Nursing Case Study Essay

Thinking is the only way for her to find comfort when she believes all else has failed for her. Her thoughts are not concrete items that she knows happened, but instead her thoughts are the way she lives her life peacefully. It is the way she deals with isolation mentally and

She discussed how she does have a clear life goal. She attributed some of her anxiety to a lack of direction in life.

Lizzie made slight progress with improving her emotional and behavioral regulation, as indicated by Lizzie’s mother learning how to managing her behavior using positive disciple to reduce the tantrums and negative

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.

Midway during my first semester of nursing school I found out that my former husband was dying of cancer, specifically CLL- Chronic Lymphatic Leukemia; I was torn between the rigors of nursing school and doing what was best. Despite our shortcomings and however frightful our divorce was many years ago, I decided to care for him during his dying days. I felt that it was the right decision and my moral obligation to “do the right thing”; it was in my heart and for my children.

My practicum setting will be an associate degree nursing program, Joliet Junior College (JJC), one of the oldest community colleges in Illinois. The mission of the school is focused on offering students an affordable, accessible valued education for a lifelong profession in nursing, and to serve the community (Joliet Junior College [JJC], n. d.). Accordingly, the school’s philosophy is based on preparing students to be exceptional providers in the growing healthcare system, providing safe and high quality care (JJC, n. d.). The foundation of the JJC nursing program is based on four major principles: client, environment, health and nursing (JJC, n.d), while their conceptual framework is grounded in the fundamental structure of three major theories which forms the basis of the concepts, skills, and principles of the nursing practice (JJC, n. d.). The three major theories are: Maslow’s Hierarchy of Needs, Levels of Prevention and the Nursing Process (JJC, n.d.). Joliet Junior College nursing school offers a competitive program and combines the traditional classroom experiences, in-class high-fidelity simulations labs, online augmentation theory lectures, and clinical experiences in health facilities throughout the community (Joliet Junior College [JJC], 2016).

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.

Potential barriers that may affect progression in JB’s recovery is trust. JB has a hard time trusting others who are being nice to her. She thinks negatively when others try to help her and does not believe their act of kindness is genuine. This causes JB’s anxiety to heighten and cause her to shut down. Staff will continue to encourage JB to allow small gestures of kindness from others by using positive reinforcement. Positive reinforcement is a part of operant conditioning which involves reinforcing stimulus following a behavior that makes it more likely that the behavior will continue again.

In order to help Carla with her symptoms of psychopathology, it would be essential to utilize her personal strengths and implement several interventions to contribute towards her healing process. Out of many of her strengths, Carla has demonstrated “commitment” as a strong strength of hers. For she has been devoted to her family, religious ministries and the PTA organization during her season of inner struggles. This strength of “commitment” gives her the opportunity to follow through with interventions.

According to Hall and Ross-Kerr (2006) teaching is an interactive process that promotes learning. Generally, teaching and learning begin when a person identifies a need for knowing or acquiring an ability to do something. A nurse, who embodies the role of a teacher provides information that prompts the client to engage in activities that lead to desired change. Teaching is most effective when it responds to the learner’s needs (Potter, Perry, Ross-Kerry, & Wood, 2006, p. 318). In this paper I will include an assessment of the learner, teacher, and resources with a teaching plan. I will provide evidence of implementation along with discussion of teaching material used in the presentation, including the rationale for its use. The paper will

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.

The integration of multicultural issues with the current educational structure needs to be met with caution and the upmost care is one of the messages I got from our class and it’s true. These decisions can cause irreparable damages to the students’ lives and could further distance the divide between achieving cultural understanding and continual ignorance. However, if certain components are taken into consideration, there is hope for a bright and culturally-rich future. First, there are various multicultural issues including stereotype threat and the lack of conversation about race and culture at a young age that should be addressed. Secondly, understanding the power of open-discussions with multicultural issues for I experienced it first-hand

This question can be seen as a follow up question of the first. If there are any negative aspects she sees in life, this question will present the details.

The main focus of this essay has to be on the three ‘core conditions’, as utilised by the counsellor to promote a positive movement in their client’s psychology. They are intended for maintaining a focus on the client’s personal growth, and detract from the therapist’s own outside world. The three core conditions are the professional apparatus or tool-kit of the therapist, and the use of each is a skill in itself but the combined forces of all three in an effective manner requires an abundance of skill or experience. These are, as have already been mentioned, congruence, unconditional positive regard and empathy. They are separate skills but are intrinsically linked to each other. If used correctly, they can guide the client to a state of self-realisation, which could lead to the development of a healing process.