Introduction P.R. is a 34 year-old male from Guatemala who went to a lake for cliff diving. He dove off of a cliff 20 feet from the water, hitting a rock, and fractured his neck at C6. This left P.R. as an incomplete quadriplegic, with partial gross movement of his upper arms. P.R. is able to move his shoulders to slightly lift his arms, but has no movements in his legs or the trunk. P.R. requires total assistance for all activities of daily living, and is incontinent of both bowel and bladder function. He speaks primarily Spanish and cannot communicate in English. He is verbally abusive and becomes combative with care givers. He does not have family support in America and is having difficulty adapting to American foods. P.R. has …show more content…
is not receiving enough nutrients such as protein and vitamins that are crucial to wound healing, which impedes healing of the pressure ulcers (Myers, 2012). Last but not least, he has sexual dysfunction that can be detrimental to his psychosocial well-being. He is physically unable to achieve erection and orgasm. Appendix A is provided at the end of the paper to show an example of nursing care plan for physiological issues.
Psychosocial Issues Spinal cord injury is a sudden and devastating event for patients. The injury can be extremely debilitating and it may require a significant alteration in lifestyle post injury. P.R. has sustained a relatively high level (C6) spinal cord injury, which makes him very limited functional capacity. He will go through grieving process followed by anger for the loss of function and independence. This may be especially difficult for P.R. because he is a young man in his thirties who sustained a debilitating injury in a foreign country without any support from family and friends. Spinal cord injury has left P.R. unable to move his entire lower extremities and trunk muscles. He is unable to do the most basic activities, such as feeding and bowel movement without the help of a caregiver. For a young man who was active and completely independent, it is very difficult to accept this reality. It should also be noted that most of the nursing staff are females, which further damages his male ego for having total dependence.
My definition of nursing is that of someone who genuinely cares about the well-being of others and helps heal those who are ill. Nursing is both an art and a science because in order to understand a patients diagnosis you must know the pathophysiology and basic lab values. The science part of nursing allows us to make judgments on medication orders doctors prescribe, procedures, and practices. Art is also apart of nursing because as nurses we must have intuition, compassion, and warmth towards our patients. It is what allows us to therapeutically communicate with our patients. A person can have the science part, but not master the art and therefore, that person may be uncompassionate towards a patient. I have see nurses in clinical settings
The featured film documentary called ‘Murder Ball’ directed by Dana Ruben and Alex Shapiro focuses on Mark Zupan and Joe Soares life of a Quadriplegic person. I have responded to the main characters and their situations including how they make me feel about the lives of Quadriplegic people and how they deal with it during their lifetime. My overall impressions about Mark Zupan and Joe Soares lives as a quadriplegic has encouraged me to respond not to feel sorry for them but to gain respect and be inspired .I will be discussing the film techniques to support my ideas in the documentary.
He is total care with his ADLS, he is able to verbalized his needs but unable to perform them. He reports that he had a colostomy placed in 2011 and urostomy placed in 2014. His father provides hygiene care and changes for both his colostomy and urostomy bag. He has bilateral arm/hand contractures and he has gotten weaker. He is getting OT and PT from kindred home health. He uses a hospital bed with air mattress and his father changes his position every 3 hours. He reports pain in his legs and back that is constant, dull and aching. His pain is worse with movement and dressing change. His current pain level is 8/10 on a pain scale. His pain regimen consists of fentanyl 75 mcg patch every 72 hours and oxycodone 5 mg p.o every 6 hours as needed for breakthrough pain. He has been taking 2 prn doses daily because he did not want to run out of medication. He states that 2 prn dose is not effective in relieving his breakthrough pain. He previously was getting his medication from his PCP but since his condition has deteriorated his parent who are elderly is not able to get him to the
The Institute of Medicine has thoroughly analyzed the Future of Nursing and submitted report. The Institute of Medicine (IOM) is a nonprofit organization that works independently, provides unbiased and authoritative advice to general public as well as government. In this essay we would discuss about the significance of report and recommendations of IOM. In 2010 the IOM has advised the Government and the public by submitting an action -oriented blueprint and a detail report about the future of nursing in the country. The report has insisted the suitable changes needed for implementations.
In my last year’s placement I had the privilege of Interning at the Veteran’s Affairs in the Spinal Cord Injury clinic. In the SCI clinic I worked closely with Veterans who had experienced spinal cord injury, which resulted in permanent paralyses such as paraplegia or quadriplegia. Ms. Cynthia Jackson was one of my clients that had an enormous impact on me. Ms. Jackson is 55 year old African American. Ms. Jackson served in the United Air force in the late 1970’s post-Vietnam War and was based in Germany. While serving in Air force, Ms. Jackson severely injured her back in tanker truck accident which resulted in paralysis in her lower exterminates. Ms. Jackson is wheelchair bond due to her paraplegia, client was referred to the SCI clinic for case management and counseling services.
