Chapter 32, Problem 1RP

Summary Introduction

To discuss:

How and why would the nurse respond to or approach this situation.

Case summary:

Mr. L is a 52-year-old male patient who has been diagnosed with diabetes and circulatory problems. He had recently undergone an abdominal surgery and admitted in the critical care unit. The site of the surgical wound is found to be moist and the dressing is secured by a tape. During his stay in the critical care unit, his level of consciousness is low and he moderately responds to touch. Further assessment reveals that Mr. L is developing a pressure ulcer and his caregiver has less concern for him.

Explanation of Solution

As a student nurse, the nurse cannot take direction actions on the staff nurse who cares for the patient, though there is less care is implied. The student nurse makes sure that all actions should only be passed through their clinical instructor who takes necessary actions against the decreased care for the patient.

Summary Introduction

To discuss:

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

Case summary:

Mr. L is a 52-year-old male patient who has been diagnosed with diabetes and circulatory problems. He had recently undergone an abdominal surgery and admitted in the critical care unit. The site of the surgical wound is found to be moist and the dressing is secured by a tape. During his stay in the critical care unit, his level of consciousness is low and he moderately responds to touch. Further assessment reveals that Mr. L is developing a pressure ulcer and his caregiver has less concern for him.

Explanation of Solution

The nurse might be student nurse or a trainee nurse, and only the adequacy the nurse faces is that she is not still an Advanced Practice Registered Nurse (APRN), so that she can become as nurse advocate. As a nurse advocate she can demand the rights of the patient and can implement quality care for the patient.

Summary Introduction

To discuss:

The factors that have affected the assigned nurse’s response to the patient.

Case summary:

Mr. L is a 52-year-old male patient who has been diagnosed with diabetes and circulatory problems. He had recently undergone an abdominal surgery and admitted in the critical care unit. The site of the surgical wound is found to be moist and the dressing is secured by a tape. During his stay in the critical care unit, his level of consciousness is low and he moderately responds to touch. Further assessment reveals that Mr. L is developing a pressure ulcer and his caregiver has less concern for him.

Explanation of Solution

The patient has a decreased consciousness, inability to communicate, and less response of the patient are the factors that affected the assigned nurse’s response to the patient.

Summary Introduction

To discuss:

Whether the student nurse is affected by any of those same factors.

Case summary:

Mr. L is a 52-year-old male patient who has been diagnosed with diabetes and circulatory problems. He had recently undergone an abdominal surgery and admitted in the critical care unit. The site of the surgical wound is found to be moist and the dressing is secured by a tape. During his stay in the critical care unit, his level of consciousness is low and he moderately responds to touch. Further assessment reveals that Mr. L is developing a pressure ulcer and his caregiver has less concern for him.

Explanation of Solution

The student nurse is not affected by the same factors that affected the assigned nurse. In fact, the student nurse is deeply frustrated by the lack of care given to the patient and the assigned nurse’s disrespect to the patient’s response and his decreased consciousness. 

Summary Introduction

To discuss:

The criteria to evaluate a successful outcome.

Case summary:

Mr. L is a 52-year-old male patient who has been diagnosed with diabetes and circulatory problems. He had recently undergone an abdominal surgery and admitted in the critical care unit. The site of the surgical wound is found to be moist and the dressing is secured by a tape. During his stay in the critical care unit, his level of consciousness is low and he moderately responds to touch. Further assessment reveals that Mr. L is developing a pressure ulcer and his caregiver has less concern for him.

Explanation of Solution

The factors that give successive outcome are:

• The patient should receive high quality care.
• The nurse should never be insulted or respond to the feedback of the patient.
• The nurse should not discriminate the patient on their level of consciousness and response.

Summary Introduction

To discuss:

Whether the nursing student validate the rationale for the outcome.

Case summary:

Mr. L is a 52-year-old male patient who has been diagnosed with diabetes and circulatory problems. He had recently undergone an abdominal surgery and admitted in the critical care unit. The site of the surgical wound is found to be moist and the dressing is secured by a tape. During his stay in the critical care unit, his level of consciousness is low and he moderately responds to touch. Further assessment reveals that Mr. L is developing a pressure ulcer and his caregiver has less concern for him.

Explanation of Solution

The student nurse cannot validate the rationale of the outcome as the patient died before best quality care is given. The only positive feeling the student had is that, at least she made some efforts to give care for the patient.

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. L.

Case summary:

Mr. L is a 52-year-old male patient who has been diagnosed with diabetes and circulatory problems. He had recently undergone an abdominal surgery and admitted in the critical care unit. The site of the surgical wound is found to be moist and the dressing is secured by a tape. During his stay in the critical care unit, his level of consciousness is low and he moderately responds to touch. Further assessment reveals that Mr. L is developing a pressure ulcer and his caregiver has less concern for him.

Explanation of Solution

• The patient should be given highest quality of care.
• Patient should be treated with respect and dignity.
• Nurse should have given proper attention to the patient.
• Nurse should not discriminate the patient based on their decreased consciousness and responded.
• Nurse must provide the patient with emotional support.