For the required artifact, you will complete a Reflection Document analyzing how the assignment demonstrates achievement of the identified PSLO/GEC/Essential.
Please read carefully the instructions.
You need to create a Reflection documen following the instructions and answering of the attached document.
complete a Reflection Document analyzing how the assignment (attached Artifact: ConcofPathophys w5
PowerPoint) demonstrates achievement of the identified
PSLO/GEC/Essential.
Please review the attached Artifact (Concofpathophys PowerPoint ).
For the required artifact, you will complete a Reflection Document analyzing how the assignment demonstrates achievement of the identified PSLO/GEC/Essential.
Reflection Criteria: In the Reflection Document, begin by reviewing the three sets of standards that form the foundation of your RN to BSN program: the Program Student Learning Outcomes (PSLOs), the General Education Competencies (GECs), and the BSN Essentials. Next, select at least one item from each of the three standard sets (PSLOs, GECs, and BSN Essentials) that correlates with the required artifact. In your reflection, do not focus on the entire course as a whole. Instead, focus your reflection on the knowledge, skills and attitudes associated with creating the required course artifact. There is no maximum number of PSLOs, GECs, and BSN Essentials you must select. However, at minimum, you are required to choose one PSLO, one GEC, and one BSN Essential (along with the specific outcomes related to the BSN Essential) that relate to your course artifact. Answer the questions at the end of the Reflection Document to explain/reflect/discuss/analyze how creating the course artifact helped you to demonstrate the PSLO(s), the GEC(s) and the Essential(s) you selected.
BSN Reflection Document
Instructions for completing this document
During your progression in the RN-BSN program, you will use this process of completing and uploading a reflection and artifact in your ePortfolio. This activity is meant to demonstrate how you have achieved the Program Student Learning Outcomes, General Education Competencies, and AACN’s Baccalaureate Essentials through all the work you do in each course.
Please review and click in the checkbox, under each of the headings: Program Student Learning Outcomes (PSLO’s), General Education Competencies (GEC) and the AACN Essentials. Please follow the specific instructions under each of these headings, demonstrated through your assigned course artifact. For each artifact included in your portfolio, submit one reflection form.
Please note that not every artifact will cover all standards, so you may check one or multiple boxes under each of the three standards (PSLO’s, GEC and AACN Baccalaureate Essentials). However, you are required to reflect on at least one of the boxes you check for each standard. Each course reflection contains nine questions except for NSG4150 where students will complete additional questions 10-17 on Art and Science courses; and, NSG 4850 where students answer questions 18-24 only and complete the program reflection section
Once you have completed the Reflection Document, please click on the “Submit” button. This will save your progress and bring you to the list of your Reflection Documents, where you can download a PDF to submit in the assignment dropbox.
NOTE: Each time that you click the “Next” button, your work is saved. If you are at a stopping point in the document, be sure to click on the “Next” button. When you return to the Reflection Document, select “Edit” to make changes or to pick up where you left off.
1. Review your assigned course artifact and check at least one of the following BSN Program Student Learning Outcomes (PSLO) demonstrated through your artifact:
o Synthesize knowledge from the arts and sciences to form a foundation for the practice of professional nursing.
o Provide holistic, culturally competent care for individuals, families, and populations through health promotion and disease prevention across the lifespan and healthcare continuum.
o Integrate professional values and behaviors when delivering standards-based nursing care to diverse patients and populations.
o Develop leadership skills to provide and continuously improve the delivery of safe, patient-centered quality healthcare.
o Incorporate best practices and the most current evidence when using clinical reasoning to make practice decisions.
o Incorporate the use of information systems and technology in order to communicate, manage knowledge, mitigate error, and support decision-making.
o Integrate effective communication and collaboration skills to improve patient satisfaction and health outcomes.
2. Discuss one PSLO that you are reflecting on and explain how the assigned course artifact demonstrates your progression toward achieving the PSLO you checked above. Relate two class activities that helped you achieve the selected PSLO.
3. Analyze what you have learned by completing the assigned course artifact. What areas of growth or future learning needs must be met to meet the PSLO(s) for your baccalaureate education?
