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.
![Check Mark](/static/check-mark.png)
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.
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.
![Check Mark](/static/check-mark.png)
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.
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.
![Check Mark](/static/check-mark.png)
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.
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.
![Check Mark](/static/check-mark.png)
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.
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.
![Check Mark](/static/check-mark.png)
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.
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.
![Check Mark](/static/check-mark.png)
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.
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.
![Check Mark](/static/check-mark.png)
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.
Want to see more full solutions like this?
Chapter 32 Solutions
NU 231 CUSTOM NURSING BUNDLE
- Identify Documentation of patient assessment data. Identify different types of progress notes such as DAR and SOAP. What do they mean? Is one better to use than the other? Please cite in text sources and list references.arrow_forwardWhy does a dietitian manager need to know about compliance with safety and sanitation standards in a facility and how it can impact their performancearrow_forwardWhy does a dietitian manager need to know about food labeling that shows prep date and use by date for foods and how it can impact their performance in a facilityarrow_forward
- Why does a dietitian manager need to know about dysphagia diets when operating a kitchen and how it can impact their performancearrow_forwardYou are ordering the chlorpromazine 50mg tablets to last the ward for a month. each cost £19.95 the ward needs 395 boxes. you have £6000 left in the ward budget for the rest of the supplies you need. 1) work out an estimate amount of money you have left. 2) is your answer to (1) an underestimated or overestimated? give a reason for your answerarrow_forwardNutrition CKD guidelines recommendations (put in table please)arrow_forward
- According to the sociocultural perspective, what is the focus of early communication for infants younger than 12 months? A) Sound B) Context C) Content D) Survivalarrow_forwardA patient is admitted to the medical floor in a health care facility. She is confused and won’t stay in her bed. The patient is placed in a room at the end of the hall away from the nurses station and she is not easily seen by staff. The patient continues to get out of bed without using her call light and eventually falls, resulting in an injury. Identify the risk management issue presented. Recommend how you would resolve the issue. Identify key points in your decision-making process that led you to your resolution. Explain how you would use at least 2 risk management tools to analyze, solve, or monitor the issue. Explain how you would work with the quality manager to address the issue. Describe challenges you foresee with the proposed resolutions.arrow_forwardTeach dialysis patients how to decrease phosphorus diet (paragraphs, not bullet points)arrow_forward
- Phlebotomy EssentialsNursingISBN:9781451194524Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)Publisher:JONES+BARTLETT PUBLISHERS, INC.Gould's Pathophysiology for the Health Profession...NursingISBN:9780323414425Author:Robert J Hubert BSPublisher:SaundersFundamentals Of NursingNursingISBN:9781496362179Author:Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.Publisher:Wolters Kluwer,
- Fundamentals of Nursing, 9eNursingISBN:9780323327404Author:Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNEPublisher:Elsevier ScienceStudy Guide for Gould's Pathophysiology for the H...NursingISBN:9780323414142Author:Hubert BS, Robert J; VanMeter PhD, Karin C.Publisher:SaundersIssues and Ethics in the Helping Professions (Min...NursingISBN:9781337406291Author:Gerald Corey, Marianne Schneider Corey, Cindy CoreyPublisher:Cengage Learning
![Text book image](https://www.bartleby.com/isbn_cover_images/9781451194524/9781451194524_smallCoverImage.gif)
![Text book image](https://www.bartleby.com/isbn_cover_images/9780323414425/9780323414425_smallCoverImage.gif)
![Text book image](https://www.bartleby.com/isbn_cover_images/9781496362179/9781496362179_smallCoverImage.jpg)
![Text book image](https://www.bartleby.com/isbn_cover_images/9780323327404/9780323327404_smallCoverImage.gif)
![Text book image](https://www.bartleby.com/isbn_cover_images/9780323414142/9780323414142_smallCoverImage.gif)
![Text book image](https://www.bartleby.com/isbn_cover_images/9781337406291/9781337406291_smallCoverImage.gif)