NR 305 Week 8 Discussion Case Study or Share an Experience
Chamberlain University NR 305 Week 8 Discussion Case Study or Share an Experience– Step-By-Step Guide
This guide will demonstrate how to complete the Chamberlain University NR 305 Week 8 Discussion Case Study or Share an Experience assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NR 305 Week 8 Discussion Case Study or Share an Experience
Whether one passes or fails an academic assignment such as the Chamberlain University NR 305 Week 8 Discussion Case Study or Share an Experience depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NR 305 Week 8 Discussion Case Study or Share an Experience
The introduction for the Chamberlain University NR 305 Week 8 Discussion Case Study or Share an Experience is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for NR 305 Week 8 Discussion Case Study or Share an Experience
After the introduction, move into the main part of the NR 305 Week 8 Discussion Case Study or Share an Experience assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NR 305 Week 8 Discussion Case Study or Share an Experience
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NR 305 Week 8 Discussion Case Study or Share an Experience
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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NR 305 Week 8 Discussion Case Study or Share an Experience
Purpose
This week’s graded topics relate to the following Course Outcome (CO).
CO 2 – Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning. (PO #1)
Discussion
This week you have two options for your initial discussion post. Select the option that is best for you! Please remember to use and credit the lesson or required NIH website (there was not a textbook reading this week), AND one outside scholarly source.
Option #1 – Case Study to Consider
Ann and Michael have been married for 55 years. Ann is 80 years-old, and suffers from lung cancer and advanced Alzheimer’s disease. She currently resides in a nursing home, and often does not recognize Michael when he visits. Last night she was admitted to the hospital with difficulty breathing. Today, you are the nurse caring for Ann, and her physician is suggesting surgery to remove part of her lung to potentially slow the progression of her cancer. Michael is feeling unsure about this course of treatment, and asks for your advice and guidance.
How would you respond to Michael and serve as advocate for your patient?
Option #2 – Share a Related Experience
Share with your classmates a time when you cared for a patient at the end of their life. This may be a time when you assisted the patient (or their support system) with decisions related to end of life care; or a time when you were present for the death of a patient.
What were your observations related to this experience? Do you believe it was a peaceful death? What went well? Can you think of anything that could have made the experience better for the patient and/or family?
Sample Answer for NR 305 Week 8 Discussion Case Study or Share an Experience
This is my area of nursing. I work in hematology/oncology and hospice. I have had a lung cancer patient tell me, “Kelly, I think tonight’s the night”. I said, “Tonight’s the night for what, patient X?” And she said, “Tonight is the night I would like to pass on and see Jesus. I am ready.” And I said, “OK, patient X. Should we call your daughter and have her here with you?” She said, “Yes. Let’s have her come.” Cue the hand holding and smiles. That was that. She passed later that evening by removing her oxygen and being given morphine for comfort.
I have ordered patient’s last meals before sedating them to a comfortable coma-like state. I feel good about what I do when someone is ready to be at peace and be comfortable.
Option #1; Ann & Michael:
I would ask if Michael would mind stepping out of the room and talking to me. Unfortunately, during the pandemic, my hospital has strict end of life visiting policies and I might have to be asked these questions over the phone.
I would ask Michael if Ann had ever mentioned what she would want in this type of situation? Had she ever said things like if I am unable to do xyz, I would want xyz to happen?
What are your reservations to the surgery, Michael? What worries you? Do you feel like you understand the benefits versus the risks fully?
If Michael wanted Ann to just be comfortable in her remaining time on the earth, I would feel comfortable discussing hospice care. Often, in hospice care, we can provide a patient with oxygen for comfort purposes and medicate to make breathing more comfortable and restful. Sometimes we do remove the oxygen and only medicate. We would discuss options of taking Ann home or keeping her under the hospital’s care.
Let us say that Michael wants to understand more about inpatient hospice care, I would discuss all his and his wife’s “physical, psychological, spiritual, and practical” needs could be addressed by the hospice team (Hill & Hacker, 2010). Michael could determine that psychologically, Ann would not have a good recovery after a lobectomy although he does not want her to suffer with dyspnea. Physically he knows that Ann’s dyspnea is exhausting and giving her also sudden anxiety and restlessness. She has become incontinent. Spiritually he believes in God and does not want his wife to suffer, but also does not feel it is right to choose her life or death – chaplain or priest may be asked to step in here. Practically speaking, he feels he has already said goodbye to the Ann that he knew before, but he questions whether hospice is giving up on his wife.