4. Review the assigned course artifact and check at least one of the following General Education Competencies (GEC) demonstrated through your artifact:
o Cultural Competence: Learners will demonstrate an understanding of philosophies that represent social, emotional, and behavioral attributes of society and individuals.
o Communication: Learners will demonstrate an understanding of the views of others and communicate in a professional manner.
o Critical Thinking: Learners will demonstrate the ability to draw conclusions based on evidence and consider prior knowledge, context, and perspectives in predicting implications or consequences.
o Information Literacy: Learners will demonstrate the ability to identify, evaluate and apply information to accomplish a specific purpose.
o Quantitative Literacy: Learners will demonstrate the ability to report, calculate, and analyze quantitative date.
o Scientific Literacy: Learners will gain the ability to read with understanding scientific content and engage in a dialogue about scientific issues.
5. Select one GEC and reflect on it by making specific reference to the course and your artifact as you explain how the assigned course artifact demonstrates your progression toward achieving the GEC you checked above. Relate two class activities that helped you achieve the selected GEC.
6. Review the assigned course artifact and check at least one standard listed under the nine BSN Essentials demonstrated through your artifact (only one standard under one BSN essential is required to be selected):
Essential I: Liberal Education for Baccalaureate Generalist Nursing Practice.
o Physical, natural, life science, math, social sciences.
o Fine art, performing art, humanities
Essential II: Basic Organizational and Systems Leadership for Quality Care and Patient Safety.
o Demonstrate knowledge and skills in leadership.
o Describe quality improvement.
o Advocate for patient safety.
o Demonstrate caring, effective communication with all constituents.
o Describe and navigate in complex organizational systems.
Essential III: Scholarship for Evidence Based Practice (Professional nursing practice is grounded in the translation of current evidence into one's practice).
o Provide evidence-based nursing interventions.
o Delineate interrelationships among theory, practice, research.
o Describe the elements of the research process and application.
o Advocate for protection of human subjects.
o Evaluate credibility of information.
o Participate in retrieval, appraisal, and synthesis of evidence.
Essential IV: Information Management and Application of Patient Care Technology.
o Understand information management and the impact upon patient outcomes.
o Employ a variety of patient care technologies.
o Demonstrate effectiveness in telecommunication technologies.
o Apply decision-making tools to support safe practice.
o Use CIS systems to document interventions and improve patient outcomes.
o Evaluate data to inform the delivery of care.
o Maintain ethical standards related to data and patient rights.
o Participate in evaluation of information systems.
Essential V: Health Care Policy, Finance, and Regulatory Environments
o Understand healthcare policies and financial implications.
o Explore regulatory environments and the impact on healthcare.
o Understand global trends.
o Be familiar with legislative and regulatory process in healthcare.
o Explore socio-cultural, economic, legal influence on practice.
o Describe role of regulatory agencies and impact on patient outcome, quality, and practice.
o Discuss healthcare policy related to access, equity, affordability, and social justice.
o Use an ethical framework to evaluate healthcare policies.
o Participate in political processes that influence healthcare policy.
Essential VI: Interprofessional Communication and Collaboration for Improving Patient Health Care Outcomes
o Understand multi-disciplinary roles of the healthcare team.
o Employ effective communication to resolve conflict, foster teamwork.
o Advocate for high quality care as a member of the healthcare team.
Essential VII: Clinical Prevention and Population Health.
o Assess protective and predictive factors, including genetics, which influence health.
o Assess health from a holistic perspective, including values, attitudes of families, groups, communities, and populations.
o Promote health, manage illness.
o Use EBP to guide health teaching, screening, and counseling, throughout lifespan.
o Assess health, healthcare, and emergency preparedness needs of a defined population.
o Develop an intervention plan that considers health, resources, prevention of illness, injury, disability, and premature death.
o Participate in prevention and population-focused interventions related to effectiveness, efficiency, cost-effectiveness, and equity.
o Advocate for social justice, including health of vulnerable populations.
Essential VIII: Professionalism and Professional Values
o Demonstrate professional standards of moral, ethical, and legal conduct.
o Exhibit accountability, role modeling professional values, professionalism, and integrity.
o Identify personal, professional, and environmental risks that impact personal and professional choices.
o Examine practice for promotion of social justice.
o Articulate value of professional growth and development and lifelong learning.
o Protect patient privacy and confidentiality.
Essential IX: Baccalaureate Generalist Nursing Practice.
o Demonstrate caring and health techniques that promote a therapeutic nurse-patient relationship.
o Conduct assessment across populations and lifespan.
o Recognize constructs of genetics on health, prevention, screening, diagnostics, prognostics, treat.
o Provide holistic care across the lifespan.
o Communicate effectively with patients, families, and healthcare team.
o Provide compassionate, patient-centered, evidence-based care.
o Provide nursing care based on evidence that contributes to safe and high-quality patient outcomes.
