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NATIONAL AMERICAN BLOOMINGTON CAMPUS BSN PROGRAM

UNIVERSITY

Nursing 4143: Holistic Nursing Care in Acute Illness II and End of Life Winter 2013-2014 Learning Plan 4 Hemothorax Pneumothorax Tension neumothorax Chest tu!es !"ecti#e of t$e Course%Co&'etenc(: 1) Integrate and s(nt$esi*e +no,ledge gained fro& 're#ious course,or+) "no#$e%&e an% s'i$$s $ea%in& to master( o) this *om eten*(+ a, Inte&rate theories an% *on*e ts )rom $i!era$ e%u*ation into nursin& ra*ti*e, !, S(nthesi-e theories an% *on*e ts )rom $i!era$ e%u*ation to !ui$% an un%erstan%in& o) the human ex erien*e, *, Im $ement ho$isti*. atient/*entere% *are that re)$e*ts an un%erstan%in& o) human &ro#th an% %e0e$o ment. atho h(sio$o&(. harma*o$o&(. me%i*a$ mana&ement an% nursin& mana&ement a*ross the $i)es an in the emer&ent an%1or a*ute hea$th*are settin&s, 3) Create an artistic inter'retation of a nursing care 'ractice t$at illu&inates t$e co&'le-it( of 'ro#iding nursing care for clients and t$eir fa&il() "no#$e%&e an% s'i$$s $ea%in& to master( o) this *om eten*(+ a, Ex $ain the interre$ationshi s amon& theor(. ra*ti*e an% resear*h, !, I%enti)( the %imensions o) *risis an% the nursin& a*tions that romote a%a ti0e *o in&, *, Summari-e the im a*t o) i$$ness an% hos ita$i-ation on atients an% their )ami$ies, %, Re*ommen% *arin& an% hea$in& te*hni2ues that romote a thera euti* nurse/ atient re$ationshi , e, Inter ret *om assionate. atient/*entere%. e0i%en*e/!ase% *are that res e*ts atient an% )ami$( re)eren*es %urin& an emer&ent an%1or a*ute *are ex erien*e, .) A''l( t$eor(-!ased decision &a+ing in t$e deli#er( of safe/ co&'etent and culturall( congruent nursing care to clients in t$e acute care setting) "no#$e%&e an% s'i$$s $ea%in& to master( o) this *om eten*(+ a, A $( 'no#$e%&e o) so*ia$ an% *u$tura$ )a*tors to the *are o) %i0erse o u$ations, !, I%enti)( )a*tors that *reate a *u$ture o) sa)et(, *, Re*o&ni-e 2ua$it( an% atient sa)et( as *om $ex s(stem issues #hi*h in0o$0e in%i0i%ua$s. )ami$ies an% other mem!ers o) the hea$th*are team, 0) Criticall( e#aluate and utili*e relati#e finding of nursing researc$ in 'lanning 1ualit( 'atient care)

"no#$e%&e an% s'i$$s $ea%in& to master( o) this *om eten*(+ a, Use s'i$$s o) in2uir(. ana$(sis an% in)ormation $itera*( to a%%ress ra*ti*e issues, !, A*2uire an un%erstan%in& o) the ro*ess )or ho# nursin& an% re$ate% hea$th*are 2ua$it( an% sa)et( measures are %e0e$o e%. 0a$i%ate% an% en%orse%, #er#ie,: A neumothorax is the resen*e o) air or &as in the $eura$ s a*e that *auses the $un& to *o$$a se. #hereas a hemothorax is the a**umu$atin& o) !$oo% in the $eura$ s a*e, A neumothorax *an o**ur as a resu$t o) trauma or ma( o**ur s ontaneous$( #hen a sma$$ !$e! on the $un& ru tures that *auses air to enter the $eura$ s a*e 3s ontaneous neumothorax4, A tension neumothorax is an emer&ent situation that resu$ts )rom the ra i% a**umu$ation o) air in the $eura$ s a*e that *auses hi&h intra $eura$ ressures an% tension on the heart an% &reat 0esse$s, The ur ose o) *hest tu!es is to remo0e air an% )$ui% )rom the $eura$ s a*e so that restoration o) norma$ intra $eura$ ressure *an !e a*hie0e% to )a*i$itate reex ansion o) the $un&s, A%%i*tion an% su!stan*e a!use are serious ro!$ems a))e*tin& so*iet( to%a(, It is estimate% that near$( 56 mi$$ion Ameri*ans are ni*otine %e en%ent. 78 mi$$ion are %e en%ent on a$*oho$. an% 5,9 mi$$ion %e en%ent on i$$i*it %ru&s 3Le#is. :;;<4, In%i0i%ua$s #ith su!stan*e a!use uti$i-e the hea$th *are s(stem more that those #ho %o not use su!stan*es, The nurse=s res onsi!i$it( in the hea$th *are settin& is to i%enti)( an% inter0ene #ith atient #ho are a!usin& or a%%i*te% to su!stan*es so su**ess)u$ treatment out*omes *an !e met, Learning Acti#ities: Le#is. Heit'em er. >ir'sen. O=Brien. Bu*her 3:;774+ , 989/9?: an% Cha ter 7:

