Decision-making is an imperative part of nursing. In order to make a decision many factors have to be evaluated for a conclusion to be made. This process is involved in every aspect of patient care and a higher level of thinking is necessary when carried out by a nurse. Critical thinking involves examining the data‚ weighing its evidence‚ and selecting a decision based on the best rational criteria. This is important because decision-making by nurses has a direct effect on the care they deliver to
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Adverse Event or Near Miss Analysis In the early 2000’s New Jersey implemented a Patient Safety Reporting System that promoted confidential reporting to the Department of Health of adverse events and root cause analysis with the goal of making patient safety a priority throughout the state’s hospitals (State of New Jersey Department of Health‚ 2017). Adverse events are preventable within acute care hospitals and are inclusive of medication errors‚ pressure-ulcers‚ falls‚ suicide or attempted suicide
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(2001). Methamphetamines a growing epidemic? Connexions‚ April/May‚ 2-6. Schep LJ‚ Slaughter RJ‚ Beasley DM (August 2010). "The clinical toxicology of methamphetamine". Clinical Toxicology (Philadelphia‚ Pa.) 48 (7): 675–94. Tenayuca JM‚ Nazarian A. Hydrocodone and morphine possess similar rewarding effects and reduce ERK and CREB phosphorylation in the nucleus accumbens. Synapse. 2012 Jun 20. doi: 10.1002/syn.21577.
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made it clear that once you start abusing opiates‚ most require treatment in order to stop Opiates are a group of narcotics that contain opium or natural synthetic opium (Shoenfeld‚ 2012). Some of the commonly abused opiates include: Oxycodone‚ Hydrocodone‚ Heroin‚ Codeine‚ Morphine‚ and Methadone as well as many other pain medications. They can be crushed and snorted‚ taken orally‚ and even injected. The most restrictive legally available drugs are the opiates Methadone and Morphine (Shoenfeld‚ 2012)
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German scientists Max Bockmühl and Gustav Ehrhart first synthesized methadone in 1937. The synthetic opioid analgesic was created while they were searching for a pain reliever that would be safe to use during surgeries and had a low potential for addiction. On September 11‚ 1941‚ they filed for a patent for what they called Hoechst 10820 or Polamidon. Eli Lilly and Company brought methadone to the United Stated in 1947. They gave it the trade name Dolophine‚ which came from the German Dolphium
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The number of suicides by overdosing has risen over recent years. This is due to the availability of substances which can be used. Some common household drugs which are used in overdose suicides include opioids (which are painkillers such as hydrocodone and oxycodone)‚ benzodiazepines (which are used to treat anxiety such as Xanax and Librium)‚ sleeping pills (such as Nyquil and Benadryl)‚ and antidepressants (Norqvist 2). Many believe the use of Tylenol and Aspirin for overdosing will result
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MEDICATIONS 1. Esomeprazole Nexium Classification Therapeutic: antiulcer agents Pharmacologic: proton-pump inhibitors Route/Dosage/Time 0630‚ PO: 40 mg once daily 60 min. AC Breakfast. Action: Diminished accumulation of acid in the gastric lumen with lessened gastroesophageal reflux. Healing of duodenal ulcers. NURSING CONSIDERATIONS: [pic]Assess patient routinely for epigastric or abdominal pain and frank or occult blood in the stool‚ emesis‚ or gastric aspirate 2. Multi-vitamin
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Legalization of Marijuana Discuss the pros and cons from the perspectives of patient‚ society‚ the medical profession‚ and the pharmacy profession Marijuana also called weed‚ herb‚ pot‚ grass is a greenish gray mixture of the dried‚ shredded leaves and flowers of cannabis sativa. Legalization of Marijuana has become a big issue in a US and it is considered to be an illegal drug but some in states‚ it’s use for medicinal reasons. According to scientific studies‚ the active ingredient in cannabis
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HISTORY The first part of this chapter provides a historical survey of the pharmacologic and political influences on the use of psychoactive substances and compulsive behaviors in all civilizations. The second part presents a system for classifying these psychoactive substances along with major legislation impacting use of drugs and treatment of addictions. Throughout the last 10‚000 years‚ humans have used psychoactive drugs to alter their perception of reality for a variety of reasons. By
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PRACTICAL NURSING PROGRAM CARE PLAN/CASE STUDY Student’s Name: Contact Dates: 11/07/2013 Client’s Initials: FL Room Number: 439 Age: 68 Race: African American Sex: M Date of Admission: 1/18/2013 Allergies: No known Allergies Primary Diagnosis CVA (Ischemic Stroke): Deficient blood flow to the brain from a partial or complete occlusion of an artery. Ischemic strokes are divided into thrombotic and embolic and account for about 80% of all strokes (National Institute of
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