NURSING

Nursing: Outpatient Infusion

Question 1

Lung Cancer: It is considered one of the deadliest forms of cancer within the United States. It is caused by cell origination in the bronchi or lung. The term encompasses all four types of cells, naming adenocarcinoma, squamous cell (epidermoid) carcinoma, large cell (anaplastic) cancer, and small cell (oat cell) cancer.

Osteoporosis is a disease in which loss of bone mass is observed throughout the skeleton, predisposing the patient to fractures.

Multiple Sclerosis (MS): This illness targets the central nervous system (CNS), in which damage to myelin and numerous regions of the brain and spinal cord is witnessed. The results could be seen in the form of momentary, recurrent, or sustained disturbances in nerve impulse conduction, leading to symptoms like muscular feebleness, absence of coordination, numbness, visual impairment, lacking control of bowel, bladder and sexual functions. The extent of demyelination forms the foundation of the clinical picture of MS.

Question 2

Lung Cancer: Gas exchange, acid-base balance, comfort, mental health, infection

Osteoporosis: Safety, functional ability

Multiple Sclerosis (MS): Cognition, communication, sensory perception

Question 3

The responsibilities of the infusion nurse in the first given video link are knowing different diseases, having an awareness of different medications, and ensuring that infusions are made according to the doctors orders accompanied by another nurse. Three of the procedures performed in the infusion center are managing patients and making trust relationships with those who have a chronic condition as they have to be treated over a long period, working interdisciplinary teams involving advanced practitioners, doctors, and staff management, etc., and knowing about medications that might have side effects and informing patients about them.

The responsibilities of the infusion nurse in the second given video link are taking blood samples; if the condition requires, the nurses will proceed with giving intravenous catheter and work as a patient coordinator. Three of the procedures performed in the infusion center are taking blood samples, sharing the reports with doctors, and making recommendations for medications for the day.

The responsibilities of the infusion nurse in the third given video link are constant evaluations and interactions for medications, specifically for the chemotherapy patients who come to the infusion centers for chemo infusion, providing information to the patients for taking home, and taking care of their individual needs who suffer from distinct medical conditions. Three of the procedures performed in the infusion center are giving a comfortable environment to the patients who are there for long hours, treating the patients with a smile all day, and remaining in continuous touch with the doctors and the patients simultaneously.

Question 4

The three new things after having watched the NCLEX review blood administration video are:

i. Verifying about the patients cultural and religious beliefs about the transfusion of blood in terms of nay prohibition possibilities.

ii. Taking the vital signs before the process and disseminating information to the patient is important, especially about adverse effects, mainly referred to as patient education.

iii. No drugs should be given via IV line except normal saline solution.

Question 5

Ferrlecit

Patient diagnosis for which the medicine would be ordered: IDA, Osteoporosis

Mechanism of action: It is an important mineral found in hemoglobin, myoglobin, and numerous enzymes (Nursing Central, n.a.). It penetrates the bloodstream and is carried to the organs like the liver, spleen, and bone marrow when it becomes part of iron stores.

Side effects: Dizziness, headaches, vomiting, diarrhea, nausea, hypotension, hypertension, chest pain, flushing, urticarial, arthralgia, myalgia, and pain or erythema when injected (Nursing Central, n.a.).

Important assessment data to consider and trend: The patients should be educated for its need and make dietary history assessments to determine the likely cause of anemia, bowel function for constipation or diarrhea,...

Diseases can pose a threat of stress and anxiety for the patient and his family; a coping mechanism for stress management is providing enough information about the illness to integrate problem-solving tactics into the coping method (Karabulutlu, 2014).

Sticking with religious practices and praying would be another effective strategy for coping with stress during treatment as it helps in handling the psychological effects of the illness (Karabulutlu, 2014).

Seeking external help from online peers could be great emotional support and sometimes useful in gaining information about the disease. They would meet the ones already going through a similar experience.

Question 11

To support the cultural and spiritual needs of the infusion patients, the nurses and the medical staff should be familiar with the accommodations that should be provided to certain ethnicities as The Joint Commission (TJC) stresses upon this requirement for the medical professionals (Swihart, Yarrarapu & Martin, 2021). The healthcare system is reliable upon meeting the patients spiritual and physical needs, for which the staff ought to be empowered with the skills and knowledge in such stressful times. TJC accreditation must be maintained to demonstrate cultural and religious competence towards the patients as federal guidelines are to be carried out in the clinical practice for institutional responsiveness to diverse population segments. Eliminating healthcare disparity, specifically for infusion patients, should be the main aim of the medical staff for this very purpose.

Question 12

The suggested patient/ family teaching for lung cancer patients could be psycho-educational intervention (Bakitas et al., 2009). It is for bringing improvement in quality of life (QOL), lifting mood al, and It includes patient self-management, empowerment, and encouragement of patient activation with communication, social support, problem-solving, management of the symptoms, and advanced care planning based on the educational manual…