Per the physician's orders, Jamie RN gave his patient Motrin 800 mg an hour ago for postoperative pain. The patient is complaining of pain 8 out of 10, so Jamie RN reviews the PRN orders and gives Morphine 2 mg IVP for breakthrough pain. The patient reports the pain is now a 3 out of 10. Jamie RN demonstrated what?

Choice A reason: Practice Guidelines are systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances. They are designed to reduce variation in practice and promote the integration of new research findings into patient care, which can improve outcomes and cost-effectiveness.

Choice B reason: Personal Guidelines are not a standard term in healthcare. Individuals may have personal preferences or rules for their own health care, but these are not formal guidelines that influence practice on a wider scale.

Choice C reason: Nursing Guidelines are specific to the nursing profession and provide a framework for nurses in their practice. However, they are not as broad in scope as Practice Guidelines, which encompass all areas of health care.

Choice D reason: Institutional Guidelines are developed within a specific institution, such as a hospital, and may not have the wide-reaching impact on practice variation and cost that Practice Guidelines, developed by government agencies or professional societies, have.

Choice A reason: Age-related disparities that are avoidable and deemed acceptable would imply that it is permissible to provide different levels of care based on age when it could be prevented, which is not the case in equitable health care systems.

Choice B reason: Age is a natural factor that cannot be changed, making age-related disparities often unavoidable. However, these disparities can be acceptable if they are acknowledged and addressed appropriately, ensuring that all age groups receive fair and appropriate care.

Choice C reason: Unavoidable and unacceptable would suggest that age-related disparities are both beyond control and unjust, which contradicts the efforts made in health care to accommodate and provide for the unique needs of different age groups.

Choice D reason: Avoidable and unacceptable disparities are those that can be prevented or mitigated but are not, leading to unfair differences in health care. Age, as a natural factor, does not fall into this category as it cannot be avoided.