Chapter 29, Problem 2RP

Summary Introduction

To discuss:

The information about the post-operative instructions needs to be clearly communicated to Mr. R?

Case summary:

The nursing student on the level II ICU is assigned to care for a middle-aged male patient Mr. R. The patient has a history of long-term resident in the hospital due to his extensive medical history like, paraplegia, several surgeries, gunshot wounds, and bilateral amputations. During his stay in the hospital the staffs know him for his manipulative difficult behavior. The student nurse cared for him after a post-operative surgery for urinary diversion. The patient is assigned at NPO for the next two to three days and the patient is hungry and demand food and fluids from the student nurse. The student really do not know much why the patient is kept under NPO after surgery. The student explains that his bowel is affected by anesthesia and cannot intake food. The patient is not happy with the explanation and sits with a lunch tray by demanding to other nurses when the student nurse returned from the lunch break.

Summary Introduction

To discuss:

In what way, the patient’s past history have influence the nursing student ation’s?

Case summary:

The nursing student on the level II ICU is assigned to care for a middle-aged male patient Mr. R. The patient has a history of long-term resident in the hospital due to his extensive medical history like, paraplegia, several surgeries, gunshot wounds, and bilateral amputations. During his stay in the hospital the staffs know him for his manipulative difficult behavior. The student nurse cared for him after a post-operative surgery for urinary diversion. The patient is assigned at NPO for the next two to three days and the patient is hungry and demand food and fluids from the student nurse. The student really do not know much why the patient is kept under NPO after surgery. The student explains that his bowel is affected by anesthesia and cannot intake food. The patient is not happy with the explanation and sits with a lunch tray by demanding to other nurses when the student nurse returned from the lunch break.

Summary Introduction

To discuss:

Whether if you are a nursing student would Mr. R’s past history have influenced you? Why or why not?

Case summary:

The nursing student on the level II ICU is assigned to care for a middle-aged male patient Mr. R. The patient has a history of long-term resident in the hospital due to his extensive medical history like, paraplegia, several surgeries, gunshot wounds, and bilateral amputations. During his stay in the hospital the staffs know him for his manipulative difficult behavior. The student nurse cared for him after a post-operative surgery for urinary diversion. The patient is assigned at NPO for the next two to three days and the patient is hungry and demand food and fluids from the student nurse. The student really do not know much why the patient is kept under NPO after surgery. The student explains that his bowel is affected by anesthesia and cannot intake food. The patient is not happy with the explanation and sits with a lunch tray by demanding to other nurses when the student nurse returned from the lunch break.

Summary Introduction

To discuss:

How to involve Mr. R as a partner in coordinating his care by minimizing his frustration?

Case summary:

The nursing student on the level II ICU is assigned to care for a middle-aged male patient Mr. R. The patient has a history of long-term resident in the hospital due to his extensive medical history like, paraplegia, several surgeries, gunshot wounds, and bilateral amputations. During his stay in the hospital the staffs know him for his manipulative difficult behavior. The student nurse cared for him after a post-operative surgery for urinary diversion. The patient is assigned at NPO for the next two to three days and the patient is hungry and demand food and fluids from the student nurse. The student really do not know much why the patient is kept under NPO after surgery. The student explains that his bowel is affected by anesthesia and cannot intake food. The patient is not happy with the explanation and sits with a lunch tray by demanding to other nurses when the student nurse returned from the lunch break.

Summary Introduction

To discuss:

How could the nursing student provide emotional support?

Case summary:

The nursing student on the level II ICU is assigned to care for a middle-aged male patient Mr. R. The patient has a history of long-term resident in the hospital due to his extensive medical history like, paraplegia, several surgeries, gunshot wounds, and bilateral amputations. During his stay in the hospital the staffs know him for his manipulative difficult behavior. The student nurse cared for him after a post-operative surgery for urinary diversion. The patient is assigned at NPO for the next two to three days and the patient is hungry and demand food and fluids from the student nurse. The student really do not know much why the patient is kept under NPO after surgery. The student explains that his bowel is affected by anesthesia and cannot intake food. The patient is not happy with the explanation and sits with a lunch tray by demanding to other nurses when the student nurse returned from the lunch break.