Concept explainers
To discuss:
How and why would the student nurse respond to this situation?
Case summary:
The nursing student is caring for a 67-year-old female patient Mrs. G, who is admitted in a long-term care facility for the end stages of advanced dementia. The patient cannot able to swallow and has a record of aspiration pneumonia and several hospitalizations in the past year. For the past six weeks, the patient is given enteral feeding from percutaneous endoscopic gastrostomy tube (PEG). The family of Mrs. G is very devoted to her and visits her daily in the long-term facility. The patient’s Husband Mr. G asked the student nurse, if we withdraw the tube she will be starved to death, isn’t she?. The student nurse have not got such experiences and don’t know how respond to the patient’s husband’s query.
Explanation of Solution
The student nurse must be truthful to the patient’s husband that she still have not got that much experience and she ensures to refer him to her charge nurse, who got experiences in this field.
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 67-year-old female patient Mrs. G, who is admitted in a long-term care facility for the end stages of advanced dementia. The patient cannot able to swallow and has a record of aspiration pneumonia and several hospitalizations in the past year. For the past six weeks, the patient is given enteral feeding from percutaneous endoscopic gastrostomy tube (PEG). The family of Mrs. G is very devoted to her and visits her daily in the long-term facility. The patient’s Husband Mr. G asked the student nurse, if we withdraw the tube she will be starved to death, isn’t she?. The student nurse have not got such experiences and don’t know how respond to the patient’s husband’s query.
Explanation of Solution
The nursing student still not an Advance Practice Registered Nurse (APRN) to become nurse counselor or a charge nurse to handle this situation or to give counselling to the patient’s family. The student nurse needs more knowledge and experience to handle and explain these type of situations.
To discuss:
Whether to agree with the nursing student’s criteria to evaluate successful outcome?
Case summary:
The nursing student is caring for a 67-year-old female patient Mrs. G, who is admitted in a long-term care facility for the end stages of advanced dementia. The patient cannot able to swallow and has a record of aspiration pneumonia and several hospitalizations in the past year. For the past six weeks, the patient is given enteral feeding from percutaneous endoscopic gastrostomy tube (PEG). The family of Mrs. G is very devoted to her and visits her daily in the long-term facility. The patient’s Husband Mr. G asked the student nurse, if we withdraw the tube she will be starved to death, isn’t she?. The student nurse have not got such experiences and don’t know how respond to the patient’s husband’s query.
Explanation of Solution
The nursing student did a corrective action of referring the patient’s husband to the charge nurse. Since, the student nurse knows it is unethical to provide the patient’s family with wrong information and patient’s safety shall be compromised.
To discuss:
Whether there are any alternative criteria that is appropriate to use?
Case summary:
The nursing student is caring for a 67-year-old female patient Mrs. G, who is admitted in a long-term care facility for the end stages of advanced dementia. The patient cannot able to swallow and has a record of aspiration pneumonia and several hospitalizations in the past year. For the past six weeks, the patient is given enteral feeding from percutaneous endoscopic gastrostomy tube (PEG). The family of Mrs. G is very devoted to her and visits her daily in the long-term facility. The patient’s Husband Mr. G asked the student nurse, if we withdraw the tube she will be starved to death, isn’t she?. The student nurse have not got such experiences and don’t know how respond to the patient’s husband’s query.
Explanation of Solution
- The nursing student could asked the patient that she will be back after finding out about his query. The nursing student could have researched, or asked her senior nurses to gain knowledge.
- The student could have requested an ethics consultant regarding the husband’s query.
To discuss:
Whether the nursing student meet her criteria?
Case summary:
The nursing student is caring for a 67-year-old female patient Mrs. G, who is admitted in a long-term care facility for the end stages of advanced dementia. The patient cannot able to swallow and has a record of aspiration pneumonia and several hospitalizations in the past year. For the past six weeks, the patient is given enteral feeding from percutaneous endoscopic gastrostomy tube (PEG). The family of Mrs. G is very devoted to her and visits her daily in the long-term facility. The patient’s Husband Mr. G asked the student nurse, if we withdraw the tube she will be starved to death, isn’t she?. The student nurse have not got such experiences and don’t know how respond to the patient’s husband’s query.
