Application of QSEN Competencies in Parkinson’s Disease

Application of QSEN Competencies in Parkinson’s Disease

1. Five learning points based on the presentation

From the presentation, five learning points learned are that first, there needs to be an interprofessional team to determine the best plan for the care of the patient. The safety of the patient is also a significant priority. The nurse must identify safety priorities for the day and how to address them. To prescribe medication, the team has to integrate evidence-based practice by merging the best evidence with clinical expertise to achieve optimal care. The nurse must recognize the patient or designee as a full partner in providing care and as the source of control. The nurse should take action based on the information from the designee or the patient. Lastly, we learn that nursing considerations should be adhered to when administering medication of a drug (Altmiller, 2017).

2. How three learning points improve your learning on the care of the patient with a neurological disorder.

First, I have learned that the care of a patient with a neurological disorder needs to employ an interprofessional approach. For Mr. Conley’s case, additional consultation is required from a physical therapist and a speech therapist. This is because Parkinson’s disease causes bradykinesia, which is slowness in the initiation of movement, especially in walking, blinking, and swallowing saliva, among other symptoms. Mr. Conley exhibited these symptoms. After assessing the patient, the physical therapist determined that he could move from bed to chair with assistance and that he should begin chair exercises. The speech therapist concluded that the patient was ready for safe feeding due to his swallowing. The patient’s slowness to answer questions were also identified. Based on the feedback from these two specialists, the nurse can make recommendations that would set the patient on the path to recovery (Altmiller, 2017).

It is suitable for the nurse to identify safety priorities for patients with a neurological disorder and how to address them. For Mr. Conley’s case, the safety priorities identified were; fall risk, aspiration risk, and the medication reconciliation required. The nurse should then address these risks in the best way possible to ensure better patient outcomes. I have also learned that the nurse has to integrate the best evidence with clinical knowledge to bring about better results. In Mr. Conley’s case, the use of evidence helped in the prescription of drugs to bring about balance in neurotransmitters in brain dopamine, timely administration of medication, diet and exercise recommendations, and the knowledge that medication could cause dyskinesia (Altmiller, 2017).

3. QSEN competency.

The case has impacted my learning of the QSEN competency in that I have seen how each skill should be executed. It suggests that the treatment should be patient-centered. The patient should experience minimum risk. Health practitioners need to collaborate and work as a team to come up with the best diagnosis and treatment that will set the patient on the path of recovery. Practitioners need to employ evidence-based practice as this cuts on costs and minimizes risks for the patient. The safety of the patient is paramount throughout the clinical process. Informatics and quality improvement are necessary to seek and convey information to the medical staff about proper practices of treatment and care of a patient suffering from a particular disease (Altmiller, 2017).

4. Plan to integrate QSEN

I plan to integrate QSEN paying more attention to the statements from patients and designees to make better recommendations. To be accommodative to teamwork and collaboration through consultations. To seek the most recent information concerning a disease, apply it, and make the information known to the hospital staff on ways to improve patient outcomes.

References

Altmiller, G. (2017). Unfolding Case Study: Applying the QSEN Competencies to the Care of Patients with Parkinson’s Disease. Retrieved from https:// qsen.org/wp-content/upload bys/2017/03/June-1D1-Concurrent-Session-Montreax-Altmiller.pptx