(“Better management needed,” 2014, para. 37)
Chronic pain and its significance in nursing practice
Chronic pain is an individual experience. Nurses face many challenges in helping those who suffer from chronic pain.(Dysvik & Furnes, 2012, p. 187) Pain is the main reason that patients seek healthcare.(Gretarsdottir & Gunnarsdottir, 2011, p. 16) Research shows that over 50% of these patients have suffered pain within 24 hours of seeking medical help.(Gretarsdottir & Gunnarsdottir, 2011, p. 16) An individual nurse may be able to help relieve the patient’s pain during their shift, whereas the next nurse on duty may not be able to provide the needed relief. Nurses working collectively as a team can better manage the effects of chronic pain in patients than a nurse acting alone. The management of pain as a group effort requires nurses’ to have a thorough knowledge of pain theory and the use of the behavioral and cognitive approach.(Dysvik & Furnes, 2012, p. 187)
The expectation of the BSN in chronic pain management
Belonging to a supportive team with clear roles helps in the complex management of chronic pain.(Dysvik & Furnes, 2012, p. 189) The BSN nurse typically assumes the leadership role.(Video Laureate Education, Inc., 2009) The group leader in the management of chronic pain is multifaceted.(Dysvik & Furnes, 2012, p. 189) The BSN must utilize the current research on the management of chronic pain and present this to the group. It is the moral and ethical duty of the BSN to utilize evidenced based practice.(Video Laureate Education, Inc., 2009) They are also the catalyst of change for their group.
Clinical practice guidelines in the management of chronic pain
According to the National Guideline Clearing House, chronic pain management should begin with assessment of the pain, the duration, intensity, description in the patient’s own words, location, onset, quality and duration.(Institute for clinical systems improvement [], 2013) The nurse should also take into consideration the psycho-social factors the chronic pain may influence, such as depression and drug abuse.(ICSI, 2013) The treatment of chronic pain is a mulifactorial group approach led by the physician and nurse leader.(ICSI, 2013) Treatment should be addressed in levels with medications not being the sole focus.(ICSI, 2013) Comprehensive patient assessment algorithms for chronic pain begin with addressing the psycho-social factors. These factors include the patient’s reaction to their pain, their scioeconic status, their support or lack of support system, family history of pain therapies and their cultural and ethnic beliefs on the management of pain. The nurses understanding of the biopsychosocial model helps with the implementation of a pain treatment protocol that will benefit the patient’s long term goals.(ICSI, 2013)
The impact of chronic pain on the patient and the community
The under treatment of pain is a global problem.(Gretarsdottir & Gunnarsdottir, 2011, p. 16) Unresolved treatment of pain can have negative impact on the quality of life, economic productivity and healthcare utilization.(Gretarsdottir & Gunnarsdottir, 2011, p. 16) In 2011 at least 100 million American adults have common chronic pain conditions.(“Relieving pain in America,” 2014, para. 12) Pain is a significant public health problem that costs society at least $560- $635 billion annually,( an amount equal to about $2000 dollars for everyone living in the U.S.).(“Relieving pain in America,” 2014, para. 12)
The cost of pain to the healthcare system
In 2008 the cost of pain to the federal and state government for medical expenditures was $99 billion dollars.(“Relieving pain in America,” 2014, para. 13) Analysis from the CDC showed that nearly half a million emergency department visits in 2009 were from people abusing or misusing prescription pain killers.(“Relieving pain in America,” 2014, para. 13)

