Writing career for nurses

Writing career for nurses

Many people only think of nursing professionals as workers in healthcare facilities, but it is not the case always. Nurses can take different roles but still use their educational and skills. Nurses are also taking non-traditional roles and writing is one of them.

 

Joining a Writing Career For Nurses

 

 

Identify the writing platform

 

There are numerous writing opportunities for nurses, and they can be publications or online. Read various publications that specialize in writing on nursing and healthcare to determine the one that suits your interests. Extend your search online as it has become a great platform for writers to gain and reach thousands of readers.

 

Nursing publications have their audience and purpose your planned topics should fit. You should also pay attention to the formatting. Consider the issues such as headings and subheadings to help you in structuring an article according to the style.

 

 

Study writer guidelines

 

Determine the content layout guidelines and any other essential information for the authors. Chances of getting published improve by adhering to a particular style. Guidelines also provide directions on the way to submit articles. Some prefer that the writer pitches an idea through a query by a letter while others just require a manuscript.

 

 

Choose a compelling topic

 

Write and send an article or research on a topic that draws your passion to the editor of your chosen publication or online platform. Start by writing smaller pieces to prevent the risk of developing a writer’s block. You will be ready to write more content like a long journal article as you gain confidence and experience, Choose one compelling topic that you can adhere to without jumping back and forth to others. You should also create a suitable outline from the beginning. It is essential to get professional feedback from a friend or colleague to determine the erroneous sections.

 

 

Prepare to revise

 

If an online or offline publication expresses an interest in our contribution, it might have some conditions that require revising or even rewriting. You might also need to rectify small or intensive issues such as inconsistencies in terminology, adding more statistics or incorporating more references.

Common Opportunities to a Writing Career for Nurses

 

 

Magazines and journals

 

Nursing professionals have numerous opportunities to write for well-established journals and magazines. These types of publications are usually searching for writers of editorial content with industrial experience to provide compelling pieces for a nursing audience. Nurses can communicate better to the audiences than writers without any industrial experience. The knowledge and experience in the nursing industry allow nurses to provide informative details that nurses can read and apply in healthcare duties.

 

 

Medical writing

 

Nurses with a passion for writing can fulfill their desire by working as a medical writer in another way for. Medical writing involves covering different topics on research, general medication, and regulation. Different types of media accept the work of medical writers. These include:

 

  • Textbooks
  • Patient handbooks
  • Insurance documents
  • Marketing brochures and other marketing materials
  • Research and grant materials
  • Websites

Medical writing requires researching and writing about the findings in a manner that is informative to the industry specialists and still simple to understand by the average readers.

 

 

Nursing blog

 

A blog is a website or webpage that get regular updates. Nurses can use their professional knowledge to write frequent content for updating a nursing blog. They can also start their blogs. It requires creating an appealing name, identifying the host and an information gap that requires filing with well-researched content. A blog requires informative content with an appeal that makes readers to get a desire for visiting the blog frequently.

A writing career for nurses is possible even if it begins with part-time contributions. A nurse can efficiently provide health information and tips to readers. The role can also extend to editing and proofreading.

How to survive and thrive in a nursing career

How to survive and thrive in a nursing career

The primary role of nursing is to care of the patients to enable them to recover from their medical condition. Nursing can be hectic due to long shifts and working in stressful situations. These are difficult situation nut part of the job and should not prevent a nurse from surviving in the position and thriving.

 

Tips For Surviving and Thrive In a Nursing Career

 

Nursing can on certain occasions feel incredibly stressful, but there are ways for a nurse to combat the stressors and make their work to be more fulfilling.

 

 

Be positive

 

Staying positive about the job is one of the helpful ways for nurses to reduce stress levels and improve their mood. It is not difficult as it seems and is still very important because most of the experiences in life and reactions towards some conditions are beyond control. The way to handle experiences that are beyond is to change perception on them and improve the overall happiness. Having a positive attitude helps to pull through the difficult issues even when you do not have an immediate solution.

 

 

Set realistic goals

 

There is much to struggle about nursing especially for newly hired nurses. A useful way of adapting to nursing life or shift is to set small, realistic goals. Setting achievable goals helps to simplify the completion of tasks and builds confidence. Try to set a target that enables you to learn something new each day. Learning a new fact or task helps a nurse to feel successful rather than feel defeated for failing to understand some things.

 

 

Learn to prioritize

 

A nurse taking care of a high acuity patient or a few with different needs can be overwhelmed. These are everyday situations in nursing, and both lead to a multitude of tasks necessary to take care of the patient. It is essential to break down a shift into hourly portions. Start by determining the critical and least important task to complete within an hour. It is a method that helps in organizing tasks are reacting appropriately if something unexpected happens.

