Chapter 18, Problem 1RP

Summary Introduction

To discuss:

How and why would the student nurse respond to this situation?

Case summary:

The nursing student is caring for a 68-year-old adult male patient Mr. S, who is recently diagnosed with diabetes. In the assessment of the patient, it is found to be that the patient is 50 pounds overweight. The patient gained weight due to lack of exercise and diet maintenance. A plan care was developed for the patient to reduce his weight and maintain his diabetes. During the follow-up visit, the nursing student noticed that the patient has gained 5 pounds extra weight. The patient had an idea that his diabetes could be managed by medication and asks the nursing student about it.   

Explanation of Solution

The nursing student must teach the patient what he must do to maintain his health through diet and exercise and it is his responsibility and he should take the initiative to maintain his weight.  

Summary Introduction

To discuss:

The adequacy of the skills for professional practice and what that is tell about the student nurse?

Case summary:

The nursing student is caring for a 68-year-old adult male patient Mr. S, who is recently diagnosed with diabetes. In the assessment of the patient, it is found to be that the patient is 50 pounds overweight. The patient gained weight due to lack of exercise and diet maintenance. A plan care was developed for the patient to reduce his weight and maintain his diabetes. During the follow-up visit, the nursing student noticed that the patient has gained 5 pounds extra weight. The patient had an idea that his diabetes could be managed by medication and asks the nursing student about it.

Explanation of Solution

The student nurse is still not an Advanced Practice Registered Nurse (APRN) to become a nurse educator, who counsels and educates her patients and their family members.

Summary Introduction

To discuss:

Whether to agree with the criteria that the nursing student used to evaluate a successful outcome?

Case summary:

The nursing student is caring for a 68-year-old adult male patient Mr. S, who is recently diagnosed with diabetes. In the assessment of the patient, it is found to be that the patient is 50 pounds overweight. The patient gained weight due to lack of exercise and diet maintenance. A plan care was developed for the patient to reduce his weight and maintain his diabetes. During the follow-up visit, the nursing student noticed that the patient has gained 5 pounds extra weight. The patient had an idea that his diabetes could be managed by medication and asks the nursing student about it.

Explanation of Solution

The nursing student did make a successful evaluate in educating her patients. The nursing student knows that the patient lack exercise and poor diet will lead diabetic related complications.

Summary Introduction

To discuss:

The type of teaching plan that nursing student may have used at the initial teaching session?

Case summary:

The nursing student is caring for a 68-year-old adult male patient Mr. S, who is recently diagnosed with diabetes. In the assessment of the patient, it is found to be that the patient is 50 pounds overweight. The patient gained weight due to lack of exercise and diet maintenance. A plan care was developed for the patient to reduce his weight and maintain his diabetes. During the follow-up visit, the nursing student noticed that the patient has gained 5 pounds extra weight. The patient had an idea that his diabetes could be managed by medication and asks the nursing student about it.

Explanation of Solution

The nursing student used weight plan and diet maintenance teaching plan. The nursing student taught the patient about the exercises that are involved in weight reduction and types of diet that could benefit the patient.

Summary Introduction

To discuss:

How might that teaching plan have changed based on the patient’s response at the next visit?

Case summary:

The nursing student is caring for a 68-year-old adult male patient Mr. S, who is recently diagnosed with diabetes. In the assessment of the patient, it is found to be that the patient is 50 pounds overweight. The patient gained weight due to lack of exercise and diet maintenance. A plan care was developed for the patient to reduce his weight and maintain his diabetes. During the follow-up visit, the nursing student noticed that the patient has gained 5 pounds extra weight. The patient had an idea that his diabetes could be managed by medication and asks the nursing student about it.

Explanation of Solution

The patient can be made to admit in the hospital for a period of time and teaching plan is carried out under direct supervision of the nursing student and the nursing staff who cares for the patient. This is done for the benefit of the patient, since the patient’s safety should not be compromised.

Summary Introduction

To discuss:

Would the outcomes identified initially need to be revised based on any changes in the teaching plan?

Case summary:

The nursing student is caring for a 68-year-old adult male patient Mr. S, who is recently diagnosed with diabetes. In the assessment of the patient, it is found to be that the patient is 50 pounds overweight. The patient gained weight due to lack of exercise and diet maintenance. A plan care was developed for the patient to reduce his weight and maintain his diabetes. During the follow-up visit, the nursing student noticed that the patient has gained 5 pounds extra weight. The patient had an idea that his diabetes could be managed by medication and asks the nursing student about it.

Explanation of Solution

The teaching plans and outcomes should be changed according to the patient’s response and his health status. If the patient is given different exercise and diet regimens based upon his weight and diet plan.

Summary Introduction

To discuss:

The knowledge, skills, and attitudes do you need to develop to continuously improve quality and safety when caring for child patients like Mr. N?

Case summary:

The nursing student is caring for a 68-year-old adult male patient Mr. S, who is recently diagnosed with diabetes. In the assessment of the patient, it is found to be that the patient is 50 pounds overweight. The patient gained weight due to lack of exercise and diet maintenance. A plan care was developed for the patient to reduce his weight and maintain his diabetes. During the follow-up visit, the nursing student noticed that the patient has gained 5 pounds extra weight. The patient had an idea that his diabetes could be managed by medication and asks the nursing student about it.

Explanation of Solution

• The nursing student needs good communication and interpersonal skills to gain trust and establish nurse-patient relationship.
• The nursing student must have skill to educate to her patients.
• The nursing student must change the teaching plan according to the patient’s response and his weight.