Week 3 Discussion: Myocardial Infarction (MI) (USLOs 1, 2, 3, 4)

You are the nurse caring for a 48-year Leslie Collins, retired army officer for the United States military, He arrives to the emergency department after experiencing chest pain and shortness of breath.  His EKG indicated he had a myocardial infarction (MI). He has a history of hypertension and high cholesterol. He states he used to smoke about 15 years ago, he has no other reported risk factors.

Based on this information, your prior knowledge of this client (refer to medical card from the Collins-Kim family tree interactive), and your knowledge of the pathophysiology of myocardial infarction (MI), respond to the following prompts:

1.

1. Thoroughly explain the pathophysiology of myocardial infarction (MI). Use a 
scholarly or 
authoritative source to support your answer.

2. Examine each of the following three factors related to this disease process. 
Support all three with a scholarly source.
cultural
financial
environmental implications

3. Identify 3-5 priority nursing interventions for the client while in the 
emergency department.

4. Describe labs and diagnostic testing you would want to include in client’s plan of care and why. What are critical indicators? 
Support with a scholarly source.

5. What members of the interdisciplinary team need to be included for holistic patient-centered care? 
Provide a rationale and support with a scholarly source.

I have attached the files below. please answer the questions.

Here is the link for the elder Abuse questions. 

please follow all directions

One is an individual plan of care. This can be a (personal plan of care based on your own culture or a culture of your choice).In place of an APA ASSIGNMENT,  please draft an individual plan of care related to one’s personal culture or a selected population of interest. 

• The culture that is being recognized.
• Unique traits of that culture (language, preferences, family dynamics, dietary needs).
• Health problems associated with that culture.
• Corrective measures and community resources.
• Expected outcomes. 
• Include citations to support your presented data

PLEASE DO IT ON PUERTO RICAN CULTURE

 Due 10/13/23 @ 1600 EST

Respond by sharing ideas for how shortcomings discovered in their evaluations and/or their examples of incivility could have been managed more effectively. 

using APA, at least 2 scholarly references 

 

WORKPLACE ENVIRONMENT ASSESSMENT

I recently conducted a Work Environment Assessment to evaluate workplace civility in the acute psychiatric inpatient unit. The results of the assessment painted a mixed picture. On the positive side, most staff members consistently exhibited professionalism and respect in their interactions with colleagues and patients. Team collaboration during shift handoffs and interdisciplinary meetings was generally effective and respectful.

.However, the assessment also revealed challenges. There were instances of incivility during high-stress situations, such as patient crises or when dealing with challenging patients. Communication breakdowns occurred when staff members were overwhelmed, leading to frustration and occasional conflicts. Some employees expressed concerns about a lack of adequate resources, contributing to heightened tensions ((Abt et al.,2021)

.Overall, the workplace in the psychiatric inpatient unit could be characterized as moderately civil. While there were numerous examples of professionalism and respect, the high-stress nature of the environment occasionally led to lapses in civility. In my personal experience, I encountered incivility during a team debriefing following a challenging patient case. The charge nurse became frustrated with a staff member she believed had not followed protocol during the crisis, leading to a heated argument in front of the team.

This situation needed urgent action to stop any further deterioration. The parties could speak freely and with less hostility because of this one-to-one discussion. The clinical supervisor subsequently mediated the process, delving into the underlying issues to devise an alternative means of communication between the two parties. The latter included conflict resolution/communication training that was introduced in advance. An acute psychiatric inpatient unit is a high-stress healthcare setting where it is essential to deal with incivility simultaneously to maintain a therapeutic and civil working environment (Mabona et al.,2022).

References

Abt, M., Lequin, P., Bobo, M., Vispo Cid Perrottet, T., Pasquier, J., & Ortoleva Bucher, C. (2021). The scope of nursing practice in a psychiatric unit: A time and motion study. Journal of Psychiatric and Mental Health Nursing, 29(2), 297–306. https://doi.org/10.1111/jpm.12790Links to an external site.

Kwame, A., & Petrucka, P. M. (2021). A literature-based study of patient-centered care and communication in nurse-patient interactions: Barriers, facilitators, and the way forward. BMC Nursing, 20(1). https://doi.org/10.1186/s12912-021-00684-2Links to an external site.

Mabona, J. F., Van Rooyen, D., & Ten Ham-Baloyi, W. (2022). Best practice recommendations for healthy work environments for nurses: An integrative literature review. Health SA Gesondheid, 27. https://doi.org/10.4102/hsag.v27i0.1788