Post-Tonia Case Study

With the development of the nurses understanding, the nurse will be able to clearly communication across relevant information. This will promote patient participation (Tobiano, Marshall, Bucknall, & Chaboyer, 2016) and empower the patients voice by actively involving them in the decision-making process. Per the Health and Disability Act (1994, as cited in Medical Council of New Zealand, n.d) patients should have their treatment explained to them, including the benefits, risks, alternatives and costs; as well as having the option to change their mind at any time. This all contributes to the development of a partnership and ensures that the patient will cooperate with tasks at hand. However, the lack of communication with the patient regarding their treatment can cause severe anxiety and ultimately a breakdown in the trust between the patient and the nurse. The successful implementation of this in practice can be seen in an observational study conducted by Tobiano et al. (2016).

This made me nervous as to how I was going to communicate with her. My mentor stood back in order to allow me to administer the medications and I felt unable to ask the question, “How do I communicate with this patient?”

The nurse’s role would be to evaluate first the patient’s level of understanding of their disease. It is important to also include a patient’s support system when teaching. The nurse must give the patient information about his or her condition in a form he or she can easily understand so the patient can develop a genuine comprehension of the disease process. After the patient has a good comprehension of the disease, he or she can then apply this knowledge to his or her own situation. When this knowledge is applied to a patient’s own situation, the patient is then able to ask questions and form a new way of thinking about living with the disease. When these steps are accomplished, the patient will then be able to create a plan that would help in achieving his or her goals in regards to living with the disease process. As nurses caring for patients with chronic illnesses, recognizing where patients are at in their journey with learning about their chronic illness, and meeting them where they are will help when educating and guiding them to the next step.

Nurse’s care for several patients in a day and it is important to understand the patient as a whole person to treat them effectively. The purpose of this assignment is to explore a patient’s disease to understand the nursing judgments and interventions involved, the medications for this diagnosis, and to understand the disease. The patient described in this paper will be referred to as Jonathan to ensure patient confidentiality.

The first thing I will do in this situation is take the visitor aside and explain to him that this is not the right time to be talking about this subject. I will obviously stop the treatment and give time to my patient to process the incident and express his/her feelings if he/she wants to

The purpose of this paper is to conduct an in depth exploration of the nursing care considerations of patients in a specific clinical area. Through the synthesis of prior knowledge, clinical experiences and skills, evidence based best practices, and care of patients a comprehensive care and teaching plan will be composed. Integration of critical thinking and clinical reasoning skills, combined with evidence-based research will provide confirmation of nursing process comprehension. The inclusion of reviewed literature will further support knowledge and understanding.

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.

This assignment will reflect on the effectiveness of my clinical and interpersonal skills in relation to my position as a nurse in a busy critical care unit. It will primarily focus on one particular patient and the care they received by myself in their immediate post operative period. In accordance with the NMC’s code of professional conduct names will not be used to protect the patient’s confidentiality. NMC (2008).

Past Medical History: Although the patient is Hispanic, she can speak English and provides her history to the nurse. She reports that two weeks ago she was in the hospital for a femoralpopliteal bypass graft that was performed on her right leg. She noted some drainage coming from her incision and thought she should have it checked out. She has a history of diabetes, for which she takes insulin.

The best method for treating patients for nurses and any other medical professionals is to use Evidence Based Practice. This is because it brings together years of accurately recorded clinical knowledge from previous cases with will be relevant in the treating of your patient.

Mary is a 74-year-old female who suffers from mixed hyperlipidemia (E78.2), along with atherosclerotic heart disease, multiple aortocoronary bypass graft, and hypertension. Mary’s most recent lab results revealed triglycerides 115, HDL cholesterol 44 and LDL cholesterol 116, and total cholesterol 191. Mary has tried and failed various treatments including zetia and Lipitor, with her cholesterol level sub-optimally controlled. Mary’s LDL remains elevated, uncontrolled, and still, did not meet the criteria of being less than 70 in the presence of known cardiovascular disease. Repatha is Mary’s best treatment option at this time. Although, Repatha is not on your formulary, I am requesting an exception for coverage. Without this treatment,

RIPLEY stated VIRGIL GLISSON told her about his first victim, TONYA with last name of ROBERTSON or ROBINSON. VIRGIL GLISSON was approximately 19 years old and TONYA was approximately 14 years old at the time of an alleged sexual assault. TONYA was from New York, but now lived in Marion or Herrin, Illinois. RIPLEY stated VIRGIL GLISSON called her (RIPLEY) his victim, as well. RIPLEY stated she did not like VIRGIL GLISSON calling her a victim. RIPLEY stated VIRGIL GLISSON tried to talk her (RIPLEY) into a threesome with TONYA. RIPLEY stated she would not do it.

Using this example, we clearly see that the nurse asks the patient a direct and clear question so as to get information and in turn she gets a response. It is suggested that this is a good example of questioning and probing and it is recommended to be used again in future. To provide the most effective care possible, nurses must begin with clear and appropriate verbal skills such as being honest, being concise and keeping emotions out of the conversation (Apler, 2006).

Play is such an important part of childhood development, and for Rona, it would be best to work on allowing her to use play as a natural form of self-expression, play as a way to be open to change and ways to adapt to new situations, interpersonal/social aspects of play. The first goal probably would be best to work on in an individual session. I am going to make the assumption that Rona did not have the most secure attachments while she was living in group residence. Because of this, it most likely influenced her ability to form relationships and she was unable to gain a true sense of “I-ness.” In an individual therapy session, the therapist can work with Rona to work on expressing herself through the use of play and be comfortable with her own emotions.

As nurses we deal with several different patients in a day and it is important to understand the patient as a whole person to treat them effectively. The purpose of this assignment is to explore a patients disease to understand the nursing judgments and interventions that go with this patient, to understand medications for this diagnosis, and to understand the disease the patient was diagnosed itself. The patient described in this paper will be referred to as Jonathan to ensure patient confidentiality.