htt +11###,atitestin&,*om o RN Re0ie# Mo%e$s @ :;7; E%itions @ A%u$t Me%i*a$ Sur&i*a$ Nursin& RN Version 8,; Cha ter 7? A :? Bethe$. B, 3:;;84, Tension neumothorax, Emergency Nurse. 163C4. :6/:?, Retrie0e% )rom CINAHL P$us #ith Du$$ Text %ata!ase, Cou&h$in. A,. A Par*hins'(. C, 3:;;64, Go #ith the )$o# o) *hest tu!e thera (, Nursing. 36354. 56/C:, Retrie0e% )rom CINAHL P$us #ith Du$$ Text %ata!ase, Roman. M,. A Mer*a%o. >, 3:;;64, C$ini*a$ Eho# toE, Re0ie# o) *hest tu!e use, MEDSURG Nursing. 15374. C7/C5, Retrie0e% )rom CINAHL P$us #ith Du$$ Text %ata!ase, 2e#ie,: Atrium Intera*ti0e Com uter Base% Trainin& htt +11###,atriumme%,*om1en1*hestF%raina&e1e%u*ation,as A$*oho$i*s Anon(mous htt +11###,aa,or&1$an&1en1su! a&e,*)mG a&eH7 Ameri*an So*iet( o) A%%i*tion Me%i*ine htt +11###,asam,or&1 Internationa$ Nurses So*iet( on A%%i*tions

htt +11###,intnsa,or&1 Nar*oti*s Anon(mous htt +11###,na,or&1 Nationa$ Institute on >ru& A!use htt +11ni%a,nih,&o01ni%ahome,htm$ Co&e to class 're'ared to discuss: Hemothorax Pneumothorax o C$ose% o O en Tension neumothorax Chest tu!es A%%i*ti0e Beha0iors o Su!stan*e a!use o >e en%en*( Ph(si*a$ Ps(*ho$o&i* o Hea$th ro!$ems re$ate% to su!stan*e a!use an% %e en%en*e o E))e*ts o) a%%i*ti0e su!stan*es Learning !"ecti#es 7, I%enti)( the me*hanisms an% *$ini*a$ mani)estations o) neumothorax. hemothorax. an% tension neumothorax, :, >i))erentiate !et#een a *$ose% an% o en neumothorax, 5, >is*uss the *o$$a!orati0e *are o) neumothorax. hemothorax. an% tension neumothorax, C, >es*ri!e the ur ose. metho%s. an% nursin& res onsi!i$ities re$ate% to *hest tu!es, 9, Ex $ain the *om onents o) the $eura$ %raina&e s(stems, 6, I%enti)( the *orre*t ositionin& o) the atient that )a*i$itates o tima$ %raina&e, <, >e)ine a%%i*tion. a%%i*ti0e !eha0ior. su!stan*e misuse. su!stan*e a!use. %e en%en*e. to$eran*e. #ith%ra#a$. *ra0in&. a!stinen*e. an% %etoxi)i*ation, 8, I%enti)( the maIor hea$th *om $i*ations o) su!stan*e a!use an% %e en%en*e, ?, I%enti)( nursin& inter0entions )or to!a**o an% smo'in& *essation, 7;, >es*ri!e the nursin& mana&ement o) atients #ho ex erien*e intoxi*ation. o0er%ose. or #ith%ra#a$ )rom stimu$ants. %e ressants. or ha$$u*ino&ens, 77, >es*ri!e nursin& mana&ement o) ain in the atient #ho is %e en%ent on *entra$ ner0ous s(stem %e ressants, 7:, >es*ri!e nursin& mana&ement o) the sur&i*a$ atient #ho a!uses %ru&s, 75, >is*uss su!stan*e a!use an% the o$%er a%u$t,