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Progressive Care Certified Nurse (PCCN)

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Response to Diversity for Progressive Care Certified Nurse (PCCN)

Response to Diversity for Progressive Care Certified Nurse (PCCN)

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Outline

Response to Diversity

Definition/Etiology:

Diversity = Sensitivity
- Diversity is defined as those differences that make each person unique.
- Culture is learned, shared, and transmitted values, beliefs, and practices of a particular group
- Subculture
  - Example: LGTBQ+
- Subcultures also exist and are a recognizable segment of a larger cultural group that shares some characteristics of the larger group but with unique features of its own.
  - Example: Trans patient
- Analogy: Diversity is being invited to the party without having to chase the invite.
Etiology
- National origin
- Religion
- Age
- Gender Identity
- Sexual orientation
- Race
- Ethnicity
- Education
- Socioeconomic status
- Ability vs disability

Noticing: Assessment & Recognizing Cues:

Unique Patient
- Communication patterns
  - Eye Contact
- Orientation to own space
  - gestures more, and express more emotion in their communication.
- Social organizations (broad to specific)
  - National Urban League – Civil rights for minorities
  - National Association of Black Accountants, Inc.
- Environmental controls
  - Transient/homeless = no Access to ventilation
- Biological Variations
  - Black Race – Sickle Cell

Interpreting: Analyzing & Planning:

Assessing self rather than the patient
Self-Assessment
- Cultural Beliefs – Learned
  - Example: If I steal I will be spiritually punished.
- Values – It’s easy not to steal if I have the resources that I need to live
- Respect of the Unfamiliar vs Bias
  - Bias: Thieves are terrible people
  - Respect: I will take care of this patient, despite my feelings about morals.

Responding: Patient Interventions & Taking Action:

Cultural Diversity
- Language translation resources
  - Include educational resources
- Diverse Nursing staff
- Flexibility in teaching methods
Spiritual Diversity
- Schedule care to allow religious rituals
  - Communion
- Dietary needs
  - Hindu population = no beef/pork
- Refusal of blood
  - Alternatives like blood builders
Generational Diversity
- Baby Boomer
  - Resistant to technology like healthcare apps
- Gen-x
  - Embrace diversity
- Millennials
  - Difficulty focusing on several tasks at a time

Reflecting: Evaluating Patient Outcomes:

Be aware of biological variations among cultures, such as body structure, skin/hair color, population-specific diseases, and psychological coping characteristics.
Recognize that dietary and religious practices and cultural taboos have important implications related to nursing care.
Patients’ reactions to pain are sometimes culturally driven.
Note cultural practices and modify care as necessary.

Linchpins (Key Points):

Notice – Unique Human Being
- Diverse, own culture, subculture
Interpret – A self assessment
- Can’t respond diversity without this important process
Respond
- Cultural, Spiritual, Generationally diverse nursing interventions
  - Example: Don’t assume a baby boomer will like using an APP
Reflect – Modify care to respect their unique human being

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Transcript

References

AACN, & Hartjes, T. (2023). AACN Core Curriculum for Progressive and Critical Care Nursing (8th ed.). Elsevier Health Sciences (US).
Dennison, R. D., & Farrell, K. (2015]). Pass PCCN!. Elsevier Health Sciences (US).
Kupchik, N. (2017). Ace The Pccn®!: You can do it!: Practice question review book. Nicole Kupchik Consulting, Inc.
Stone, L. M. (2018). Certification and Core Review for High Acuity, Progressive, and Critical Care Nursing (7th ed.). Elsevier Health Sciences (US).
Trivium Test Prep. (2019). Pccn review book 2019-2020: Pccn Study Guide and Practice Test Questions for the Progressive Care Certified Nurse Exam.