The article by Schindler, (2011) was chosen because of the clinical relevance to direct patient care and patients acquiring pressure ulcer. The articile was retrieved and summarized in the graphic below. Further research was collected to evaluate other aspects of the same interventions and a annotated bibiliography was created. The evience was reviewed for relevance and synthesized as it relates to nursing practice and acquiring pressure ulcers.
The medical field of nursing is based on servitude in God’s mission and through the means of compassion. Our missional goals must align with God’s (Wright, 2012). Nursing consists of care and compassion for the disadvantaged, weak, sick, and injured. This is in addition to the pursuit of high standards in professionalism, articulated in the delivery of a valuable service that is based on unique knowledge and experience, performed ethically, and practiced autonomously. The major characteristic of compassion is from God and how it relates to this world of professionalism is seen through nursing. Any job that advances God’s work in the world is a Godly choice (Col. 1:16-20).
Carole Lauren is a 44 year old mother of two, a wife, and a school teacher by profession. Her story began 21 months ago when she had a cerebrovascular accident that left her hemiplegic. Almost two years passed since the event. Carole regained most of the lost function in her left leg, ankle, and foot. However, she still has limited function in her left arm and hand. She also has difficulty organizing her thoughts and read her message from a paper. Her story is about a journey through the health care system.
Describe the definition of nursing as put forward by the American Nurses Association. How does it address the metaparadigm theories of nursing?
As a child, I dreamt of having a career in a medical field. Throughout my late elementary and middle school years, I wanted to become a Pediatrician. I remember this one memory from when I was younger. I was at a local Pediatric office getting my yearly checkup done and thought about how I wanted to be like Dr. Hletko (my family’s Pediatric Doctor). He has been my doctor since I was born. Anytime I was sick, he would be there to diagnose the problems and prescribed me my antibiotics to get better. Not only did he help me get better, but he also helped so many sick kids get healthy and I aspired to be like him one day. As I got older and started high school, I changed my career choice and wanted to become a Nurse Practitioner (APRN). APRN’s
Throughout the twentieth century, several critical factors had facilitated the emergence and development of four distinct roles in advanced nursing practice. Joined forces of medicine and nursing leadership have attempted to address health care crises by creating expanded roles for nurses (Asubonteng, McCleary, & Munchus, 1995, p. 3). Striving to eliminate the disparity, fragmentation, and sub-optimal care, nursing academia sought to prepare future nursing workforce, who would be able to work in “an autonomous and collegial way with physicians” to improve the quality and accessibility of health care (Stanley, 2011, p. 20). Ongoing changes in the delivery of health care, such as
The man who lost his body is a remarkable video about a man who had lost complete body movements due to nerve damage, and how he recuperate his body to perform normal task again. In the first half of the video the man explained how he was extremely angry and frustrated with the lack of knowledge doctors had about his condition. No matter what they did he could not get any help and he refused to live the rest of his life in a wheelchair. Due to this he decided to take manners into his own hands, and believed he could rebuild his damaged nerve.
This essay is going describe the skills that student nurses need to demonstrate to show that they have a clear understanding of good nursing practice. This essay will focus on four inter-related skills that complement each other in achieving goals (Barker 2007). The goal that these nursing skills seek to achieve is good nursing practice as according to Nursing and Midwifery Council’s (NMC 2008) mission of protecting the health and welfare of the public. NMC is the National Regulatory body that stipulates and regulates standards of education, training, and conduct of nurses and midwives throughout Great Britain and islands. They have published four core principles to ensure people are treated as individuals with respect and dignity
At Partner’s in Care, the services that are available to the elderly free of cost are put into action first. Second, they work under a grant from the Centers for Medicare and Medicaid Services to provide this program. Medi-cal also funds the MSSP
Mr. Perez has some challenges to face as he rehabilitates from his amputation and hospital stay. Now that he is at a rehabilitation center he needs to learn how to do tasks on his own after his amputation so that he can go home and take care of himself and his family. Mr. Perez is at risk for situational self-esteem and impaired physical mobility because of disturbed body image and musculoskeletal impairment. He faces a lot of changes in his life that he will have to deal with in the future because of his accident and amputation. (Doenges, Moorhouse, & Murr, 2013).