1.
To discuss:
How and why would the nurse respond to this similar situation.
Case summary:
The patient Mr. A is a 68-year-old male patient had been in an extended care facility with multiple diagnoses and also with limited mobility. Since Mr. A has limited mobility, he needs assistance in his daily morning care. One morning the nursing student who is assigned to take AM care for Mr. A, hears from Mr. A that he completed his morning bath, but the tech lost patience and told the patient not tell lies and makes him sit in the chair all day.
1.
Explanation of Solution
The nurse who is assigned to AM care is not even a trainee nurse but only a student nurse. The student nurse still does not possess interpretation skills or a certified degree to carry out her responsible action. The best response of the student nurse is to do nothing and should feel sorry for the patient.
2.
To discuss:
The adequacy of the skills for professional practice and what that is tell about the nurse student nurse.
Case summary:
The patient Mr. A is a 68-year-old male patient had been in an extended care facility with multiple diagnoses and also with limited mobility. Since Mr. A has limited mobility, he needs assistance in his daily morning care. One morning the nursing student who is assigned to take AM care for Mr. A, hears from Mr. A that he completed his morning bath, but the tech lost patience and told the patient not tell lies and makes him sit in the chair all day.
2.
Explanation of Solution
The nurse still a student, she needs are qualified degree like APRN or nurse practitioner to take decisions to provide care for the patient. Being a student, the nurse can still follow the orders that are given her and it is a learning process for the student nurse.
3.
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. A.
Case summary:
The patient Mr. A is a 68-year-old male patient had been in an extended care facility with multiple diagnoses and also with limited mobility. Since Mr. A has limited mobility, he needs assistance in his daily morning care. One morning the nursing student who is assigned to take AM care for Mr. A, hears from Mr. A that he completed his morning bath, but the tech lost patience and told the patient not tell lies and makes him sit in the chair all day.
3.
Explanation of Solution
- The nurse must have knowledge about the patient’s preferences over hygiene.
- The nurse must make a nursing care schedule in such a way; it should be comfortable for patient’s to receive hygiene care.
- While providing hygiene care like bath for older people, the nurse ensures to give bed bath.
- When the patient insists on tub bath, the nurse should ensure safety measure like side rails and non-skid mats in the bathroom.
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Chapter 31 Solutions
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