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Progressive Care Certified Nurse (PCCN)

Course Lessons

Cardiovascular

Atrial Dysrhythmias for Progressive Care Certified Nurse (PCCN)

Ventricular Dysrhythmias for Progressive Care Certified Nurse (PCCN)

Acute Coronary Syndromes (MI-ST and Non ST, Unstable Angina) for Progressive Care Certified Nurse (PCCN)

Acute Inflammatory Disease (Myocarditis, Endocarditis, Pericarditis) for Progressive Care Certified Nurse (PCCN)

Aneurysm (Dissecting, Repair) for Progressive Care Certified Nurse (PCCN)

Cardiac Surgery (Post-ICU Care) for Progressive Care Certified Nurse (PCCN)

Cardiac Tamponade for Progressive Care Certified Nurse (PCCN)

Cardiac/Vascular Catheterization (Diagnostic, Interventional) for Progressive Care Certified Nurse (PCCN)

Cardiogenic Shock For PCCN for Progressive Care Certified Nurse (PCCN)

Cardiomyopathies (Dilated, Hypertrophic, Restrictive) for Progressive Care Certified Nurse (PCCN)

AV Blocks Dysrhythmias for Progressive Care Certified Nurse (PCCN)

Heart Failure (Acute Exacerbations, Chronic) for Progressive Care Certified Nurse (PCCN)

Hypertension (Uncontrolled) and Hypertensive Crisis for Progressive Care Certified Nurse (PCCN)

Minimally-Invasive Cardiac Surgery (Non-Sternal Approach) for Progressive Care Certified Nurse (PCCN)

Valvular Heart Disease for Progressive Care Certified Nurse (PCCN)

Vascular Disease for Progressive Care Certified Nurse (PCCN)

Pulmonary

Acute Respiratory Distress Syndrome (ARDS) for Progressive Care Certified Nurse (PCCN)

Asthma (Severe) for Progressive Care Certified Nurse (PCCN)

COPD Exacerbation for Progressive Care Certified Nurse (PCCN)

Minimally-Invasive Thoracic Surgery (VATS) for Progressive Care Certified Nurse (PCCN)

Obstructive Sleep Apnea for Progressive Care Certified Nurse (PCCN)

Pleural Space Complications (Pneumothorax, Hemothorax, Pleural Effusion, Empyema, Chylothorax) for Progressive Care Certified Nurse (PCCN)

Pulmonary Embolism for Progressive Care Certified Nurse (PCCN)

Pulmonary Hypertension for Progressive Care Certified Nurse (PCCN)

Respiratory Depression (Medication-Induced, Decreased-LOC-Induced) for Progressive Care Certified Nurse (PCCN)

Respiratory Failure (Acute, Chronic, Failure to Wean) for Progressive Care Certified Nurse (PCCN)

Respiratory Infections (Pneumonia) for Progressive Care Certified Nurse (PCCN)

Thoracic Surgery (Lobectomy, Pneumonectomy) for Progressive Care Certified Nurse (PCCN)

Endocrine/Hematology/Neurology/Gastrointestinal/Renal

Diabetes Mellitus for Progressive Care Certified Nurse (PCCN)

Diabetic Ketoacidosis for Progressive Care Certified Nurse (PCCN)

Hyperglycemia for Progressive Care Certified Nurse (PCCN)

Hypoglycemia for Progressive Care Certified Nurse (PCCN)

Anemia for Progressive Care Certified Nurse (PCCN)

Coagulopathies, Medication-Induced (Coumadin, Platelet Inhibitors, Heparin, HIT) for Progressive Care Certified Nurse (PCCN)

Encephalopathy (Hypoxic-ischemic, Metabolic, Infectious, Hepatic) for Progressive Care Certified Nurse (PCCN)

Seizure Disorder for Progressive Care Certified Nurse (PCCN)

Stroke for Progressive Care Certified Nurse (PCCN)

Functional GI Disorders (Obstruction, Ileus, Diabetic Gastroparesis, Gastroesophageal Reflux, Irritable Bowel Syndrome) for Progressive Care Certified Nurse (PCCN)

