when a nurse wants to answer a question about patient likely course trajectory

by Caesar Littel 6 min read

What is the meaning of illness trajectory in nursing?

Apr 17, 2016 · What type of study would be most appropriate if the nurse researcher is seeking to answer a question about the effectiveness of a particular treatment? a. ... What type of study would be most appropriate if a nurse researcher wants to answer a question about a patient’s likely course in a disease trajectory? a. Experimental. b.

What information can a nurse give a patient about end-of-life trajectory?

Mar 22, 2022 · That’s a great answer to skill-based nursing interview questions. That said, if the job offer really wants people who can manage EHR records and your strongest nursing skill is problem solving, don’t be afraid to say it. Honesty is always the best prescription. 9.

Why not write out your answers to common nurse interview questions?

Dec 08, 2021 · Common nursing interview questions. Use your responses to demonstrate your ability to maintain the best quality of care for your patients. In addition to practicing your responses, you can also prepare questions to ask your interviewer and update your resume. Here are 10 common nursing interview questions to consider practicing: 1.

Do you know your illness trajectory?

A critique of a nursing research study. c. An edited textbook on nursing research. d. A review of theoretical frameworks used in nursing research. A. What is the key difference between independent and dependent variables? a. The independent variable should change in response to manipulation by the dependent variable.

What are the six steps when using the process of evidence-based practice?

EBP consists of 6 steps: Ask, Search, Appraise, Integrate, Evaluate, and Publish.Apr 6, 2022

Which of the following would be the first step in the investigation of evidence about a specific nursing care problem?

Which of the following would be the first step when personally investigating evidence for a specific nursing care problem? The first step of individual EBP efforts is to ask questions that are answerable with research evidence.

What are the steps in the evidence-based practice process?

The EBP process has five basic steps: (1) formulating the clinical question, (2) searching efficiently for the best available evidence, (3) critically analyzing evidence for its validity and usefulness, (4) integrating the appraisal with personal clinical expertise and clients' preferences, and (5) evaluating one's ...Jan 1, 2010

What are the steps of evaluation for evidence-based projects in order?

Steps in the ProcessASSESS the patient. Start with the patient; determine a clinical problem or question that arises from the care of the patient.ASK a focused clinical question. ... ACQUIRE evidence to answer the question. ... APPRAISE the quality of the evidence. ... APPLY the evidence to patient care. ... EVALUATE.Feb 18, 2022

What is a nurse assistant's most important tasks?

One of the major tasks of nursing assistants is providing personal care to patients. This includes assisting them with the requirements of daily hygiene, such as bathing and dressing. They also help patients with their toilet functions, either through use of a conventional restroom, bedpans or ostomy bags.

What is the most important step of the nursing process?

Diagnosis. This phase in the nursing process is one of the most important. We must consider all external factors of the patient (environmental, socioeconomic, and physiological etc.) when developing a diagnosis, which can be challenging at times.Apr 30, 2021

How do nurses use evidence-based practice?

EBP involves the following five steps:Form a clinical question to identify a problem.Gather the best evidence.Analyze the evidence.Apply the evidence to clinical practice.Assess the result.Dec 10, 2018

How do nurses get evidence-based practice?

In the search box, enter in the nursing topic that you are interested in, such as obstetrics or pediatrics. Then include the phrase "best practice" or "evidence-based", keeping the quotation marks around the words. Best practices are informed by evidence, so try using both to see how if effects your search results.Mar 2, 2021

What are some examples of evidence-based practice in nursing?

There are many examples of EBP in the daily practice of nursing.Infection Control. The last thing a patient wants when going to a hospital for treatment is a hospital-acquired infection. ... Oxygen Use in Patients with COPD. ... Measuring Blood Pressure Noninvasively in Children. ... Intravenous Catheter Size and Blood Administration.Dec 20, 2016

What are the 3 components of evidence-based practice?

Evidence-based practice includes the integration of best available evidence, clinical expertise, and patient values and circumstances related to patient and client management, practice management, and health policy decision-making. All three elements are equally important.

What are the 7 steps of evidence-based practice?

The EBP ProcessCultivate.Ask.Search.Appraise.Integrate.Evaluate.Disseminate.Apr 15, 2022

What are the 5 models of evidence-based practice?

