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Friday, November 20, 2015
Wednesday, November 18, 2015
November 6-11, 2015, President Elect Christine Heid, PhD, RN, CEN, Vice President and Delegate Jeri Berryman, MSN, RN (both from Ashland University) & Delegate Judy Gregg, MSN, RN (from Mount Vernon Nazarene University) represented the Rho Nu-at-Large Chapter #419 at the Biennial Sigma Theta Tau International Honor Society Conference in Las Vegas. There were over 2,300 nurses in attendance from around the world.
|Christine Heid presented her research on Motivation and Persistence |
Among BSN Students in Northeast Ohio: A Correlation Study.
|New President Cathy Catambrone, PhD, RN, FAAN |
with Jeri Berryman and Judy Gregg
Monday, November 9, 2015
Tuesday, November 3, 2015
|Kaylee's first day!|
A big thanks to the educators at Dwight Schar College of Nursing for preparing Kaylee for the nursing world!
Monday, November 2, 2015
|Mr. Coffee-Mate feeling happy!|
He has identified that while he strives for perfection he realizes some days he will fall short, but during these times he learns more about himself and continues will continue to strive for excellence. He will back in the "full swing" of things with a little more rest and continued focus on health promotion activities. He is eager to meet the new Spring NUR 306 cohort with a smile and will be better equipped to supply needed comfort and energy to all the early morning faculty and student risers in March 2016.
Readiness for enhanced coping, as stated by Mr. Coffee-Mate, "I can now define stressors as manageable and will seek social support as needed to manage emotions more strategically; I will use spiritual resources in church and small group as a priority to provide hope and support as needed."
1. Mr. Coffee-Mate will state awareness of possible environmental changes that may contribute to decreased coping at his follow-up visit with Dr. Grund on November 6th, 2015.
2. Mr. Coffee-Mate will use spiritual support for problems associated with coping by joining a small group at the church by November 15, 2015.
3. Mr. Coffee-Mate will seek out social support by meeting his friends once a week for coffee at Starbucks in the morning as they usually gather.
4. Mr. Coffee-Mate will demonstrate the ability to cope by limiting caffeine to before noon each day and drinking milk for a bedtime snack each evening.
5. Mr. Coffee-Mate will begin to recognize sleep deprivation and irritability more readily in himself as needed and seek out support, guidance in his plan of care with Dr. Grund in follow-up visits and phone calls.
6. Mr. Coffee-mate will state that providing coffee for nursing students is manageable; he will utilize his plan of care to limit his stress response.
1. On discharge and in follow visits with Dr. Grund we will empower the client to set realistic goals and engage in problem-solving (Battersby et al, 2010).
2. On discharge and in follow-up visits with Dr. Grund we will ask Mr. Coffee-Mate to express positive thoughts and emotions.
3. On discharge and in follow visits with Dr. Grund we will encourage Mr. Coffee-Mate to visit favorite natural settings (like Mohican as he mentioned) to have access to the sounds of nature (Morrison, 2011).
4. On discharge and in follow-up visits with Dr. Grund we will support the client to use a positive sense of humor and rely on his friends and family for support, love, laughter (Marzaiali, McDonald & Donahue, 2008).
5. Mr. Coffee-Mate will schedule a time to meet with his friends at Starbucks for coffee and to meet up with a small group at the church by Wednesday, November 4th, 2015 (Paranjape & Kaslow, 2010).
6. Mr. Coffee-Mate has been encouraged to journal his feelings as he is an accomplished writer in the "critic world" of coffee. He will journal once a week beginning next week to find time to reflect and manage his emotions (Henry et al, 2011).
Mr. Coffee-Mate wanted me to share one of his favorite quotes of all time as he asks for continued support and prayer
"Coffee is good for talent, but genius wants prayer."
- Ralph Waldo Emerson, transcendentalist and poet
Tuesday, October 27, 2015
|Mr. Coffee-Mate visiting with|
nurses last night at the nurses
station to ensure his safety.
However, last evening he experienced some mild confusion (disoriented to time and place only) and continued efforts to get out of bed without assistance. Due to his unsteady and weak gait the student nurses decided to move him closer to the nurses station and let him sit with them throughout the evening to ensure his safety.