7. Select one of the BSN Essentials you have chosen and reflect on the relationship between the essential chosen, your learning, and the course artifact. Relate two class activities that helped you achieve the selected BSN Essential.
8. Describe what you have learned by completing the assigned course artifact. What areas of growth or future learning needs must be met to meet all of the program learning outcomes for your baccalaureate education?
9. Describe how your learning and achievement of these standards will impact your future role as a BSN nurse.
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Nursing Grand Rounds Presentation 2
Heidi Lugo
J.D-Diverticulitis
Hello J.D,I hope this message finds you well. I am Heidi Lugo, your colleague and friend from the HCA Florida Mercy Hospital Medical Surgical unit. I am honored to offer a Nursing Grand Rounds on your recent diverticulitis diagnosis and its related assessment findings.Though challenging, diverticulitis may be managed with education and care. I will explain diverticulitis' causes, symptoms, and treatments in this presentation. We will also discuss your health assessment results to help you understand your condition.We aim to empower you with information and skills to treat diverticulitis in your everyday life and as a nurse. We will discuss ways to improve your health, answer your questions, and help you on our journey to greater health.Thank you for entrusting me with your care, and I look forward to our journey of learning and healing together.
1
Pathophysiology of the Disease
Diverticulitis results from inflammation of diverticula.
Chronic constipation and straining raise risk.
Low-fiber diet increases intestinal pressure.
Genetic predisposition and age influence susceptibility.
Occupation-related stress and diet affect risk.
Comprehensive management considers lifestyle and medicine (Bhatia & Aastha Mattoo, 2023).
Diverticulitis, which mostly affects the large intestine (colon), is caused by the inflammation or infection of colon wall pouches or sacs called diverticula. Chronic constipation, straining during bowel motions, or other reasons might raise intestinal pressure, causing diverticula. Pathophysiology depends on numerous factors: Diverticulitis is often caused by prolonged constipation, which increases colon pressure and bulges fragile colon walls. Straining during bowel motions worsens it.Environmental Influences, such as a high-processed, low-fiber diet, are also a significant contributor. A Lack of dietary fiber may cause hard, tiny stool, which increases intestinal pressure and may cause diverticula. Diverticulitis may be caused by predisposing Factors such as heredity. Some people may be more susceptible to developing diverticula because of genetic predisposition. Age also predisposes to diverticulitis, which is more frequent in older persons. Considering your case, medical history, particularly your recent diagnosis of diverticulitis, may affect your risk factors for the condition. Diverticulitis may affect anybody, although it is more frequent in those over 40. Your father's gastritis may indicate a genetic predisposition to gastrointestinal disorders. Socially, your occupation as a registered nurse may expose you to stress or irregular eating owing to long work hours, which might lead to diverticulitis. You stated exercise and balanced diet may also help you control your illness. These factors emphasize the need for a comprehensive approach to diverticulitis management that considers lifestyle and medicine (Bhatia & Aastha Mattoo, 2023).
2
Pathogenesis of Disease
Diverticulitis linked to chronic diverticulosis progression.
Age increases diverticulitis risk and severity.
Males more prone to diverticulitis.
Lifestyle impacts socioeconomic status and health.
Diet, exercise, and stress influence diverticulitis.
Global incidence varies with regional factors (Bhatia & Aastha Mattoo, 2023).
Diverticulitis can follow a complex pathogenesis that varies from person to person. Understanding how the condition began and what variables affect its course is crucial in your case. Diverticulitis is often considered a chronic condition. It begins with the formation of diverticula due to increased pressure in the colon. Over time, these tiny pouches can become inflamed or infected, leading to recurrent cases of diverticulitis. While acute episodes may be treated, underlying diverticulosis tends to persist, making it a chronic condition. Diverticulitis can vary in damage. Mild occurrences may produce reversible inflammation, but severe or recurring bouts might create abscesses, perforation, or strictures, which can damage the colon irreversibly. The pathogenesis of diverticulitis is significantly influenced by age. It is more frequent in elderly persons and riskier with age. Increased intestinal pressure over time may cause this. People of any gender may have diverticulitis, although males are more likely.Lifestyle variables might indirectly affect socioeconomic status and illness. Healthy eating, healthcare, and stress management may affect disease progression and prevention.Diet, exercise, and stress levels may cause diverticulitis. A diet low in fiber and high in processed foods and a sedentary lifestyle are known risk factors. Diverticulitis occurs globally; however, its incidence may vary in different geographical locations owing to food and lifestyle variances. Understanding these factors helps you manage diverticulitis and reduce its health and well-being effects (Bhatia & Aastha Mattoo, 2023).
