Discuss the implications of treatment of pain with an opioid side effects, adverse effects, nursing assessment.

Directions: Answer the following questions using critical-thinking. All answers must be typed into the document
Chapter 1
1. Describe role of the rapid response team (RRT). Describe three patient changes where it would be appropriate for the nurse to notify the RRT.

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2. QSEN identified patient-centered care as a nursing competency. Describe one way in which nurses can encourage patients and their family members to become empowered. How will this make the healthcare experience safer?
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Chapter 2
3. Discuss the role of activity/mobility in the older adults’ life. Discuss implications of poor physical functioning.
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4. For each of the SPICES categories/conditions, describe one physiological age-related change that may be responsible for the condition.
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Chapter 3
5. Discuss the implications of treatment of pain with an opioid: side effects, adverse effects, nursing assessment.
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6. Discuss the following concepts:
a. Neuropathic vs. nociceptive pain
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b. Referred vs. radiating pain
Answer:
Please answer the questions from those key points. No citation,no outside sources,and no references.Instructor stated ” Summarize on your own english without copy from key point”

Ignatavicius: Medical-Surgical Nursing, 8th Edition

Chapter 01: Introduction to Medical-Surgical Nursing Practice

Key Points
• One of the most successful IHI initiatives was the creation of the Rapid Response Team (RRT), also called the Medical Emergency Team (MET).
o Rapid Response Teams are one initiative to save lives and decrease the risk for patient harm before a respiratory or cardiac arrest occurs.
o Members of such a team are critical care experts who are on-site and available at any time to respond to calls for assistance.
o Early clinical changes in condition occur in most patients for up to 48 hours before a “Code Blue.”
o Therefore, observe for, document, and communicate early indicators of patient decline, including decreasing blood pressure, increasing heart rate, and changes in mental status.

Quality and Safety Education for Nurses Core Competencies

• The six core competencies for health care professionals based on research by the Institute of Medicine (IOM; http://iom.edu/) and Quality and Safety Education for Nurses (QSEN; http://www.qsen.org/) are: PATIENT-CENTERED CARE, TEAMWORK AND COLLABORATION, EVIDENCE-BASED PRACTICE, QUALITY IMPROVEMENT, INFORMATICS, and SAFETY.
• Nurses, as advocates for the patient and family, teach them how to be empowered and have more control over their care.
• The Joint Commission recently started a Speak Up™ campaign to provide information to patients and families to increase their empowerment.
• The three ethical principles to consider when making clinical decisions are self-determination, beneficence, and justice.
• Respect for people is one of six basic ethical principles that nurses and other health care professionals should use as a basis for clinical decision making.
• Respect implies that patients are treated as autonomous individuals capable of making informed decisions about their care.
• Patient autonomy is referred to as self-determination or self-management.