Chapter 29, Problem 5RP

Summary Introduction

To discuss:

The information that should be electronically documented regarding the nursing student interaction with Mr. R?

Case summary:

The nursing student on the level II ICU is assigned to care for a middle-aged male patient Mr. R. The patient has a history of long-term resident in the hospital due to his extensive medical history like paraplegia, several surgeries, gunshot wounds, and bilateral amputations. During his stay in the hospital the staffs know him for his manipulative difficult behavior. The student nurse cared for him after a post-operative surgery for urinary diversion. The patient is assigned at NPO for the next two to three days and the patient is hungry and demand food and fluids from the student nurse. The student really do not know much why the patient is kept under NPO after surgery. The student explains that his bowel is affected by anesthesia and cannot intake food. The patient is not happy with the explanation and sits with a lunch tray by demanding to other nurses when the student nurse returned from the lunch break.

Summary Introduction

To discuss:

Whether there is better way to describe this patient or is “noncompliant” is appropriate?

Case summary:

The nursing student on the level II ICU is assigned to care for a middle-aged male patient Mr. R. The patient has a history of long-term resident in the hospital due to his extensive medical history like paraplegia, several surgeries, gunshot wounds, and bilateral amputations. During his stay in the hospital the staffs know him for his manipulative difficult behavior. The student nurse cared for him after a post-operative surgery for urinary diversion. The patient is assigned at NPO for the next two to three days and the patient is hungry and demand food and fluids from the student nurse. The student really do not know much why the patient is kept under NPO after surgery. The student explains that his bowel is affected by anesthesia and cannot intake food. The patient is not happy with the explanation and sits with a lunch tray by demanding to other nurses when the student nurse returned from the lunch break.

Summary Introduction

To identify:

The essential information that should be noted in the Mr. R’s electronic record to support safe patient care?

Case summary:

The nursing student on the level II ICU is assigned to care for a middle-aged male patient Mr. R. The patient has a history of long-term resident in the hospital due to his extensive medical history like paraplegia, several surgeries, gunshot wounds, and bilateral amputations. During his stay in the hospital the staffs know him for his manipulative difficult behavior. The student nurse cared for him after a post-operative surgery for urinary diversion. The patient is assigned at NPO for the next two to three days and the patient is hungry and demand food and fluids from the student nurse. The student really do not know much why the patient is kept under NPO after surgery. The student explains that his bowel is affected by anesthesia and cannot intake food. The patient is not happy with the explanation and sits with a lunch tray by demanding to other nurses when the student nurse returned from the lunch break.