I am happy to report that although he is alert and oriented this morning, for his safety, we have increased his fall risk status to "high" based on our fall risk assessment. Let's continue to work together to keep Mr. Coffee-Mate safe throughout his stay with us at the Dwight Schar College of Nursing Hospital.
New Nursing Diagnosis:
Risk for falls related to age 71 years, diminished mental status and decreased lower extremity strength and unsteady gait.
1. Mr. Coffee-Mate will remain free of falls throughout his hospital length of stay.
2. Nursing will increase fall status to "high" and institute fall precautions (i.e. magnet, fall risk band, bed and chair alarm), continue orientation to the environment, ask the family to stay with the client throughout the day and night and keep Mr. Coffee-Mate within viewing to ensure his safety throughout his hospital stay.
3. Continue to explain methods to Mr. Coffee-Mate to prevent injury during this shift.
1. Complete fall risk assessment with each shift assessment (Gray-Miceli, 2007).
2. Recognize and educate patient, HCP, and family today that when people attend to another task while walking, such as carrying a cup of water, clothing or supplies, they are more likely to fall (Lundin-Olsson, Nysberg & Gustafson, 1998).
3. Orient client to the environment each time nursing or other health care professionals enter his room.
4. Avoid use of restraints if at all possible each day; encourage the family to sit with client day and night and/or keep Mr. Coffee-Mate near nurses station to allow increased visual assessment of Mr. Coffee-Mate. Also, implement fall precautions as outlined (i.e. provide adequate lighting, keep bed in low position, enable chair and bed alarms accordingly, toilet frequently, provide non-skid footwear) (Cotter & Evans, 2012).
5. Evaluate the client's medications to determine whether medications increase the risk of falling. Consult with physician regarding the medications if needed immediately (Gray-Miceli & Quigley, 2011).
Mr. Coffee-Mate's energy and strength is improving. Let's keep his plan of care changing to meet his needs and let's keep motivating him through patient-centered care.
-- Professor Berryman
Friday, October 23, 2015
|Nursing students with Mr. Coffee-Mate|
NUR 306 Health Foundations II early morning clinical orientations are now complete. After four early mornings of brewing coffee from 0530-0930 hours, Mr. Coffee-Mate has been admitted to the Dwight Schar College of Nursing Hospital Ward for further evaluation.
Mr. Coffee-Mate has been admitted with a priority Nursing Diagnosis:
Fatigue related to increased physical exertion as evidenced by reports of sleep deprivation and "decreased energy to complete daily tasks" (i.e. taking a bath).
These nursing students have identified outcomes for Mr. Coffee-Mate:
1. The client will verbalize causes of fatigue on admission.
2. The client will identify potential factors that aggravate and relieve fatigue on day one of his hospital admission.
3. The client will explain how to offset his fatigue by creating a conservation plan by day 2 of his hospital stay.
4. The client will verbalize increased energy and improved well-being before discharge.
1. Assess severity of fatigue on a scale of 0-10 with every shift assessment (Whitehead, 2009).
2. Evaluate the adequacy of sleep (napping) and diet (avoidance of caffeine) prior to admission and provide education on avoiding naps and recommend decaffeinated coffee. Evaluate understanding of recommended diet and sleep pattern changes discussed by the end of the shift (Johansson et al, 2010; Minton et al, 2008).
3. Encourage the client to express feelings every shift, attribution of cause and behaviors about fatigue, including potential causes of fatigue, and possible interventions to alleviate fatigue (i.e. setting small, easily achieved short-term goals, developing energy management techniques; use active listening and provide hope) (Malouff et al, 2008; Price et al, 2008).
4. Collaborate with the primary care provider regarding the appropriateness of referrals to physical therapy for a carefully monitored aerobic exercise program and identify possibly needed aids (McMillain & Newhouse, 2011).
Please keep Mr. Coffee-Mate in your thoughts and prayers that a full recovery will be made before the next cohort of NUR 306 students in the Spring 2016 semester.
On October 22, 2015, nine students from the December 2015 graduating class at the Dwight Schar College of Nursing & Health Sciences presented their research posters culminating a multi-step process of integrating various research studies related to issues in nursing.