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MDC2 week11 response

MDC2 week 11 response post

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You are required to give a minimum of two responses and follow the criteria listed below:

· Review how your classmates achieved each course competency and transferable skill.

· Identify new knowledge others gained you had not considered.

· Describe how this new knowledge could impact your nursing practice.

Courtney Spina

7 s ago, at 12:54 PM

 

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Explain principles of care for clients with oncological disorders.

In module 1, we learned about the prevention and treatment of oncological disorders. This competency was fulfilled by writing a paper about Anna’s risk factors, signs and symptoms, and care strategies, who developed breast cancer. I learned that the overall cancer death rate has decreased in the last 10 years due to the initiation of screen tests that detect the development of cancer (Ignatavicius et al., 2021). I will use my assessment skills, which is the first step in the nursing care process, to identify clients’ risks. Prevention and risk modification is essential for cancer patients.

Identify components of safe and effective nursing care for clients experiencing fluid and electrolyte imbalances.

In Module 3 (and Module 4), the focus was on fluid and electrolyte imbalances. There were no homework assignments for this module. However, there was a live classroom activity. Fluid and electrolyte imbalances is an important concept to understand. Fluids and electrolytes help our body function in maintaining homeostasis. The fluid in our body is 60% of total body weight and is located in intracellular and extracellular space (Ignatavicius et al., 2021). I learned the different types of fluids, such as isotonic, hypotonic, and hypertonic solutions. I learned that colloids could not pass through the semi-permeable membrane, and they are used intravascular volume to treat malnourished patients (Ignatavicius et al., 2021). This information will be useful as a future nurse because I want to provide the correct fluid type for my patient.

Describe strategies for safe, effective multidimensional nursing care for clients with acid-base imbalances.

In Module 5 (and Module 3 & 4), we continued focusing on the acid-base balance. A written assignment applied this course competency on acid-base imbalance with a client who has a history of COPD, asthma, and diabetes. The client was experiencing partially compensated respiratory acidosis with mild hypoxemia. I learned that many disorders could put a client at risk for developing acid-base imbalances. I will apply safe and effective nursing care to my practice because I want to correct the imbalance and not worsen it. Often if the acid-base imbalance does not get corrected, clients develop respiratory or cardiac arrest.

Select appropriate nursing interventions for clients with upper gastrointestinal disorders.

In Module 7, we discussed the different disorders that affect the upper GI. This course competency had no homework assignment or discussion post assigned. However, I learned about the different types of upper gastrointestinal disorders. I learned that an upper GI endoscopy is a common diagnostic tool used to diagnose abnormalities. This diagnostic tool is handy to confirm a diagnosis. An upper GI endoscopy allows direct visualization of the esophagus, and a biopsy can be obtained during the procedure (Ignatavicius et al., 2021). This will be beneficial as a future nurse because if I suspect an upper GI disorder is occurring based on signs and symptoms, this will be useful to bring to the rounding team to help treat the client and not delay care.

Select appropriate nursing interventions for clients with lower gastrointestinal disorders.

In module 8, we discussed the different disorders that affect the lower GI. This course competency was completed by creating a PowerPoint on Irritable Bowel Syndrome. I created a PowerPoint for patient and family education to help increase adherence for the specific disorder. I learned that the etiology of IBS is unknown/unclear; however, IBS may relate to environmental, immunologic, genetic, hormonal, and stress (Ignatavicius et al., 2021). I will use this information and apply it to practice as a future nurse by providing education to clients. I will encourage them to eat a diet high in fiber (30-40 g/day), avoid alcohol, and use stress-reduction techniques (Ignatavicius et al., 2021).

Evaluate responses to nursing interventions for clients with endocrine disorders.

