Pain assessment and Richmond Agitation – Sedation Scale (RASS) documentation, health & medical homework help

Description

APA FORMAT and STRONG ACADEMIC WRITING PREFFRED (Total pages Limited to 4 pages excluding Cover page and reference)

Pain assessment RASS documentation (Running head)

Pain assessment and Richmond Agitation – Sedation Scale (RASS) documentation on patients using patient Controlled Analgesia (PCA).( title of project)

Goal

Pain is the most common symptom experienced by patients with cancer. Mostly seen in patients followed by stem cell transplant patients using High dose chemotherapy. Untreated or undertreated pain impairs physical and psychological health, functional status, and quality of life. The purpose of this project is to identify the personal pain goal (PPG), Promote optimal pain management through assessment, control pain by using Patient Controlled Analgesics (PCA), and improve RAAS documentation by staff education. The expected outcome of the project is to increase patient safety, increase staff knowledge and compliance on pain assessment and RASS documentation on patients using PCA. Improve patient satisfaction and HCHAP score, and maintain compliance with the JCAHO standards.

Aim:

Increase staff compliance on pain assessment and RASS documentation by 90% on patients using PCA, in stem cell unit SW POD by December 2017.

Methodology (Develop following findings)

1

Why: Noncompliance on RASS documentation on patients on PCA.

What: Pain assessment and RASS (Richmond Agitation Sedation Scale) documentation.

Where: Stem Cell Transplant Unit G-18 SW pod.

When: project is done in a 6 month period, will be completed by December 2017.( Project 1 and 2 together.)

Who: Clinical nurses. (Nurses who care for patients with pain, using PCA)

Costs: ?

And how: Random chart audit is done. Total 34 charts audited in almost two-month period for

Different patients using PCA. Most of the nurses working in day and night shift were audited.

Total no. of nurse audited 34. Out of 34 nurses, 25 nurses did not document RASS, Please make a chart.

2

Applicable change theory or other nursing or quality theory (at least one).

(These are the two-theory provided by the school)

3.

Role of the CNL in the project. Is it appropriate for the CNL and what CNL roles fit in the project?

4. Literature review, very brief, from attached 8 references (previous literature review -ATTACHED)

5.The student’s anticipated outcome(s) – 25%

6. The Capstone Committee members – 5%

Capstone committee members

1. Dr. Patricia Davis DNP, RN-BC, MS, NEA-BC, CNL. (Major Professor)

2. Joylynmae Estrella MSN, RN, CNL (Clinical co coordinator)

3. Clem Banglorioso MSN, RN, CNL (Preceptor)

4. Alice Thomas BSN, RN, CPN. (CNL student)

5. Lourine Davis BSN, RN, OCN (Associate Director SCT Unit G-18)

6. Anita Aickareth BSN, RN, BMTCN (Nurse Educator)

7. Victoria Showunmi RN, BSN, MSN, CCM (Case Manager)

8. Ancy Mathew BSN, RN (Clinical Nurse in SCT Unit- G-18).

7. Initial References (in APA format) – 15%

Rubric

Structure and Design of the Capstone Proposal and Project

The design of the proposal and project depends upon the topic and methods for measurement. The

project and proposal will use evidence from the literature and a quality framework to organize the

presentation. A nursing theory and/or change theory should be applied within the project. The role of

the CNL is to be considered in both the proposal and the project

Proposal Minimum Requirements The written (Word) and verbal proposal (PowerPoint) will share the

following information headers presented using APA format to the degree possible. The grading rubric is

indicated for each area of the proposal as a % of 100 points:

1. Cover page (APA format) – 5%

2. The title and topic to be addressed – 10%

3. The goals of the project to be undertaken – 10%

4. The methodology (processes) to be utilized – 30% – Why, what, where, when,

who, costs, and how? – Applicable change theory or other nursing or quality

theory (at least one). – Literature Search is described briefly. Library orientation

is a requirement in the first CNL Roles course. If students need a refresher they

can request help from the UTMB library at any time. – Role of the CNL in the

project. Is it appropriate for the CNL and what CNL roles fit in the project?