Create a rapport with coworkers

 

Take time to know new colleagues and interact with those you know. Memorize their names and make a habit of exchanging greetings. The habit enables you to develop a relationship over time and create a network of people you can trust. You fellow nurses will be supporting you during the difficult moments and emergencies which are essential for survival in nursing.

 

Ask questions when in doubt

 

One of the best ways to learn in nursing is to ask questions especially when you are new to an area of practice. It is natural to fear to ask questions because it is an admission of ignorance, but nobody knows everything. The courage to ask helps to increase the knowledge in a nurse. You can write a list of all questions you have when the situation does not allow deviation such as an emergency from the task at hand and ask them during downtime.

 

 

Create time to relax

 

Do not think about work when you get time off. Use the time to de-stress by relaxing to eliminate the fatigue accumulated over the working days. Engaging in a hobby or pursuing relaxing outdoor fun activities such as hiking helps. It is better if you can hang out with non-nursing friends who are unlikely to discuss your work.

 

You can survive and thrive in a nursing career if you organize your work well to prevent burnout, create relaxing time and develop the right attitude.

Joshua Case Study

Joshua Case Study

From the readings of the case study presented involving Joshua, it is clear that a psychiatric evaluation is needed. Developmental history is usually essential in any psychiatric assessment of patients across all the ages. Therefore, for Joshua’s case study, getting the developmental history from his parents is necessary. Included in the developmental history of Joshua is the prenatal stage, which usually influences the infancy and childhood stages of life to a significant extent. In addition to the developmental history, there is a need to include the family psychiatric history in the assessment data for this child.

Therefore, there are many additional questions that would result in obtaining comprehensive information about the mental health of this client. One of the leading questions is if the mother had any episodes or experience of psychiatric illness during the antenatal or the prenatal period. This question would be followed by inquiry of any psychiatric evaluation and treatment-experienced by the mother while pregnant for Joshua. Information obtained from these two questions will play essential roles in the understanding of the developmental process of Joshua. Fetal developmental in the uterus is subject to maternal emotional and psychological stresses. Treatment modalities to psychological disorders such as the use of antidepressants have significant negative impacts on how the fetus develops (Carlat, 2016). As a result, having the perinatal history and experiences of the mother is essential in determining the definitive cause and the status of the currently observed condition in Joshua.

Another important aspect of evaluating this child is asking the mother to provide a comprehensive past medical report of the child since he was born. The history will involve the onset of the illness, how it progressed and the types of treatment that the child received during the illness period. Having such information is essentials since some psychiatric illness occurs due to complications of some medical conditions and or adverse reactions of some medications (Carlat, 2016). The previous history of psychological assessment and the outcomes will also be asked to determine if there is any connection between previous mental disorders and the currently observed. Sally is a 7-year-old female child. At this age, she is expected to have developed both physical and social aspects. One of the physical aspects at this age is the falling out of the baby teach and the growth of permanent teeth to replace the lost ones. Social aspects range from language to learning skills. At the age of seven, Sally is expected to have developed better language skills and can communicate clearly. Learning skills such as spelling of words correctly and backwards is also expected. The child, at this age, also knows time and days. Identity of playing groups is expected as girls and girls play together, which is a similar case to the boys.

 

 

Bowen Family System Theory use during a family interview

 

Bowen’s Family System Theory is one of the psychoanalytic theory that tries to explain or describe a family as a unit joined together by emotions that form the basis of relationships. All members of the family have that emotional bond that acts to form both internal and external relationship. It is believed that emotional behaviour and actions of the individual usually influences the entire family according to this theory (Cepeda & Gotanco, 2016). Using this theory to evaluate the case of Joshua is, therefore, appropriate. The first approach would be to determine the extent or level of the impact on Joshua’s sickness on the general emotional aspect of the family. Questions would, therefore, focus on the state of family relationship both before and after Joshua become mentally sick.

Any cultural consideration to apply when working with the Jones family

 

Cultural aspects usually influence how members of the family relationship and also seek healthcare assistance. It is, therefore, necessary to take into consideration the cultural practices of this family. Child-parent attachment is usually influenced by culture. How children develop is also influenced by their relationship with their parents (Cepeda & Gotanco, 2016). Another consideration to consider in this case is communication and conflict -resolution. Different cultures have different communication process and conflict resolution strategies. It is, therefore, important to pay attention to these cultural factors and how they affected the developmental of Joshua.