In Module 9 and 10, we focused on endocrine disorders. The course competency was fulfilled by a written assignment of our choosing on an endocrine disorder. I decided to focus on diabetes type 1 and type 2. This is a prevalent disease that affects children and adults. I compared and contrasted the two different types based on each type’s signs and symptoms, causes, diagnostic tests, and care strategies. I learned that there are no interventions to prevent Type 1 diabetes from occurring. This is important because I can provide this information to clients that I take care of. Education is an important concept and something that each client needs to understand to learn and cope with this disorder.

References

Ignatavicius, D., Workman, L., Rebar, C. & Heimgartner, M. (2021). Medical-surgical nursing: Concepts for interprofessional collaborative care (10th ed.). Elsevier.

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Richard Szabo

24 s ago, at 8:17 PM

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I learned best from the book and ATI videos for these concepts. I also found it helpful to see exaggerated cartoon comparisons of diseases, it helps me remember. The below knowledge will always help me make critical decisions since I know what the priorities are with multiple disorders. For example, clients with COPD often suffer from respiratory acidosis. So priority will be to give oxygen and albuterol along with steroid therapy (Ignatavicius et al., 2021).

Explain principles of care for clients with oncological disorders.

The priorities for cancer clients include managing pain, providing emotional support, and preventing infections in the immunocompromised. It is important to provide education on how to prevent cancer. Nurses must ensure clients receive proper nutrition even though clients are often nauseated and anorexic. Encourage the client to join support groups (Ignatavicius et al., 2021).

Identify components of safe and effective nursing care for clients experiencing fluid and electrolyte imbalances.

Electrolytes and fluid imbalances can have deadly effects on the lungs and heart. It is important to monitor input and output, check labs frequently, and ensure that nutrition and fluid intake is not causing more harm. Educate clients on the importance of nutrition and hydration. Be aware of kidney or heart problems (Ignatavicius et al., 2021).

Describe strategies for safe, effective multidimensional nursing care for clients with acid-base imbalances.

Nurses must be aware that common causes of these imbalances are lung problems, kidney problems, diarrhea, vomiting, and diabetes. Nurses must know signs of acidosis such as Kussmaul respirations and signs of alkalosis like positive trousseau’s and anxiety. Understand that the first compensatory mechanism is chemical in the blood, then respiratory, then renal (Ignatavicius et al., 2021).

Select appropriate nursing interventions for clients with upper gastrointestinal disorders.

Ensure that you don’t irritate the oral cavity in clients with stomatitis, encourage eating cold foods and using a straw. Check that clients can swallow without difficulties. Ask about abdominal pain, heartburn, N/V. Educate on diets to avoid acid reflux. Ensure NG tube placement with xray (Ignatavicius et al., 2021).

Select appropriate nursing interventions for clients with lower gastrointestinal disorders.

For most clients, nurses should educate on the importance of eating a high fiber diet, drinking a lot of water, and exercising for a healthy GI tract. It is also important to avoid alcohol and smoking to prevent cancers. For clients with Crohn’s or UC, encourage a diet high in protein and vitamins, and low in fiber. Monitor for malnutrition (Ignatavicius et al., 2021).

Evaluate responses to nursing interventions for clients with endocrine disorders.

Responses should reflect a state of homeostasis. Nurses should know that signs of insulin shock are often sudden, while DKA can go on for days. Know the symptoms for hypo and hyperglycemia. Nurses should know signs of thyroid disease as well. Hyperthyroid signs are weight loss, restlessness, diaphoresis, hypertension, and tachycardia. Hypothyroid signs are weight gain, sluggishness, constipation, bradycardia, dry skin. Appropriate hormone therapy should reverse the symptoms. Know about adrenal insufficiency (Addison’s) and excess (Cushing’s) along with their risk factors such as dehydration and infection (Ignatavicius et al., 2021).

Ignatavicius, D., Workman, L., Rebar, C. & Heimgartner, M. (2021). Medical-surgical nursing: Concepts for interprofessional collaborative care (10th ed.). Elsevier.

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Edited by Richard Szabo on Sep 7, 2021, 8:21:30 PM

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