References
Dysvik, E., & Furnes, B. (2012). Nursing leadership in a chronic pain management group approach [Chronic pain management group approach]. Journal of nursing management, 187-195. http://dx.doi.org/http://dx.doi.org.ezp.waldenulibrary.org/10.1111/j.1365-2834.2011.01377.x
Facts on pain. (2014). Retrieved from http://www.painmed.org/PatientCenter/Facts_on_Pain.aspx#highlights
Gretarsdottir, S., & Gunnarsdottir, E. (2011). Systematic review aimed at nurses to improve pain management [Magazine]. Nordic journal of nursing research and clinical studies, 31(4), 16-21. Retrieved from http://web.b.ebscohost.com.ezp.waldenulibrary.org/ehost/resultsadvanced?sid=fe778475-dd1f-42b0-9f12-420e94669cc5%40sessionmgr113&vid=9&hid=125&bquery=nurses+to+improve+pain+management&bdata=JmRiPXJ6aCZ0eXBlPTEmc2NvcGU9c2l0ZQ%3d%3d
Institute for clinical systems improvement. (2013). Assessment and management of chronic pain. Retrieved from http://www.guideline.gov/content.aspx?id=47646&search=chronic+pain
Stenner, K., Carey, N., & Courtenay, M. ( 2012, February 9th). Prescribing for pain – how do nurses contribute? A national questionnaire survey [Prescribing for pain]. Journal of Clinical Nursing, 21(23/24), 3335-3345. http://dx.doi.org/doi:10.1111/j.1365-2702.2012.04136.x
The state of pain-better management needed. (2014). Retrieved from http://www.theamericannurse.org/index.php/2014/01/02/the-state-of-pain/
Video Laureate Education, Inc. (2009, ). Research and scholarship for evidence-based practice: Introduction to evidence-based practice and research [Video file]. Retrieved from


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Nursing Entrance Test to Nursing

Written by kimmel52 on January 11, 2009 – 2:59 pm

Time to seriously think about getting started toward a nursing career

Time to seriously think about getting started toward a nursing career

The new career for many people today is nursing. The driving force for such a large interest in nursing has to do with the job security that this field offers not only job security but financial gain from higher salaries. However, although job security and benefits are very wonderful to have, the prospective student must realize that they have to pass the Nursing Entrance Test first, before even getting into nursing school. For many displaced workers a career in nursing is the first choice. However, with any life changing decision that has been determined requires the next step of having some type of road map to achieve ones goal. Finding and preparing that road map can be difficult and frustrating if the person does not have knowledge of reliable resources. Time is also an issue. For many, time is of the essence. Time seems to be an important factor in beginning a second career. First of all the age factor seems to scare a lot of people from attempting to achieve their dreams. Age shouldn’t be the factor that keeps people from acquiring or trying to achieve their goal. Age should be looked at in a positive light. The numbers are staggering at those entering the nursing field in their thirties, forties and fifties. Even with people in their fifties, they can look forward to twenty years of work if they so choose. Money is another factor that causes concern for people choosing a second career.   Read more »


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Nursing Scholarships, Grants and Loans

Written by kimmel52 on December 10, 2008 – 1:36 am

You will find an immense amount of information in my book entitled, Kimmel Guide. Here are just some of the venues for funding your education. You can also purchase the entire guide to scholarships, grants and loans in my book entitled, “Get into Nursing School Fast”. For further information refer to, “My Product” page.

Financial Aid
This book would not be complete without a chapter dedicated to various types of financial aid available to aspiring graduates. Now that you have read about all the programs offering degrees through correspondence, you can start seriously thinking about what type of financial aid package might benefit you most. Read more »


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The Right Nursing School Scholarship for You

Written by kimmel52 on November 12, 2008 – 2:37 am

Are you considering a career in nursing, then before you begin you need to check out all of the wonderful scholarships available. You may not consider yourself eligible, but you will be surprised to find that there are nursing scholarships out there that are just for you. NELRP is a competitive program that repays 60 percent of the qualifying nursing educational loan balance of Registered Nurses (RNs) selected for funding in exchange for 2 years of service at a critical shortage facility. Participants may be eligible to work a third year and receive an additional 25 percent of the qualifying nursing educational loan balance.

The NELRP is authorized by Section 846(a) of the Public Health Service Act, as amended. The purpose of the NELRP is to assist in the recruitment and retention of professional RNs dedicated to providing health care in facilities with a crucial shortage of nurses and to provide an opportunity for RNs to consider a career in such facilities. The program offers RNs substantial economic assistance to repay a portion of their qualifying nursing educational loans in exchange for full-time service at a health care facility with a critical shortage of nurses. When considering a career in nursing, most of seek out financial aid only to find the resulting funds are usually never sufficient. Many scholarship and grant opportunities are available to nursing students to encourage people to enter the nursing field and help alleviate the increasing nursing shortages. With a little research, you can learn how to obtain this free money for your nursing school education.

