Directions: Answer the following questions using critical-thinking. All answers must be typed into the document
1. Describe role of the rapid response team (RRT). Describe three patient changes where it would be appropriate for the nurse to notify the RRT.
2. QSEN identified patient-centered care as a nursing competency. Describe one way in which nurses can encourage patients and their family members to become empowered. How will this make the healthcare experience safer?
3. Discuss the role of activity/mobility in the older adults’ life. Discuss implications of poor physical functioning.
4. For each of the SPICES categories/conditions, describe one physiological age-related change that may be responsible for the condition.
5. Discuss the implications of treatment of pain with an opioid: side effects, adverse effects, nursing assessment.
6. Discuss the following concepts:
a. Neuropathic vs. nociceptive pain
b. Referred vs. radiating pain
Please answer the questions from those key points. No citation,no outside sources,and no references.Instructor stated ” Summarize on your own english without copy from key point”
Ignatavicius: Medical-Surgical Nursing, 8th Edition
Chapter 01: Introduction to Medical-Surgical Nursing Practice
• One of the most successful IHI initiatives was the creation of the Rapid Response Team (RRT), also called the Medical Emergency Team (MET).
o Rapid Response Teams are one initiative to save lives and decrease the risk for patient harm before a respiratory or cardiac arrest occurs.
o Members of such a team are critical care experts who are on-site and available at any time to respond to calls for assistance.
o Early clinical changes in condition occur in most patients for up to 48 hours before a “Code Blue.”
o Therefore, observe for, document, and communicate early indicators of patient decline, including decreasing blood pressure, increasing heart rate, and changes in mental status.
Quality and Safety Education for Nurses Core Competencies
• The six core competencies for health care professionals based on research by the Institute of Medicine (IOM; http://iom.edu/) and Quality and Safety Education for Nurses (QSEN; http://www.qsen.org/) are: PATIENT-CENTERED CARE, TEAMWORK AND COLLABORATION, EVIDENCE-BASED PRACTICE, QUALITY IMPROVEMENT, INFORMATICS, and SAFETY.
• Nurses, as advocates for the patient and family, teach them how to be empowered and have more control over their care.
• The Joint Commission recently started a Speak Up™ campaign to provide information to patients and families to increase their empowerment.
• The three ethical principles to consider when making clinical decisions are self-determination, beneficence, and justice.
• Respect for people is one of six basic ethical principles that nurses and other health care professionals should use as a basis for clinical decision making.
• Respect implies that patients are treated as autonomous individuals capable of making informed decisions about their care.
• Patient autonomy is referred to as self-determination or self-management.