GI Bleed (Upper, Lower) for Progressive Care Certified Nurse (PCCN)

GI Infections (C. difficile) for Progressive Care Certified Nurse (PCCN)

GI Surgeries (Resections, Esophagogastrectomy, Bariatric) for Progressive Care Certified Nurse (PCCN)

Hepatic Disorders (Cirrhosis, Hepatitis, Portal Hypertension) for Progressive Care Certified Nurse (PCCN)

Ischemic Bowel for Progressive Care Certified Nurse (PCCN)

Malnutrition (Failure to Thrive, Malabsorption Disorders) for Progressive Care Certified Nurse (PCCN)

Pancreatitis For PCCN for Progressive Care Certified Nurse (PCCN)

Renal Failure- Acute Kidney Injury (AKI), Chronic Kidney Disease (CKD) for Progressive Care Certified Nurse (PCCN)

Electrolyte Imbalances for Progressive Care Certified Nurse (PCCN)

End-Stage Renal Disease (ESRD) for Progressive Care Certified Nurse (PCCN)

Musculoskeletal/Multisystem/Psychosocial

Functional Issues (Immobility, Falls, Gait Disorders) for Progressive Care Certified Nurse (PCCN)

End of Life for Progressive Care Certified Nurse (PCCN)

Healthcare-Acquired Infections: Catheter-Associated Bloodstream Infections (CAUTI) for Progressive Care Certified Nurse (PCCN)

Healthcare-Acquired Infections: Central-Line-Associated Infections (CLABSI) for Progressive Care Certified Nurse (PCCN)

Healthcare-Acquired Infections: Surgical Site Infections (SSI) for Progressive Care Certified Nurse (PCCN)

Infectious Diseases: Influenza for Progressive Care Certified Nurse (PCCN)

Infectious Diseases: Multidrug-Resistant Organisms (MRSA, VRE, CRE, ESBL) for Progressive Care Certified Nurse (PCCN)

Pain (Acute, Chronic) for Progressive Care Certified Nurse (PCCN)

Palliative Care for Progressive Care Certified Nurse (PCCN)

Pressure Injuries (Ulcers) for Progressive Care Certified Nurse (PCCN)

Rhabdomyolysis for Progressive Care Certified Nurse (PCCN)

Sepsis for Progressive Care Certified Nurse (PCCN)

Shock States (Anaphylactic, Hypovolemic) For PCCN for Progressive Care Certified Nurse (PCCN)

Toxic Ingestion, Inhalation, Overdose for Progressive Care Certified Nurse (PCCN)

Wounds (Infectious, Surgical, Trauma) for Progressive Care Certified Nurse (PCCN)

Altered Mental Status- Delirium and Dementia for Progressive Care Certified Nurse (PCCN)

Disruptive Behaviors, Aggression, Violence for Progressive Care Certified Nurse (PCCN)

Psychological Disorders (Anxiety, Depression) for Progressive Care Certified Nurse (PCCN)

Substance Abuse (Alcohol, Drug Withdrawal) for Progressive Care Certified Nurse (PCCN)

Substance Abuse (Chronic Alcohol Abuse, Chronic Drug Abuse) for Progressive Care Certified Nurse (PCCN)

Substance Abuse (Drug-Seeking Behavior) for Progressive Care Certified Nurse (PCCN)

Professional Caring and Ethical Practice

Advocacy & Moral Judgement for Progressive Care Certified Nurse (PCCN)

Caring Practices for Progressive Care Certified Nurse (PCCN)

Response to Diversity for Progressive Care Certified Nurse (PCCN)

Facilitation of Learning for Progressive Care Certified Nurse (PCCN)

Collaboration for Progressive Care Certified Nurse (PCCN)

Systems Thinking for Progressive Care Certified Nurse (PCCN)

Clinical Inquiry for Progressive Care Certified Nurse (PCCN)