Dq 1What is the impact to the nursing profession and to the public related to the projected nursing shortage? Discuss at least one way that the nursing profession is working toward a resolution of this problem.

Dq 2What is the role of health care reform in shifting the focus from a disease-oriented health care system toward one of wellness and prevention, and how does nursing fit into this shift?

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Please respond to the following questions or statements in 100-250 words each. Please support ALL posts with outside sources.

What are the pros and cons of current state-by-state licensure versus a national licensure that has been discussed for health care professionals? Please support your statement with an external source.

I have attached a document on the National Licensure Compact or NLC. This may help to process the idea of a potential national license further.

Is your state (Mississippi) a part of it? Would you like them to be if not? Why not? Please support with reference/citation.

NLC4.pdf (1,012k)

To those of you who are nurses, you are probably familiar with the National Council on State Boards of Nursing (NCSBN). For those of you who are not nurses, this still applies. As a health care administrator, you may be involved with a staff nurse who has a complaint against his/her license and you will be expected to gather data for this purpose. It is important to remember that Boards of Nursing are not nursing advocacy boards. They are public advocacy boards. The NCSBN site states the following as some of their job:

·         Enforcing the nurse practice act and nurse licensure

·         Accrediting or approving nurse education programs in schools and universities

·         Developing practice standards

·         Developing policies, administrative rules and regulations

·         Taking action against the licenses of those nurses who have exhibited unsafe nursing practice

What are your thoughts on this? Good? Bad? Indifferent? Do you have personal experiences with boards of nursing? Are they too harsh? Not harsh enough? Please think about this from both the patient and the nurse perspective. Also, keep in mind that licensure boards are similar in other non-nursing professions too. They have similar licensing, discipline, etc processes.

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Discussion Question 1

JT is a fifty-five-year-old man with a three-day history of worsening shortness of breath, fever, chills, right-sided chest pain, and productive cough. He states that the initial symptoms started approximately one week ago. He has been taking over-the-counter (OTC) medications to control the fever and the cough. He comes in today because he feels that he is getting worse. He is coughing up rust-colored mucus, and the chest pain has started to make breathing even more difficult. His physical exam is normal, with the exception of tachypnea, labored breathing, coarse rhonchi through the right lung field, and decreased breath sounds on the right. Answer the following questions:

What additional laboratory or radiological tests would be indicated and why? What would you expect to find?

What is your diagnosis?

What medication would be given and for what period of time?

Question 2

LN is a twenty-six-year-old married woman who presents at the clinic with symptoms of dysuria, frequency, and urgency. Further history yields two days of these symptoms but no fever, chills, or flank pain. She describes a burning discomfort during and immediately following urination and feeling the need to void every half hour. There is no vaginal discharge, itching, or odor. She is not using birth control at this time. She requests “a urine culture and some sulfa pills.” When asked to explain, she says she has had many “bladder infections” over the past three years and “sulfa pills usually work.” She was evaluated approximately five years ago with an IV pyelography and cystogram, and “nothing was wrong.” All her vital signs are normal. Answer the following questions:

What additional information would you like to collect?

What is your working diagnosis?

What are the contributing factors to this potential diagnosis?

What treatment would you implement and why?

What type of follow-up would you recommend?

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