Chapter 38, Problem 1CAQ

Summary Introduction

To determine:

Discuss the various stressors that required to be considered when evaluating the person (S) and (J) situation.

Concept introduction:

The nurse meets the person (S) and (J) during their second visit to the Cancer Center and noticed that the person (S) is well groomed. The person (S) is not disheveled as she was during the last visit. Both the people are able to down and talk to one another about the various treatment options. Because both are here today to finalize their decision. Although (S) appears calm today (J) is worried about her emotional status and impact caring for him during treatments will have. Discuss the various stressors that need to be considered when evaluating their situation.  

Explanation of Solution

The patient who is recovering from the stress feels better and reports to the nurse good when the stressors are completely gone. In the given case, both the person is coming to finalize their treatment options. In this situation, the patient should be evaluated for the presence of recurring or new stress-related symptoms. During the evaluation, the nurse should include the perception of the patient.

During the evaluation of the patient, the nurse should ask the following:

1. 1. The nurse asks the patient about the ability to concentrate, appetite and sleep pattern.
2. 2. Feelings about coping strategies which is being used and determining their effectiveness.
3. 3. The most important is comparing the present feelings with behavior that occurs 6 months ago and the person reports good only if the desired outcome has been met 6 months ago.

In the given case, the person (S) appears nervousness because of feeling good but (J) is worried about her emotional status. In this situation, the nurse should ask the expectation of the patient that is being met and also determine the changes in the care promotion for the adaptation to stress. Displaying the integrity in evaluating nursing intervention also helps to reduce the patient emotional status.

Conclusion

An important and essential part in the process of evaluation is determining the patient expectation from the nurse has been met by collaborating and discussing any revision in the care plan also step to address the patient expectation.