Nursing Case Study 1

Nursing care is a dynamic field of practice. The way it looks today is far out greater intense and very structured. It advances itself by the use of nursing theories and evidence based practice. Policies and procedures constantly change with the advancement of technology and science. While caring for the patient in the given case studies, a nurse involved utilizes practical knowledge, a culture care model and transpersonal caring relationship to attain a caring environment (Smith & Parker, 2015).

The aim of this study is to provide a detailed account of the nursing care for a patient who is experiencing a breakdown in health. One aspect of their care will be discussed in relation to the nursing process. The model used to provide an individualised programme of care will be discussed and critically analysed.

1. The nurse is asked to implement a new, complex, and invasive procedure and is concerned that this may violate the state’s nurse practice act.

The two major ethical considerations that are important to address are 9.02 - Use of Assessments and 9.06 - Interpreting Assessment Results. 9.02 - Use of Assessments is particularly important because the psychologist must consider the individual’s language preference and competence. As was noted in the initial case description, Brandon’s parents are both Polish immigrants, and Brandon spoke Polish in home until he attended junior kindergarten. Although he may not have an accent, his language preference should be noted as English may not be the language he is more comfortable using. 9.06 - Interpreting Assessment Results should also be considered. Brandon’s test-taking abilities should be highlighted, as he is suspicious and ambivalent towards the psychological testing. These feelings may negatively affect his test scores, as he may try to either hide how he truly feels, or lie to make himself seem better or worse. It should also be noted that there could be other client characteristics that affect his scores as well, particularly cultural factors.

CHIEF COMPLAINT: This is a post op note from a procedure performed July 21, 2015 by David Lin, MD.

Mrs. Wilson is seen in her room at Glenbridge Nursing Home on 02/28/2018. She had an episode last night of chest pain. She is so ebullient and distracted that it is hard to get a straight history, it came on when she was asleep but she may been sitting up. She was seen by a nurse, a sat was taken. I am not sure if there were other orders taken, but there is none on the chart. She says that she spent most of this morning in the bed and still feels tired, but she does not think she broke out in a sweat. She was more short of breath. She is calling it is a "stroke." I had tried to begin tapering her diazepam by discontinuing the morning dose and apparently all daytime clorazepate was discontinued by error and she gets it only at night.

Pt is a 15 y/o biracial female that presented at NNBHC by her father with a dx of persistent depressive disorder with intermittent major depsressive episode, with current episode, severe; rule out PTSD, chronice; marijuana use disorder, mild; and parent child relational problems. Pt presents appropriately dress, pt eye contact was poor. Throughout the assessment the pt demonstrated intermittent of tearfulness. Pt expressed that she have been feeling worthless, helplessness, and hoplessness. Pt describe that since her mother died she has not seen any motivation for living. Pt states that she has been feeling suicidal for weeks, however lately it has became more intrusive. Pt states that she has a plan to either overdose

The road of a Nurse Practitioner has multiple educational stages including organizations that help the students interested in this field. These professional organizations have played a huge role in supporting their members and the institution they work for. For instance, these organizations use a variety of activities such as communication, education, recognition, advocacy, and research to develop a sense of leadership while making the students able to make decisions that will improve the quality of the healthcare practice. There are many organizations that work on the growth and quality of the healthcare service, however, the following not only are on the top of the list but they also are specifically dedicated to the role of a Nurse Practitioner. A well-known national professional organization that supports the development and encourage leadership skills for the Nurse Practitioner students is the American Academy of Nurse Practitioners (AANP). The American Academy of Nurse Practitioners or (AANP) is the only full-service national professional membership organization for nurse practitioners of all specialties, without mentioning that it is the largest one. As a student, the enrollment

1. Monitor the patient's oxygen saturation frequently (once per hour) at rest and after exertion on room air

----- Clinic presents a black male 68 years old. Currently experiencing dyspnea and lethargy. For the past week he has been having a increase of difficulty breathing. Complains of alternating periods of sweating and chills. Other symptoms he has been experiencing is a productive cough with expectoration of thick yellow sputum. Patient is a ex- smoker, he was a 40 pack year history, denies smoking, stopped over 10 years ago. Medical history includes chronic bronchitis, hypertension, MI five years ago, has had a angioplasty, and denies chest pain since having angioplasty. Current medication combined albuterol/ipratropium MDI, nebulized albuterol prn, captopril, and hydrochlorothiazide.

Respond to 11 questions to guide your description of the ethical challenge and prompt what you might say and do to make a values based decision. Follow the steps on the rubric to define the conflict, discuss what is at stake, define arguments you have to counter, and indicate responses that create a sound argument. The logistics of presenting your argument ask that you identify who, what time, allies, forum, communication style and support you will solicit when presenting your case.

The patient is an 84-year-old female who did stop her iron supplement, which she was taking for a history of iron deficiency anemia thought related to a Mallory-Weiss tear, which was seen on an EGD done in February 2015. Her hemoglobin and hematocrit had been stable. Because of her symptoms, I did ask her to stop the iron supplement. She does tell me her abdominal pain, increased stooling did go away, since that time, although, she does state today that several weeks ago she did have one further episode of it, but none since that time.

Donna is a registered nurse in the emergency room at Clinton Hospital. She actually went to West Boylston for high school and so did her kids. When she was fifteen she worked as a candy striper at Memorial where she wore a pink dress and pushed a cart with magazines and other stuff on it through the hospital and into the patients’ rooms for them. They don’t do that anymore due to HIPPA but my mom said she used to do it too. Donna then went on to become a CNA (certified nurses aid) at Oakdale for three years. She told me the woman who worked there was very caring and good at what she did. She would make all the meals homemade and gave the place a “homey” feel. The woman had liked Donna a lot and ended up giving her a small scholarship for college. This boosted her confidence since someone believed in her. Donna told me she didn't have a very good

Mrs. P is a 78-year-old lady with asthma, chronic obstructive pulmonary disease (COPD), a history of myocardial infarct and stroke with no residual deficit. She has been a known hypertensive, has gout, and previously found to have multiple gastric ulcers with no suspicious features, which are likely NSAID induced. She has a long-standing urinary incontinence and has been living in her home, before she became unwell, hospitalized and eventually moved into a rest home.

Case Study 1: In case study one, the first unethical issue I spotted in the case study was the staff was required to administer the test, there was no consent or choice given to them. Also, the residents did not get a choice to take the test. The ethical principle that was violated was the informed consent. Also, the ethical principle of explaining assessment results to the residents after taking the test was violated because they were not informed as to why they were taking the test and what the results were and mean. Also, when the tests were done being administered to the residents the tests results were posted on the door of the administrator’s office where the results were out in the open and unprotected, for everyone to see. Another ethical violation is the principle of release of