Assignment On Ways Of Knowing

According to Carper, one pattern described in the pattern of knowing is aesthetics. Aesthetics is essentially empathy, or having the capacity to understand what another person is experiencing (Carper, 1978). Aesthetics is purely subjective, exclusive, and open to interpretation. “Aesthetics require from the nurse to be fully engaged in the moment of the experience and interpret a client situation all at once by elucidating the meaning of the process and looking beyond the situation to focus on what might be (envisioning), so as to act according to what has been envisioned (Mantzorou & Mastrogiannis, 2011, p. 253). In essence, aesthetics is the process of nursing that involves caring for our

“It isn’t fair. I’ve worked so hard all my life, I don’t deserve this,” thought Mrs. Ross as she looked down at her right leg where a large wound gaped open. Two weeks ago, she had a femoral-popliteal bypass, which got infected. The wound was opened up and was healing slowly by secondary intention. It was painful, raw, and frightening. She put a hand on her chest and raised the head of the bed higher so she could catch her breath and stare out the window.

Carper (1978) identified four fundamental patterns of knowing which are (1) empirics, or the science of nursing; (2) personal knowledge; (3) esthetics, or the art of nursing; and (4) ethics, or the moral component of nursing. The purpose of this discussion is to explain how each pattern of knowing affects this author’s practice, and to identify the author’s preferred paradigm and provide justification for choosing this paradigm.

For the purpose of this assignment the patient will be given the pseudonym Susan to protect her privacy and confidentiality in line with the guidelines set out by the Nursing and Midwifery Council (NMC) (2015).

Also another serious complication of CAUTI is BSI (Blood stream infections) that can be fatal if not caught and treated promptly. “The Clinical Performance of Quality Health Care, along with Joint Commission” offers standards and objectives for facilities to assess measure and improve their standards at the lowest cost possible. The database covers nursing care and education, along with guidelines on prevention. Moreover the JCAHO regulatory standards for catheterized patients are explained and the documentation that is expected when JCAHO inspections are rendered in a facility. The source “Stop orders to reduce inappropriate urinary catheterization in hospitalized patients” states that by following standard precautions with every patient these infections can be prevented. . Also the source explored whether catheters should be used at all in an effort to decrease the incidence of CAUTI’s. Intermittent catheterizations along with supra-pubic were explored with a decreased incidence of bacteria being present in the bladder afterwards. The source “Strategies to prevent catheter-associated urinary tract infections in acute care hospitals” offered ways of cleansing and disinfecting the skin before insertion to reduce the risk of infection. Many CAUTI’s are linked to bacteria harboring in or around the site at insertion. By using not only aseptic technique but also cleansing the skin with chlorhexadine can decrease he incidence of infection

The patient did have black soot around his nose and mouth. Thats when first responders started manual ventilation's via BVM and 02 at 15 LPM. At this time Medic 1 assumed patient care. Medic 1 assigned first responders to obtaining vitals signs that are stated in the vital section of the report. It was at this time that Medic 1 applied a OPA after first measuring on what size to use. First responders also applied fast patches to the patients right upper chest and left midaxillary line At this time Medic 1 assigned first responders to start chest compressions a 15:2 ratio. Medic 1 at this time started a IO in the patients plateau region of the right leg. The Plateau region is inferior and lateral to the knee cap. At this time Normal Saline bolus was started with a 60 drop per ML set. Medic 1 found the patient to be in a sinus rhythm At this time miscommunication with Medic 1 and first responders happen with chest comparisons started. We then secured the patient on the cot via 4 straps and transported a code red patient to the nearest hospital. While enroute to hospital radio report was given with chief compliant and treatments listed in the appropriate category of the report. Vitals was continued to be taken every 5

On May 11,2017, beginning of lab, students were given an unknown fluid along with a patient’s background information. A physician has recently inserted a urinary catheter into 62-year-old Steve’s bladder. After a month, Steve has