Explanation of Solution
The nursing student did meet her criteria by referring the patient’s husband to the charge nurse who has experience and knowledge in these types of issue and she will certainly guide the patient’s husband.
To discuss:
The knowledge, skills, and attitudes needed by nursing student to develop to continuously improve quality and safety in a situation for patients like Mrs. G?
Case summary:
The nursing student is caring for a 67-year-old female patient Mrs. G, who is admitted in a long-term care facility for the end stages of advanced dementia. The patient cannot able to swallow and has a record of aspiration pneumonia and several hospitalizations in the past year. For the past six weeks, the patient is given enteral feeding from percutaneous endoscopic gastrostomy tube (PEG). The family of Mrs. G is very devoted to her and visits her daily in the long-term facility. The patient’s Husband Mr. G asked the student nurse, if we withdraw the tube she will be starved to death, isn’t she?. The student nurse have not got such experiences and don’t know how respond to the patient’s husband’s query.
Explanation of Solution
- The nursing student should ensure that patient’s needs are meet.
- The nursing student should have good communication skills to interact and give counselling to the patient’s family.
- The nursing student should ensure that the patient’s safety is not compromised by providing unethical answer.
- The nursing student should fully competent in the field she gives care to the patients.
Want to see more full solutions like this?
Chapter 36 Solutions
EP CPE+TAYLOR FUNDAMENTALS OF NURSING
- Explain the BEINGS model of disease causation. The acronym “BEINGS” stands for biological, environmental, immunological, nutritional, genetic, and social factors.arrow_forwardDescribe the effects of antimicrobial resistance and the practices promoting development of antimicrobial resistance.arrow_forwardMrs Dolphin was rushed to your hospital with history of been collaped while performing her office work. After a thorough assessment and history taking of her previous activities, a diagnosis of "Stress induced sickness" was made on her. Write comprehensively on her condition using the following guidelines: 1. Introduction/Definitions 2. Stress and function 3. Common reactions to stress 4. Dynamic balance of stress 5. Stressors and its types 6. Stress as a stimulus for disease and its responses 7. General adaptation syndrome and its phases 8. Medical and Nursing Management of Stressarrow_forward
- Don't give AI generated solution otherwise I will give you downward Correct answer with explanationarrow_forwardHello, Using the next webside, can you please help me to answer next question? If practice as a nurse in Indonesia. What insights do you have after taking a Microbiology class? How could you apply the knowledge you have gained in this course to address the healthcare needs of this country's population? Are there any specific infections or infectious diseases that are prevalent in this country? www.who.int/gho/countries/en/ Thank you in advance!arrow_forwardDon't give AI generated solution otherwise I will give you downward Sophia, a 3-week-old infant, is brought to the pediatrician by her parents with concerns about feeding difficulties and persistent constipation since birth. The parents report that Sophia has never passed a stool without the aid of laxatives, and when she does, the stool is small, hard, and infrequent. They also note abdominal distension and occasional vomiting after feeds. Sophia is referred to a pediatric surgeon for a rectal biopsy that reveals the absence of ganglion cells in the affected segment of the rectum. What complex disorder does Sophia suffer from? Group of answer choices Hypothyroidism Hirschprung disease Anorectal malformation Small colon syndrome Give correct typing answer with explanationarrow_forward
- Don't give AI generated solution otherwise I will give you downwardarrow_forwardWrite on Hyponatraemia using the following guidelines: • Introduction/Definitions • Causes • Pathophysiology • Clinical Manifestations • Assessment and investigations required • Medical Management • Preventive Measures • Nursing management with the use of nursing processes and nursing diagnoses.arrow_forwardDon't give AI generated solution otherwise I will give you downward Explain how inclusive practice and cultures promote equality, diversity, inclusion and human rights [ please explain in paragraph] Give Correct typing answer with explanationarrow_forward
- Medical marijuana explain how it relates to health policy. Discuss how changes in policy could reduce the impact or risk to communities within the context of the issue selected.arrow_forwardHello, Can you please tell me what would be a take-away and how it can be applied to my practice as a nurse from the next video about hospiece? https://vimeo.com/234538482 Thank you in advance!arrow_forwardHello, Can you please help me to explain how palliative care could be helpful to Jose’s family in the situation you learned about (fron the next video). https://vimeo.com/236175107 Thank you in advance!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