5. The student’s anticipated outcome(s) – 25%

6. The Capstone Committee members – 5%

7. Initial References (in APA format) – 15%

Length – Not to exceed 4 Word processed pages, not including title page or references.

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References:

Nursing Standards

Nursing and Midwifery Board of Australia. (2018). Code of conduct for midwives. https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx

Clinical Guidelines

Guideline Adaption Committee. (2016). Clinical practice guidelines and principles of care for people with dementia. NHMRC Partnership Centre for Dealing with Cognitive and Related Function Decline in Older People. https://cdpc.sydney.edu.au/wp-content/uploads/2019/06/CDPC-Dementia-Guidelines_WEB.pdf

Living Guideline

Stroke Foundation. (2022). Australian and New Zealand living clinical guidelines for stroke management – chapter 1 of 8: Pre-hospital care. https://app.magicapp.org/#/guideline/NnV76E

Evidence-based practice

BMJ Best Practice

Goldfarb, S., & Josephson, M. (2020). Cystic fibrosis. BMJ Best Practice. https://bestpractice.bmj.com/

Schub, T., & Cabrera, G. (2018). Bites: Head lice [Evidence-based care sheet]. Cinahl Information Systems. https://www.ebscohost.com

Beyea, S. C., & Slattery, M. J. (2006). Evidence-based practice in nursing: A guide to successful implementation. http://www.hcmarketplace.com/supplemental/3737_browse.pdf

JBI: Evidence summary

Swe, K. K. (2022). Blood glucose levels: Self-monitoring [Evidence summary]. JBI EBP Database. https://jbi.global

JBI: Best practice information sheet

Bellman, S. (2022). Experiences of living with juvenile idiopathic arthritis [Best practice information sheet]. JBI EBP Database, 24(1), 1-4.

Cochrane Database of Systematic Reviews

Srijithesh, P. R., Aghoram, R., Goel, A., & Dhanya, J. (2019). Positional therapy for obstructive sleep apnoea. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD010990.pub2

Drug Information

Codeine. (2023, January). In Australian medicines handbook. Retrieved February 2, 2023, from https://amhonline.amh.net.au

Colorado State University. (2011). Why assign WID tasks? http://wac.colostate.edu/intro/com6a1.cfm

 

Dartmouth Writing Program. (2005). Writing in the social sciences. http://www.dartmouth.edu/~writing/materials/student/soc_sciences/write.shtml

Rutherford, M. (2008). Standardized nursing language: What does it mean for nursing practice? [Abstract]. Online Journal of Issues in Nursing, 13(1). http://ojin.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Health-IT/StandardizedNursingLanguage.html

Wagner, D. (n.d.). Why writing matters in nursing. https://www.svsu.edu/nursing/programs/bsn/programrequirements/whywritingmatters/

Writing in nursing: Examples. (n.d.). http://www.technorhetoric.net/7.2/sectionone/inman/examples.html

Perth Children’s Hospital. (2022, April). Appendicitis [Emergency Department Guidelines]. Child and Adolescent Health Service. https://www.pch.health.wa.gov.au/For-health-professionals/Emergency-Department-Guidelines/Appendicitis

Department of Health. (n.d.). Who is being active in Western Australia? https://ww2.health.wa.gov.au/Articles/U_Z/Who-is-being-active-in-Western-Australia

Donaldson, L. (Ed.). (2017, May 1). Healthier, fairer, safer: The global health journey 2007-2017. World Health Organisation. https://www.who.int/publications/i/item/9789241512367

NCBI Bookshelf

Rodriguez Ziccardi, M., Goyal, G., & Maani, C. V. (2020, August 10). Atrial flutter. In Statpearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK540985/

Royal Perth Hospital. (2016). Procedural management: Pre and post (24-48 hours) NPS. Canvas. https://courses.ecu.edu.au

 

 

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