The patient will require surgery to repair the hole in the intestines, and subsequently will have a drainage tube, NG tube, and feeding tube. All drains will need to monitored for placement/movement, and drainage. Input and output will be closely monitored and recorded. The patient will remain on NPO, or nothing by mouth, to rest the bowels along with frequent assessments to monitor for infection and bleeding. The nurse will need to monitor for bowel sounds, vital sign changes, temperature changes, pain, abdomen girth, and wound/incision inspections. The following labs will require monitoring: CBC, H&H, albumin, BUN & creatinine, glucose, and ABG’s and lactic acid if sepsis is suspected. Careful and frequent monitoring of labs will alert the nurse if the patient develops sepsis, or hypovolemia due to excessive bleeding (Belinhof, et al., 2012). In addition to vital signs and labs, the nurse will also include patient assessment into consideration before drawing conclusions by means of critical thinking. After the full assessment has been made, the nurse will report any findings to the health care provider that require further investigation or

Jones arrived at the operating room at 0745 hrs. Patient was transferred to OR table with arm boards at a 90-degree angle and shoulder braces. Anesthesia administered general anesthesia at 0800 hrs. Anesthesia intubated patient at 0810 hrs. Hair was removed from perineum prior to skin prep. A catheter is inserted into the urinary bladder, the bladder is irrigated. Skin was prepped with Chloraprep from nipple to mid-thigh, and allowed to dry for 5 minutes. He was draped with cuffed towel and an impervious sheet under the scrotum, folded towels, sheet with an aperture, laparotomy sheet and an individual drape sheet. First count with surgical technologist and circulator is accurate.

At this point in time, I feel that the patient is gravely disabled, that he cannot provide food, shelter, or clothing for himself nor make decisions in regard3 to his medical or financial affairs in his best

For instance, there are many different types of infections that occur in the intensive care unit (ICU), as well as various methods of prevention that patients, visitors, providers, and other hospital staff can practice. Of the many different types of infections that occur in these critically ill patients, catheter-associated urinary tract infections (CAUTIs) and central line-associated bloodstream infections (CLABSIs) are two of the most serious infections, and they also happen to be the most

At this time the client is suggesting that he no longer wants to be on any type of life support. As a social worker I would suggest a meeting with the family to discuss if it is beneficial for Roger to continue treatment. I would also need to find out if Roger and his family are deeply religious. Its possible that Roger or his family may have some deeply religious and moral issues they are dealing with at this time. Either way, the decision made will have a direct bearing on the patient’s quality of life. Roger cannot talk or eat. And getting nourishment from feeding tubes and IV’s is not the same as eating or having something to drink. Opting for artificial life support may come with unintended consequences and may lead to preventable suffering near the end of

The patient is a 45 year old man who had GI surgery 4 days ago.  He is NPO, has a nasogastric tube, and IV fluids of D51/2saline at 100 mL/hr.  The nursing physical assessment includes the following:  alert and oriented; fine crackles; capillary refill within normal limits; moving all extremities, complaining of abdominal pain, muscle aches, and "cottony" mouth; dry mucous membranes, bowel sounds hypoactive, last BM four days ago; skin turgor is poor; 200 mL of dark green substance has drained from NG tube in last 3 hours.  Voiding dark amber urine without difficulty.  Intake for last 24 hours is 2500mL.  Output is 2000mL including urine and NG drainage.  Febrile and diaphoretic; BP 130/80; pulse 88; urine specific gravity 1.035; serum

Ms. T was my patient on prior admissions, and had been hospitalized numerous times for being septic, due to the many complications she endured post total pelvic exenteration. This

An example that shows that art uses various ways of knowing is Frida Kahlo’s painting “A self-portrait with cropped hair.” This painting shows Frida Kahlo sitting on a chair with a very sad, disappointed and angry look on her face. She is wearing men’s clothes and looks as if she had just cut her hair very short as there are pieces of hair in the floor and a pair of scissors. At the top of the painting it says “look if I loved you it was because of your hair. Now that you don’t have any hair I don’t love you anymore.” Frida Kahlo used her emotions of sadness, disappointment and anger that were based on her unfaithful husband to do this painting . These strong emotions were the starting point for this work of art. Imagination was then used