Case: A 42-year-old male reports pain in his lower back for the past month. The pain sometimes radiates to his left leg. In determining the cause of the back pain, based on your knowledge of anatomy, what nerve roots might be involved?

 How would you test for each of them? 

What other symptoms need to be explored? 

What are your differential diagnoses for acute low back pain?

 Consider the possible origins using the Agency for Healthcare Research and Quality (AHRQ) guidelines as a framework. What physical examination will you perform? What special maneuvers will you perform?

Post an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis, and justify why you selected  

Student Instructions for i-Human Virtual Simulation

NR325/NR330 Eva Smith

PURPOSE:

The following information is to be used in guiding your preparation and participation in the virtual simulation scenario for this course. This document will provide applicable course outcomes in preparation for your simulation.

SCENARIO OVERVIEW:

78-year-old female is being admitted to the neurology unit for observation and pain management.

LEARNER OBJECTIVES:

1. Define the components of a comprehensive nursing assessment. (CO1, 2)

2. Explain the approach for a comprehensive nursing assessment for an older adult admitted to the neurology unit for observation and pain management of worsening headache. (CO1, 2)

3. Demonstrate an appropriate assessment for an older adult admitted to the neurology unit for observation and pain management of worsening headache. (CO1, 2)

4. Distinguish between the treatment/interventions options for an older adult admitted to the neurology unit for observation and pain management of worsening headache. (CO1, 2, 4, 6)

5. Recommend appropriate treatment/interventions for an older adult admitted to the neurology unit for observation and pain management of worsening headache. (CO1, 2, 3, 4, )

6. Design an appropriate care plan for an older adult admitted to the neurology unit for observation and pain management of worsening headache. (CO1, 2, 3, 4, 6)

STUDENT ROLES DURING SIMULATION:

You are the staff nurse at the hospital who will be conducting a comprehensive assessment. After completing your assessment, you are expected to document your findings as a nurses note in SBAR format.

KEY FEATURES OF i-HUMAN:

· As the nurse, you are expected to complete the case scenario using the following tabs: EHR, History, Physical, Nursing Notes, Summary

· There are required questions and/or additional information provided related to this case. The questions, information, and videos must be completed/reviewed prior to progressing to the next tab.

· Nursing Notes: At the end of the simulation, you will document your assessment findings using ISBAR.

CONFIDENTIALITY:

To preserve the educational value, integrity, and safety of the learning environment, you agree to maintain strict confidentiality about the proceedings of the simulation session, details of the training scenarios, and the performance of all participants. You acknowledge that this expectation aligns with the guidelines related to the Health Insurance Portability and Accountability Act (HIPAA) as well as laws governing Protected Health Information (PHI) in client care environments.  You will not view, discuss, share, record, or disclose any confidential information pertaining to the session. You understand that lapses in confidentiality are considered academic misconduct and could result in dismissal from the academic program. 

 

FICTION AGREEMENT:

You will suspend judgment of realism for any given simulation in exchange for the promise of learning new knowledge and skills, treating the simulated patients with the same care due an actual patient, act with a genuine desire to learn even when it may be difficult to do so.  

DUE DATE:

The virtual simulation must be completed during

Week 2
.

SIMULATION TIMING:

· Pre-simulation preparation: 30-60 minutes

· Pre-brief: 15 minutes

· Run Time: 2.75 hours

· Debriefing: 60 minutes

ASSESSMENT & EVALUATION

Faculty will utilize your participation measurements in the i-Human case, and debriefing discussions to identify areas of opportunity for enhancement of your clinical growth. Your experiences in i-Human will contribute to your overall completion of clinical requirements for the course as documented on the Clinical Learning Evaluation tool.

i-Human Evaluation – What does my total score mean?

REVIEW AND COMPLETE PRIOR TO THE START OF THE VIRTUAL SIMULATION:

To prepare for the simulation, you are
required to complete the pre-simulation questions below and submit this prework to the faculty via uploading your Word document in Canvas prior to the start of the virtual simulation. If you do not complete the pre-simulation questions and upload them, you will

not
be able to access or participate in the simulation.

1. Create a list of specific nursing interventions to perform when a patient is a fall risk.

2. Describe the components of a neurological assessment and the expected findings for a client with a subdural hematoma.

3. What clinical findings/cues would a nurse anticipate for a client with:

a. Worsening neurological cues

b. Improving neurological cues

**Immediately following the completion of the virtual simulation, you will complete the evaluation of the simulation using the link provided.