Common EBP Models The model phases are interprofessional team formation; evidence review, critique, and synthesis; change implementation through piloting; ongoing evaluation; and outcomes dissemination.Nov 21, 2017

What is entry reentry death?

Entry-reentry deaths are used to describe persons whose illness trajectory is slower but they have periods of hospitalization and periods of better health. Glaser and Strauss were the first to begin to identify and describe these trajectories of how people die.

How long does cancer last before death?

Patients with this type of trajectory usually have some type of cancer. Their decline is typically short, often only a few weeks or days before they die. As you can see in Figure 2.1, the patient remains at a high level of function until that sudden sharp decline before death. One of the most important pieces of information that a nurse can give patients and families with this type of trajectory is that the end of life often comes quickly, without much warning. Most patients who are living with cancer receive treatment and diagnostic testing, followed sometimes by a break and then more treatment, and the cycle continues until the cancer goes into remission. If the cancer is at an advanced stage, there may be no break in treatment. Patients with end-stage cancer will usually continue their treatments until all curative options are exhausted, their lab values indicate that they are unable to receive further treatment due to low blood counts, or their cancer progresses despite all of the before mentioned interventions. It is often at the point at which the patient is informed that the cancer is spreading, or that there are no other treatment options, that the terminal decline towards death begins to happen. The important factor to explain to patients and families is that a person can be alright one day (or at least holding his own) and then bedbound the next day and actively dying. Thus the period of decline and disability is rapid and often chaotic if patients and families are uninformed that this commonly happens with this type of trajectory. Families of patients with this trajectory often take on the role of caregiver quickly and are usually aware that death is nearing and have the time to make amends and say good-bye. Taking on the caregiver role during this time instead of just being the patient’s spouse or son or daughter can cause emotional distress in family members. Depending on the setting, you can try to offer assistance with basic caregiving tasks, or perhaps institute a nursing assistant or tech to help the patient with those needs. This will help the family member to just be with the patient as the family member rather than as the caregiver.

What is the goal of hospice?

For instance, the goal of hospice is to improve a person’s quality of life through adequate management of symptoms. In patients with a terminal illness trajectory, many of the medications used to manage adverse symptoms are those to treat pain and anxiety.

How long do patients live with their illness?

Patients who have this type of trajectory often live with their illnesses for many years. Illnesses that comprise this progression often disable patients early on and patients live with a low level of functioning for many years, requiring maximum assistance. This assistance and care is usually provided by family members and/or patients become institutionalized in long term care facilities. Caregiver burnout is often a problem and family members require a lot of emotional support as well as practical support and assistance. Offering any type of community resource or respite care for these families can be a great deal of help. Patients themselves might be afflicted with cognitive impairments which can lead to many adverse events. Most require assistance in most activities of their daily living.

What does "illness trajectory" mean?

In loose terms, trajectory means “course,” and therefore illness trajectory meanscourse of illness.”. By understanding which type of illness trajectory a patient has, it will help to provide answers for two important and common questions many ...

What are the most common diseases that follow this type of progression?

This trajectory is very common among many people in this country who live with a chronic illness which will eventually progress to death. Heart failure and chronic obstructive pulmonary disease are the most common illnesses that follow this type of progression.

How long should a nurse tell patients what to expect?

In addition to teaching patients about various medications used for symptom management, strategies to address nutrition and hydration needs, and a host of other topics, the nurse should be able to tell patients what they might expect over the next few months, weeks or days, if applicable.

1. "Why did you want to be a nurse?"

Why did you choose nursing? Administrators love this nursing interview question. They know nursing is hard. Nurses face fear, frustration, and hardship that makes superheroes look like slackers. Will you give up? Answering the “why do you want to be a nurse” question shows the driving force inside.

2. "Tell me about yourself."

Let’s magically translate this trickiest of all nursing interview questions. It actually asks, “Why are you perfect for this job?” Please don’t give a generic answer. Do your homework. Find out what the job requires. Then rehearse the best achievements from your resume to tell a story.

3. "Tell me about a time you had to handle a difficult patient."