Uncovering these funding sources can help free you from financial worries, and instead let you dedicate your efforts toward your schooling. The following five tips can help start your nursing scholarship and grant search and guide you in the application process. Read more »


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Caring, Part of Survival

Written by kimmel52 on November 12, 2008 – 12:19 am

Nursing is an art and a science. The nurse uses a scientific process to determine a client’s immediate and long range needs, in order to help the client achieve a higher level of psychological and physiological wellness. Norwood (1999) proposes that Maslow’s hierarchy can be used to describe the kinds of information that individual’s seek at different levels. For example, individuals at the lowest level seek coping information in order to meet their basic needs. Information that is not directly connected to helping a person meet his or her needs in a very short time span is simply left unattended. Individuals at the safety level need helping information. They seek to be assisted in seeing how they can be safe and secure.This process is also termed the nursing process. It consists of the following elements, Assessment, Diagnosis, Planning, Implementation, and Evaluation. It is within the application of the nursing process that the nurse incorporates attending to and ensuring that the client’s hierarchies of human needs are met.

These needs, according to Abraham Maslow (1954) consist of the following:

1) Physiological: hunger, thirst, bodily comforts, etc.
2) Safety/security: out of danger
3) Belonging and Love: affiliate with others, be accepted
4) Esteem: to achieve, be competent, gain approval and recognition.
Theory can be defined as “an internally consistent group of relational statements (concepts, definitions and propositions) that present a systematic view about a phenomenon and which is useful for description, explanation, prediction and control” (Bodie & Chitty, 1993).

Nursing theories are used to describe, develop, disseminate, and use present knowledge in nursing. Read more »


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The NCLEX Test Preparation

Written by kimmel52 on November 12, 2008 – 12:18 am

By Nancy Lydia Kimmel R.N., Ph.D., C.H.M.M.

This is the day that you will sit for your nursing boards, and take the NCLEX.. Be sure that you have you ATT, (Authorization To Test) form with you. You will not be able to test without this form. You will also need to present picture identification. Of course now is not the time to ask yourself if you have studied enough, but hopefully you have. Many people who sit for the NCLEX have fears that they have not studied enough. Read more »


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Did You Pass The Nursing Boards?

Written by kimmel52 on November 12, 2008 – 12:16 am

By Nancy Lydia Kimmel R.N., Ph.D., C.H.M.M.

Congratulations! So you finally passed your boards, and now you are a real Registered Nurse. How does it feel, to have passed the final test of all tests? Great? Absolutely! Now what? Well, to begin, you need to celebrate. There are many loved ones that are also looking forward to taking part in the celebration. Read more »


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Therapeutic Communication in Nursing

Written by kimmel52 on November 12, 2008 – 12:11 am

Nursing is a caring profession. It is also a profession that is more and more evidenced based in practice. In as much as the scientific aspects of nursing is increasing due to the complex technological advancement of medicine and the machinery that is used at the patients bedside, the fact remains that the nurse is the first person that the client usually comes in contact with in any emergency or hospital setting. Having said this, the term, “caring” is an essential emotion that all nurses, for that matter, all individuals in the health profession must possess. With caring comes the trained ability of the nurse to facilitate therapeutic communication. One might ask, what is therapeutic communication?

To better answer this question, the term communication should first be defined. Communication can be defined as “The Process of transmitting messages and interpreting meaning.” (Wilson and others, 1995) With therapeutic communication, the sender, or nurse seeks to illicit a response from the receiver, the patient that is beneficial to the patient’s mental and physical health. Just as stress has been proven to adversely affect the health of individuals, the therapeutic approach to communication can actually help. In any given situation everyone uses communication. Everyone has seen the individual that looks like they are either angry, stressed, feeling ill or maybe sad. Read more »


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Nursing Professionalism

Written by kimmel52 on November 12, 2008 – 12:09 am

By Nancy Lydia Kimmel R.N., Ph.D., C.H.M.M.

All professions have as their cornerstone and creed a code of ethics and or professional performance standards. The nursing profession is no different. As the field of nursing grows and changes in defining the role of a nurse, the central theme will always be that of caring. It can be said that, all other duties and responsibilities of nurses have centered around, “caring”. Caring has been described by many nursing theorist as the innate nature of a human being to be able to give unconditional help in the form of doing for, therapeutic communication, therapeutic touch, compassion, a gentleness of spirit and humbleness of knowing ones self.
The nurse provides services with respect for human dignity and the uniqueness of the client, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems.