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Chamberlain University | National Management Offices | 500 W. Monroe St., Suite 1300 | Chicago, IL 60661

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Agnes Karkoszka

4 hours ago, at 8:16 PM NEW

Hello Everyone,

In a health facility, it is important to ensure that patients morals and values are being obtained. Many people come from different cultural backgrounds and it is crucial to be able to understand them and respect them the best way possible. You want to make sure everyone feels safe and comfortable between the patient and the nurse. Its important to make sure the patient feels respected with whatever healthcare decisions they decide to make.

1.What values ensure a culture of safety?

Like in most situations, communication amoungs co-worker and patients is key to gather the proper information about the patient. It is crucial that we have a strong and well established team that makes working as a team a priority for every patient. We have to value everyone decisions and what they think is best for themselves. Culture plays a huge role in the patients decision making for themselves. It is important that as a team we work together to sustain a safe environment and to make sure everything is organized. Having great organization skills keeps the environment stay at a better state and avoids any problematic risk factors that can potentially harm the patient in any way.

2.How can healthcare facilities establish a culture of safety?

Some ways is establishing great teamwork and great work ethic practices. As nurses, we know to use EBP to ensure that the patient is in the best care needs from us. Working as a team will help maintain the environment the more nurses that work together the better the outcomes. Everyone in the facility should be promoting safety to make the environment welcoming.

3.What is the nurse's role in maintaining a culture of safety?

We all know that every hospital is going to have different set of rules depending on the state and region. Although, most hospitals will have very similar rules that nurses and medical professionals must follow. Many of these hospitals have to follow government advised rules like using EBP for every patient. I still think every single nurse should be educated in different cultures to understand every patient and for them to be well respected. Nurses play a huge role in taking proper care of each unique individual. Actively being part of ANA, taking every protocol seriously and maintaining a safe work environment for other staff and for the patient.As nurses, we play a vital role in creating a culture of safety within our clinical work area by maintaining an open line of communication with our healthcare team members, assessing our peers' and our own professional work habits and behaviors for safety risks, utilizing evidence-based practice (EBP) interventions in our patient protocols, and participating in shared governance workgroups (Davis,2017).

Serah Olayemi

she/her/hers

10 hours ago, at 1:29 PM NEW

In a health facility, it is essential to produce the culture of safety. It is important for workers within the healthcare facility to have respect for one another, especially for everyone to feel safe with each other. Not only that, but it's crucial for a facility's culture to support and promote patient safety.

1. What values ensure a culture of safety?

After reading, I have learned that there are various values that ensure a culture of safety. One example is the value of teamwork. The team needs to work together in order to provide each patient with a consistent safe experience. Another value is respect. As I mentioned earlier it is important for healthcare workers to respect one another but it is just as important for healthcare workers to be nothing but respectful to their patients. Another value includes organization and planning. It is important to acknowledge what can cause the culture of safety and plan accordingly.

2. How can healthcare facilities establish a culture of safety?

Some examples include teamwork by healthcare workers. It is important for leaders to be visibly committed to change. It is also essential for the full staff to openly share safety information with one another. Everyone should be on the same page of promoting patient safety.

3. What is the nurse's role in maintaining a culture of safety?

I understand that every health facility is ran differently and has different standards. I believe though, that every nurse should maintain a culture of safety. I feel that they have a crucial role because they are the main caregivers of the patients when they come to the facility. The patient is allowing the nurse to take care of them by putting a lot of trust in them. Due to this trust, nurses need to make it a goal to keep them safe at all times. The nurses are in control as far as safety because they are aware of the facility and regulations. If the nurse does a successful job at maintaining a culture of safety, it will create a safe and trusting experience between the nurse and the patient.

Module 06 Written Assignment – Stress and Immunity

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Module 06 Content

1.

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Your written assignment for this module should be a 1-2 page paper (not including title page and reference page) that describes the following:

· What are the different types of immunities and give an example of each

· Describe how stress impacts the immunity of a person

You should include a minimum of 3 scholarly references. Include a title page, in-text citations, and a reference page in APA format.

Submit your completed assignment by following the directions linked below. Please check the 
Course Calendar for specific due dates.

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date.

NOTE Strictly APA, CITATION,AND REFERENCING,PLAGIARISM- CHECK Bottom of Form

  

APPLYING INTERDISCIPLINARY THEORIES TO NURSING PRACTICE