3
Physical Assessment Findings
Normal vital signs and neurological function.
Healthy cardiovascular and gastrointestinal evaluations.
Normal skin, mucous membranes, and mobility.
Acute care at HCA Florida Mercy Hospital.
Collaboration with healthcare professionals for treatment.
Incorporation of holistic care elements.
In conducting the assessment, I discovered numerous noteworthy physical assessment findings that provide light on your health. Your initial vital signs—76 beats per minute, 128/78 mm Hg, 18 breaths per minute, 98.6°F (37°C), and 97% pulse oximetry—are normal. Your vital signs show hemodynamic stability and sufficient oxygenation. You are fully orientated (x4), indicating that you are aware of your surroundings and circumstances. Your equal, round, light-reactive pupils (PERRLA) showed normal neurological function. Your head, ears, eyes, nose, and throat were normal, and your capillary refill was under 2 seconds, suggesting good circulation. Additionally, your cardiovascular evaluation showed robust and equal radial and pedal pulses with a steady heart rate of 76 beats per minute. You heard bowel sounds in all quadrants and a soft, non-tender belly in your abdominal exam. Having a bowel movement yesterday suggests normal gastrointestinal function. Your skin tone, temperature, and urine status were normal. Mucous membranes were pink and wet, with no cuts or bruises. You had complete extremity strength and ROM, a coordinated gait, and no tubes or drains. You also reported no pain or discomfort throughout the evaluation. You are in acute care at HCA Florida Mercy Hospital. As a certified nurse, you can collaborate with doctors, pharmacists, and other allied health professionals to treat your diverticulitis. You incorporate holistic care elements to enhance your medical therapy, including food, exercise, and religious community support. These holistic treatments fit your beliefs and provide a holistic health plan.
4
Cultural and Genetic Considerations and Challenges
Culture influences dietary habits in diverticulitis.
Fiber intake may vary culturally.
Genetic factors affect gastrointestinal disorders.
Family history can indicate predisposition.
Tailored therapy respects cultural and genetic factors.
Personalized care enhances diverticulitis management (Kishnani et al., 2022).
Cultural and genetic aspects must be considered when addressing diverticulitis. Culturally, food habits and attitudes may be problematic. Fiber intake, essential for diverticulitis management, may be affected by cultural preferences or limits. Addressing these cultural factors and developing nutritional solutions that align with your interests and culture is essential. Diverticulitis may run in families genetically. A family history of gastritis may indicate a hereditary propensity to gastrointestinal disorders. Diverticulitis is not generally inherited; genetic factors might affect digestive problems. Thus, knowing your family history and genetics might help you choose healthcare and detect risks. By being aware of cultural and genetic factors, we can tailor your therapy and dietary advice to your requirements and background, guaranteeing the most successful diverticulitis care while respecting your cultural and genetic concerns (Kishnani et al., 2022).
5
Evidence-based Nursing Plan of Care
Collaborative healthcare for diverticulitis management.
Emphasize high-fiber diets for bowel health.
Patient education on causes and prevention.
Holistic stress management and emotional well-being.
Regular doctor visits and screenings crucial.
Evidence-based, culturally respectful treatment approach (Cadet, 2022).
Our evidence-based nursing strategy emphasizes collaborative strategies to manage diverticulitis and improve your health. Collaborating with your healthcare team, including doctors and nutritionists, is essential to create a customized diet. This strategy should stress high-fiber meals to encourage regular bowel movements and prevent diverticulitis flare-ups. We will find culturally suitable diets that align with your tastes and respect your heritage.Patient education is essential to your treatment. We shall explain diverticulitis, its causes, and prevention. Diet, lifestyle, and diverticulitis aggravation symptoms will be covered. In addition, we will discuss holistic stress management methods like prayer and meditation to promote your emotional health.Regular doctor visits are essential for screenings. We will examine frequent colonoscopies and other screening technologies to monitor your status and discover issues early. Screenings can guarantee quick action.We aim to provide you with the information and tools to treat diverticulitis using evidence-based approaches and your cultural and holistic preferences. We can work towards optimum health and well-being together (Cadet, 2022).