· The nurse safeguards the client’s right to privacy by judiciously protecting information of a confidential nature.

· The nurse acts to safeguard the client and the public when health care and safety are affected by the incompetent, unethical or illegal practice of any person.

· The nurse assumes responsibility and accountability for individual nursing judgements and actions.

· The nurse maintains competence in nursing.

· The nurse exercises informed judgement and uses individual competence and qualifications as criteria in seeking consultation, accepting responsibilities, and delegating nursing activities to others.

· The nurse participates in activities that contribute to the ongoing development of the profession’s body of knowledge.

· The nurse participates in the profession’s efforts to implement and improve standards of nursing.

· The nurse participates in the profession’s effort to establish and maintain conditions of employment conducive to high quality nursing care.

· The nurse participates in the profession’s effort to protect the public from misinformation and misrepresentation and to maintain the integrity of nursing.

· The nurse collaborates with members of the health professions and other citizens in promoting community and national efforts to meet the health needs of the public.
Jean Watson, a Ph.D. in Educational Psychology and Counseling developed a theory of caring first published in 1979. She believed that caring was central to the profession of nursing as well as being the unifying principle of practice. The two major assumptions that she made are as follows:
1. Care and love constitute the primal and universal psychic energy.
2. Care and love are requisite for our survival and the nourishment of humanity.

Madeleine Leininger, a nurse and anthropologist proposed a theory of caring based on culture. She was able to see that how one society defines caring is not always the same as another society. For instance, in Asia, looking directly into another’s eyes is not a sign of respect but a sign of disrespect. Therefore a western nurse unaware of the Asian culture of caring would be seen as an uncaring and disrespectful person. Leininger termed this knowledge of cultural caring as, “transcultural nursing”. “Her beliefs are that culture is the broadest and the most holistic way to conceptualize, understand, and be effective with people.” With the emergence of the, “caring”, theorists also came the emergence of “Standards of Profession Performance”. The two terms are entwined in their definitions. There cannot be one without the other. The American Nursing Association set forth the following requisites for standards of professional performance. It is within these standards that can be seen the unifying theme of caring.

Standard 1. Quality of Care.
The nurse systematically evaluates and effectiveness of nursing practice. The nurse does this by participating in peer review committees and in consistently evaluating his/her own performance and how her performance has enhanced the clients health and emotional wellness.

Standard II. Performance Appraisal
The nurse evaluates his/her own nursing practice in relation to the national and state statues set forth defining the role of nurse.

Standard III. Education
The nurse acquires and maintains current knowledge in nursing practice. Many states now require continuing educational credits to be earned by a nurse. The number of credits vary from state to state. However, a nurse cannot renew their license without proof of these continuing educational credits. These credits help to keep the nurse current with new medica/nursingl advancements related to patient care.

Standard IV. Collegiality
The nurse interacts with and contributes to the nursing profession by meeting with other professionals in the medical field, such as Physicians, Physical Therapist, Respiratory Therapists, and Home Care Coordinators, to exchange ideas and gain a mutual respect while stimulating a leaning environment that all will benefit.

Standard V. Ethics
The nurse’s decisions and actions in helping and caring for individuals are based on principles of ethics and institutional guidelines.

Standard VI. Collaboration
The nurse collaborates with other medical professionals in creating an environment for the clients that facilitate an increasing continuum of mental and physical wellness.

Standard VII. Research
The nurse will not cease to expand his/her educational horizons, and continue to seek out and explore new areas of research and statistics.

Standard VIII. Resource Utilization
The nurse will participate in committees within the organization to evaluate and increase the effectiveness of safety, costs in planning and delivering patient care.

It can be seen that within the guidelines of professional performance the center theme is the caring for the client from every aspect. It is within these guidelines that the nurse can better define his/her role as a the one individual who has the ability to enhance the clients mental and physical wellness by coordinating, educating, and working with others to promote a caring and supportive environment.

Reference: Blais, Kathleen Koenig, Hayes, Janice S., Kozier, Barbara, Erb, Glenora, Professional Nursing Practice concepts and Perspectives, co. 2002, 4th ed. Prentice Hall, New Jersey


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