000010074 001__ 10074 000010074 005__ 20240507123715.0 000010074 0247_ $$2DOI$$a10.6083/gt54kn64m 000010074 037__ $$aETD 000010074 245__ $$aTherapeutic environment for esketamine a policy 000010074 260__ $$bOregon Health and Science University 000010074 269__ $$a2023 000010074 336__ $$aFinal project 000010074 502__ $$bD.N.P. 000010074 520__ $$aThis project aimed to develop a structured policy surrounding the therapeutic environment of esketamine to provide continuity of care and maximize therapeutic benefits while mitigating possible side effects of esketamine. A literature review for the most relevant and up-to-date evidence-based knowledge helped to develop recommendations for the following categories: environment, therapeutic techniques, anxiety, dissociation, nausea, temperature control, happiness, excitement, hypertension, and respiratory depression. CDC's Policy Analytical Framework was used to guide the development of a written policy that the organization accepted. Furniture, monitoring equipment, cranial electrotherapy stimulation devices, temperature control devices, music and meditation listening devices, and creative activities were sourced and purchased, giving special consideration to color, safety, and comfort. Given these recommendations, treatment rooms began the process of being redesigned to help support a standardized therapeutic environment in which esketamine is administered to remove inconsistencies and establish consistency for staff and patients. 000010074 542__ $$fIn copyright - single owner 000010074 650__ $$aElectric Stimulation Therapy$$018316 000010074 650__ $$aPolicy$$038967 000010074 650__ $$aAnxiety$$014946 000010074 650__ $$aDrug-Related Side Effects and Adverse Reactions$$040408 000010074 6531_ $$aesketamine 000010074 691__ $$aSchool of Nursing$$041370 000010074 7001_ $$aStewart, Sierra L.$$uOregon Health and Science University$$041354 000010074 8564_ $$927ac197d-0bc1-498d-823c-78476f3d9c19$$s419216$$uhttps://digitalcollections.ohsu.edu/record/10074/files/Stewart.Sierra.2023.pdf 000010074 905__ $$a/rest/prod/gt/54/kn/64/gt54kn64m 000010074 909CO $$ooai:digitalcollections.ohsu.edu:10074$$pstudent-work 000010074 980__ $$aTheses and Dissertations