6
Interdisciplinary Collaboration and Challenges
Teamwork crucial for effective diverticulitis care.
Dietitian aids in culture-specific dietary choices.
Gastroenterologists provide expert diagnosis and treatment.
Active involvement empowers diverticulitis management.
Family support and understanding are vital.
Seek community resources for emotional support (Stovall et al., 2023).
Effective diverticulitis treatment requires multidisciplinary teamwork. Engaging other team members in your care plan, your healthcare practitioner, and myself as your nurse is essential. A certified dietician can help you make dietary choices that align with your culture and intestinal health. Gastroenterologists may provide expert diagnosis and treatment.It is crucial that you have an active involvement in the treatment strategy. By following diet advice, monitoring symptoms, and interacting with the healthcare team, you and your family may help manage diverticulitis. Your family's understanding and support may help.Community care requirements must also be considered. Contacting gastrointestinal health support groups or community organizations may help. These sites may give knowledge, emotional support, and opportunity to discuss comparable issues with others.By embracing interdisciplinary teamwork and actively participating in your treatment plan, you may improve diverticulitis management and quality of life (Stovall et al., 2023).
7
Client as Team Member
Understand diverticulitis, treatment, diet, symptoms.
Maintain open communication with healthcare team.
Ask about prevention, warning signs, medications.
Establish monitoring frequency with healthcare provider.
Consider support groups and community resources.
Seek family support for lifestyle changes.
You may manage your care as an active healthcare team member in several ways. First, diverticulitis and its treatment must be understood. Know your diet, lifestyle, and diverticulitis exacerbation symptoms. Credible websites, medical literature, and healthcare team education may be beneficial.Open communication is essential. Ask questions, express concerns, and actively participate in discussions with your healthcare providers. Consider asking questions like:"What diet changes can prevent diverticulitis flare-ups?""What warning signs should I watch for?""Can you explain my medications' side effects?""How often should I see you for condition monitoring?""Do you recommend diverticulitis support groups or community resources?"Management of diverticulitis is crucial to preventing complications and maintaining health and longevity. Many diverticulitis patients may live happy lives with adequate treatment. Your family should be supportive and understanding of dietary and lifestyle changes. Encouraging your loved ones to understand diverticulitis will improve support and equip them to handle it throughout your life.
8
Application to Current Practice
Enhanced patient-centered health evaluations and practice.
Increased awareness of cultural influences.
Improved knowledge of diverticulitis pathogenesis.
Holistic approach for personalized treatment.
Emphasis on patient-centered care.
Multidisciplinary teamwork and family involvement.
Completing this assignment changed my nursing practice. It has emphasized detailed, patient-centered health evaluations. Patient history, vital signs, and physical assessment findings are now easier to acquire. I now realize that cultural, social, and holistic variables affect a patient's health, well-being, and medical condition.This assignment has also improved my knowledge of diverticulitis pathogenesis and its repercussions. It has shown how genetics, culture, cuisine, and lifestyle affect health. This holistic approach helps J.D. get more personalized treatment.From this assignment, I will gain a greater understanding of the necessity for patient-centered treatment that respects individual views, interests, and backgrounds. I will continue to include a holistic approach into my nursing practice, emphasizing the value of multidisciplinary teamwork and patient and family active involvement in the care process.
9
References
Bhatia, M., & Aastha Mattoo. (2023). Diverticulosis and diverticulitis: Epidemiology, pathophysiology, and current treatment trends. Cureus. https://doi.org/10.7759/cureus.43158
Cadet, M. J. (2022). An update on managing diverticulitis. The Journal for Nurse Practitioners, 18(7), 704–708. https://doi.org/10.1016/j.nurpra.2022.04.025
Kishnani, S., Ottaviano, K., Rosenberg, L., Arker, S. H., Lee, H., Schuster, M., Tadros, M., & Valerian, B. (2022). Diverticular disease—an updated management review. Gastroenterology Insights, 13(4), 326–339. https://doi.org/10.3390/gastroent13040033
Stovall, S. L., Kaplan, J. A., Law, J. K., Flum, D. R., & Simianu, V. V. (2023). Diverticulitis is a population health problem: Lessons and gaps in strategies to implement and improve contemporary care. World Journal of Gastrointestinal Surgery, 15(6), 1007–1019. https://doi.org/10.4240/wjgs.v15.i6.1007
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