Rusell Case Study

Rusell Case Study

Hypertension is one of the common cardiovascular diseases that affect many people in America. Statistics indicate that in every three adults, one is having hypertension that is either diagnosed or not. Hypertension is usually asymptomatic in its mild and moderate stages but can result in severe health complications with it reaches its advanced stages Cooper-Dehoff, R., & Johnson, J.A. (2016). It is also good to note that hypertension can be managed successfully with the use of medication and lifestyle modification.

For the above-mentioned patient, there is symptomatic hypertension, which is under pharmacological therapy. It is evident from the vital signs and the lab diagnostics that the condition is not well managed hence the need to develop a new plan of care to complement the current treatment strategies.

 

 

Treatment Goals for Mr. Rusell

 

The goal of treatment or management of Mr. Russel is to eliminate symptoms, prevent complications, and promote quality life. This will be achieved through the management of the underlying cause of the observed symptoms. Heart palpitations and lightheadedness are significant symptoms of hypertension that require immediate intervention. Therefore, to eliminate these alterations, there is a need to effectively treat hypertension. He has elevated blood pressure despite being on HCTZ 25mg daily; hence he is diagnosed with secondary hypertension. Treatment will, therefore, aim at introducing drugs that will lower blood pressure to the normal ranges and also do away with the edema of the legs, crackles in the lungs, and palpitations. It is also important to review the laboratory results by comparing the past and the present results with the standard levels of the electrolytes and nutrients such as lipoproteins. Antihypertensive drugs such as HCTZ have significant effects on electrolytes level; hence the patient should have regular electrolyte profile tests. The majority of these test result is borderline hence the need to monitor them. Lastly, the management of this patient will also aim at educating the patient on the proper lifestyle behaviors to promote recovery and prevent complications.

Pharmacological Plan for Mr. Rusell

 

Currently, the patient is on HCTZ 25mg daily, yet there are still symptoms of hypertension, meaning that drug therapy is not effective. There are two reasons for this phenomenon. One is that either she is not taking the drug as prescribed or the drug is not effective in reducing the blood pressure. There is a need to review the medication behaviors of the patient before making any other decision. Based on the symptoms, there is a need to add another drug to complement the roles of HCTZ. The appropriate drug of choice for the patient will be an ACE inhibitor. Lisinopril 10mg daily is the drug of choice, which works to reduce peripheral vascular resistance to blood flow (Parekh et al,. 2017). Combining this drug with HCTZ will result in better outcomes. The patient should be examined after a month to evaluate the effectiveness of drug therapy.

 

Health Education for the Patient.

 

Following the addition of a new drug, there are several health messages that the patient has to take home. First is that he need to learn the importance of adhering to drug therapy while it home. This is essential in ensuring that complications are prevented and promote quality life. Secondly, the patient has to learn how to monitor blood pressure regularly. He has to learn on the levels that require healthcare interventions (Cooper-Dehoff, & Johnson, 2016). Thirdly, the patient needs to learn on the side effects of the new drug and such as dry cough, headaches, and dizziness. He has to know when to seek healthcare interventions when symptoms persist. The fourthThe fourth health message necessary for the patient is the importance of proper nutritional practices and regular physical activity in the management of hypertension. He has to take diets without much sugars or lipids. Finally, the patient should quit smoke and alcohol consumption if he has such behaviors (American College of Cardiology, 2017).

 

How would your plan change if your patient is African American?

 

Racial difference influences the pathophysiology of diseases and response to therapy. If the client was African American, the risk of angioedema would be high. As a result I would have opted to channel blockers I place of ACE inhibitors. Studies show that calcium channel blockers are more effective than ACE inhibitors in African Americans (American College of Cardiology, 2017). Hence I would have chosen Amlodipine in place of Lisinopril.

Chronic Obstructive Pulmonary Disease

Chronic Obstructive Pulmonary Disease

Some bugs also may occur together as primary entities or as secondary conditions to one another. Proper patient and disease management requires a comprehensive assessment of both objective and subjective clinical manifestation to come up with the correct diagnosis. Identification of patients disease is not only limited to primary diagnosis. Differential diagnosis has to be made since several diseases present with similar clinical symptoms. Differential diagnosis helps in preventing misdiagnosis and improper treatment. It, therefore, requires a proper assessment to identify the primary disease and make differential diagnoses for patients presenting with multiple signs and symptoms involving more than one system.

The patient mentioned above presents with both respiratory and cardiovascular symptoms. There is coughing, shortness of breath, sputum production, wheezing, increased anteroposterior diameter, flattened diaphragm, and increased blood pressure, history of smoking and peripheral vascular disease. To manage this patient properly, both primary and differential diagnosis has to be made based on the clinical presentation and diagnostic tests.