Why does this come in at #3 on our list of interview questions for nurses? Patients can be tough. The ability to deal with them is crucial. You’ll almost certainly face this question in your nursing interview. Look for the worst possible situation in your past with the best possible outcome.

4. "What are your strengths and weaknesses?"

You probably have dozens of strengths and just as many weaknesses. Focus on the ones that fit the job offer. Then use real achievements that prove them. For weaknesses, avoid “spin.” Instead of, “My biggest weakness is that I have no weakness” (yikes) use a real flaw that’s manageable.

5. "Where do you see yourself in 5 years?"

In other words, do you like this job enough to stick with it? Registered nurse interview questions like this want to know if you’re just filling an employment gap. Make it clear that this is your dream job. Talk about how good you want to be at this job in five years and how you’ll get there.

6. "Why are you the best person for this nursing job?"

This isn’t one of those generic interview questions for nurses. More than any other question, this one depends on how well you know the job. Beyond just reading the job description, talk to other nurses who already work there. What challenges does the facility face? Talk about past times you’ve met those needs.

7. "What do you find most rewarding about being a nurse?"

Nursing interview questions like this look for your passion. The more powerful your rewards, the more powerful you’re perceived to be. Better still, if you see huge rewards in nursing, you’re less likely to seek them in some other job.

Why is teamwork important in nursing?

Collaborating with your co-workers can provide the best patient outcomes, ensure the effectiveness of safety procedures and increase your job satisfaction. When you answer this question, emphasize your interpersonal skills, such as teamwork, patience and active listening.

Why do nurses have to stay at their post?

This shift change is to ensure there are no lapses in the quality of service provided by the nursing staff. When a replacement doesn’t arrive on time, some solutions you can offer to this situation include contacting your replacement while you stay for a few minutes beyond your shift or finding someone else to cover the responsibilities before your co-worker arrives. You can talk to your supervisor if there is a problem or your replacement is late on more than one occasion.

What is empathy in nursing?

Empathy is a vital skill for nurses to use when interacting with patients who may be dealing with pain. Express that you take your patient's concerns seriously and provide an example that shows you can help them through empathy and problem-solving.

How to reference your resume during an interview?

If you are interviewing virtually, an extra copy of your resume can be used to reference during the interview. Perform a mock interview. Ask a friend or family member to conduct a practice interview so that you feel more comfortable during the real thing. Arrive early.

How to prepare for a nursing interview?

Once you have your interview questions prepared, take some extra steps to prepare for your interview, including: Familiarize yourself with the job role and description. Be prepared to outline your experience relevant to the role or the skills that could make you successful.

What is the Star method?

The STAR method can be helpful to keep in mind during professional interviews. Consider forming responses to interview questions using this method to provide structure and authenticity to your answers: Situation: Explain the background of your example. Task: Explain what your role was in the situation.

How to answer a question in an interview?

Use the STAR Method. The STAR method can be helpful to keep in mind during professional interviews. Consider forming responses to interview questions using this method to provide structure and authenticity to your answers: 1 Situation: Explain the background of your example. 2 Task: Explain what your role was in the situation. 3 Action: Explain what action you took to address the issue. 4 Result: Explain what you learned from the situation and any positive results for the people involved and your company.

Types of Illness Trajectories

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Although Glaser & Strauss were the first to identify trajectories of dying, much work has been done since their initial description. These trajectories can also be referred to as illness trajectories. June Lunney and colleagues (Lunney, Lynn, & Hogan, 2002) used data from Medicare decedents and proposed the following four trajec…
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Illness Trajectories and Hospice

  • Hospice enrollment is structured by policy, both related to governing reimbursement agencies such as Medicare and Medicaid, and also within the individual hospice agency (Scala-Foley, Caruso, Archer, & Reinhard, 2004; Lorenz, Asch, Rosenfeld, Liu, & Ettner, 2004). Historically, the Medicare hospice benefit was structured to fit a specific type of problem—the illness trajectory …
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An Understanding of Illness Trajectories in Nursing Care

  • So now that you have a basic understanding about illness trajectories, how can that knowledge be used when planning and implementing care for your patients? Although the nurse will not typically be the clinician who provides prognostic information to the patient answering the question “How long do I have?”, you should be prepared to address the question “What will happen?” Educating …
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