I would reassure that we could really make Ann rest well and relieve her suffering. We could give medications like Ativan for her anxiety, dyspnea, and restlessness. We could also give medications like morphine or dilaudid for dyspnea. We can give robinul and scopolamine patches to dry up lung secretions. We can suction to clear the lung secretions as needed and as comfortable. All the while, we will keep her skin clean and dry, provide oral care and repositioning as tolerated. We will be happy to play spiritual music or biblical readings. We can involve music therapy and chaplains as often as possible. We are here to ensure you have support to through nursing and social and spiritual services.
All these struggles and concerns can be attended to by the right department and nurses play a big role in rounding up those departments as well as communicating with the medical team to relay the patient’s/family’s wishes (Weber & Kelley, 2018).
References
Hill and Hacker (2010). Helping patient with cancer prepare for hospice. Clinical Journal of Oncology Nursing 14(2): 180-188. http://dx.doi.org.chamberlainuniversity.idm.oclc.org/10.1188/10.CJON.180-188
Weber, J.R. & Kelley, J.H. (2018). Health assessment in nursing (6th ed.). Philadelphia, PA: Wolters Kluwer.
Sample Answer 2 for NR 305 Week 8 Discussion Case Study or Share an Experience
Thank you for sharing your experiences in this post. Your description is so vivid and thorough. Reading it made me very interested in the type of nursing that you provide. I can tell by how you descriptions that you love what you do and are a very calm , compassionate and genuinely caring nurse. I liked that you use a very holistic approach when providing care and comfort for your patients by addressing their physical, mental, and spiritual needs. I have not yet taken care of a patient who was actively dying besides a close family member or friend but not in a nursing role. The examples you shared, especially about specific medications to relieve Ann’s suffering helped put things into context for me. I can only hope that when the time comes for me or my loved one’s that I have someone like you taking care of us.
Sample Answer 3 for NR 305 Week 8 Discussion Case Study or Share an Experience
The first patient who passed away on my shift was the one that made the most impact. I was in my second month out of orientation, working on a Vascular Surgery unit. Most of our patients were post surgical, but we were also one of the few Telemetry floors at the time, so we often had a mix of other specialties. It was Father’s Day, and I had buried my own father two months prior. One of my patients was an elderly woman with metastatic cancer. She was scheduled to go to Hospice the next morning. She was alert and oriented times one or two, but that morning she was more confused than normal. She’d been in our care for about a week, and was getting palliative radiation treatments to help with the pain from her tumors. That morning, she refused. The transporter came out to let me know, and I went in to make sure. She was agitated, and told me she absolutely was not going. None of her family was with her at the time. I believe they were still getting things in order for the move the next day.
In hindsight, I probably should have seen some of the signs, and asked more questions. She was more agitated than usual, and it was in my head that she was Hospice, and end of life, but I had no idea that she was actively dying until one of the palliative doctors came out to find me later that afternoon. He told me that I should call her family and get them to the hospital as soon as possible. I hadn’t noticed in the morning, but her hands were mottling, she hadn’t eaten, and by the afternoon her blood pressure was dropping. (Signs and Symptoms of Approaching Death, n.d.) I called her family, and calmly asked them to come up. They were surprisingly calm, given the circumstances, but I assume it was because the Hospice plan was already in place. The palliative doctor called pastoral care to consult, and I was to call when they arrived. We moved the patient’s roommate out of the room, and I attempted to make her comfortable with pillows. At that point, the patient was no longer speaking. She didn’t appear to be agitated or in pain. When the family came, I called Pastoral care to come to the bedside. He gave her last rites and spoke with the family. Shortly after he left, a family member came out to ask me if she had passed. Her breathing had stopped. When I walked in the room, it had become more of a death rattle type breathing pattern. (Providing Care and Comfort at the End of Life | National Institute on Aging, n.d.) I knew what this was. I stroked her forehead and started to cry. I explained what the breathing pattern meant. They asked me if I’d had a chance to speak with her that day, and I told them how feisty she had been about not going to radiation. This put smiles on their faces, because she was a small woman, with a big personality. A few minutes later, she passed away. I excused myself and gave the family time to themselves.
If the same situation happened today, I don’t know that I would have done anything differently. I might have called the family sooner had I been more aware of what to look for. I might have offered to get a radio, or tune in to a music station for some calming music. (Providing Care and Comfort at the End of Life | National Institute on Aging, n.d.) I felt like the family appreciated what we were able to do to give them time, and comfort. I think that my father’s recent passing helped me to be more empathetic to their situation. They actually told me that they were touched to see me cry, and hugged me as they left.
References
Providing care and comfort at the end of life | national institute on aging. (n.d.). National Institute on Aging. Retrieved August 21, 2020, from https://www.nia.nih.gov/health/providing-comfort-end-lifeLinks to an external site.
Signs and Symptoms of Approaching Death. (n.d.). Hospice Patients Alliance. Retrieved August 21, 2020, from https://hospicepatients.org/hospic60.htmlLinks to an external site.
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.