 

 

Differential Diagnosis

 

 

Chronic bronchitis

 

Chronic bronchitis is an inflammatory disease of the airways characterized by the presence of cough and production of sputum for over three months. Shortness of breath and increased respiratory rate are other primary characteristics of these conditions (Kim & Criner, 2015). It is common in children but also affects adults. Both the past and present history of smoking and pneumonia can lead to the development of bronchitis. The patient mentioned above in the case study presentation with a chronic cough, sputum production, shortness of breath, current history of smoking and history of pneumonia. With all these signs and symptoms, chronic bronchitis can be considered as one of differential diagnosis.

Asthma

 

Asthma is an upper respiratory condition that is characterized by acute shortness of breath due to the narrowed airway. The narrowing of the airway is either due to obstruction by foreign objects such as secretions or inflammation of the airway structures (Postma, Dirkje, & Klaus, 2015). A cough and sputum are present in a patient with asthma, and any trigger can result in an increased rate of respiration. The disease is most common with a patient with a history of smoking and other pathological conditions involving both respiratory and cardiovascular systems. For the above case study, there is shortness of breath, coughing and sputum production. Smoking has also been reported with a history of pneumonia and hypertension. Therefore, asthma should be considered as a diagnosis for this patient.

 

Chronic Obstructive Pulmonary Disease

 

Chronic obstructive pulmonary disease is a disease defined by acute airway narrowing or total obstruction by either inflammation, different objective or secretions such as blood and mucus (Divo et al., 2015). The symptoms of this disease include chronic productive cough, shortness of breath, wheezing, prolonged respiratory phases, increased anteroposterior diameter and a higher rate of respiration (Bradstreet, & Parkman, 2016). History of smoking, respiratory conditions and cardiovascular disease increases the risk of developing this disease. The present case involves a patient with similar characteristics of the chronic obstructive respiratory condition and therefore should be considered during diagnosis.

 

Emphysema

 

Emphysema is a lower respiratory disease characterized by an abnormal enlargement, distention of the alveolar, and narrowing of the airway. This distention leads to increased dead space in the lungs reducing pulmonary capillary bed. This result in increased pulmonary blood supply, therefore, raising the blood pressure (Pahal & Sharma, 2018). Patients will have increased blood pressure, shortness of breath, cough and respiratory distress (Divo et al., 2015). The risk for alveolar impairment is increased by smoking and a history of respiratory disease. For the above patient, the signs of emphysema are present and therefore should be considered as one of the diagnosis.

 

Asthma-COPD Overlap Syndrome

 

This is a condition in which the symptoms of both asthma and COPD are present or overlapping. The symptoms include a cough, sputum production, tachypnea, apnea, and wheezing. The causes of these symptoms include infections, the presence of secretions in the airway or inflammatory obstruction due to an allergic reaction (Postma, Dirkje, & Klaus, 2015). Lifestyle practice such smoking can lead to these conditions. The present case has all the symptoms, and predisposing factors hence should be considered as one of the diagnosis.

 

Primary diagnosis

 

The primary diagnosis for the patient in the case study is emphysema. The characteristic symptom of this condition is damaged alveoli and narrowed airway resulting in impaired gaseous exchange in patients (Pahal & Sharma, 2018). Signs and effects of abnormal gaseous exchange are observed in patients such as shortness of breath, productive cough, increased respiratory rate, wheezing and respiratory distress (Bradstreet, & Parkman, 2016). Factors such as respiratory infections, and smoking increase the chance of one getting this disease (Tran et al., 2015). The presented case meets all the signs and symptoms of emphysema.

 

Diagnostic Tests

 

Diagnostic tests to confirm the presence of this condition include radiological and arterial blood gases. A chest X-ray is performed to visualize the patency of the airway and other pulmonary structures, and, to rule other chest conditions. (Hellbach et al., 2015). Arterial Blood Gases test are performed to measure the effectiveness of gaseous exchange in the lungs. Sputum analysis is done to identify the cause of pulmonary impairment. Pulmonary Function Test is done to assess the performance of the lungs.

 

Treatment and management

 

The goal of treating emphysema is to eliminate symptoms and prevent complications. Treatment involved both pharmacological and non-pharmacological approaches. The pharmacological approach includes the use of corticosteroid sand bronchodilators to clear secretions and prevent inflammations that cause airway narrowing (Pahal & Sharma, 2018). Antibiotics are also given to eliminate infectious agents from the respiratory system. Antihypertensive drugs are also provided to reduce elevated systolic blood pressure (Hillas, Perlikos, Tsiligianni, & Tzanakis, 2015). Non-pharmacological approaches are aimed at preventing the symptoms from progressing. They include suctioning of secretions if present. Advising the patient to quit smoking is also one of the methods of reducing the severity of the condition.