CASE SCENARIO Client Narrative: Helen Hill, a 35-year-old graphic designer of Irish-Canadian heritage, has navigated the challenges of Graves' Disease for over five years. Initially diagnosed, Helen weighed approximately 68 kg. Over the years, despite maintaining a relatively stable diet, she has experienced unintentional weight loss, a common symptom of her condition, bringing her current weight down to 49 kg. Standing at 1.68 meters tall, her Body Mass Index (BMI) has shifted from a healthier range to a lower one, indicating significant weight loss. Helen is a graphic designer and her career as a graphic designer demands precision and creativity. Yet her hand tremors and fluctuating vision have introduced barriers she continuously strives …show more content…
The most crucial data included her diagnosis of Graves' Disease, significant weight loss, unstable blood pressure, and the impact on her lifestyle and mental health. This data guided our focus, emphasizing the urgent need to manage her malnutrition and blood pressure fluctuations due to their immediate threat to her well-being and potential long-term complications. We determined our concerns based on the severity and direct impact of each issue on Helen's health and quality of life. The process for identifying nursing diagnoses and SMART goals involved collaborative brainstorming, evidence-based research, and applying our clinical knowledge to ensure goals were specific, measurable, achievable, relevant, and time-based, focusing on realistic outcomes within Helen's context. Interventions were selected through thorough research and discussion, considering the most current guidelines and Helen's unique needs. We prioritized concerns based on the potential for immediate harm and the foundational role of nutrition and stable blood pressure in overall health, categorizing them from high to medium priority accordingly. Engaging with a real client like Helen involves active listening, empathy, and collaboration to incorporate her preferences and desired outcomes into the care plan. This ensures the plan is person-centered, enhancing adherence and effectiveness by aligning with her values and lifestyle
...h the multidimensional challenges associated with Graves’ disease. However, empowerment and supporting the patient’s self-efficacy to diminish feelings of hopelessness, helplessness, and cultivate new habits and/or attitudes will ameliorate coping capacity. An encouraging, supportive environment that will capitalize on success and self-esteem with informal support will heighten positive functioning.
Post weights above estimated dry weight, and elevated blood pressure are two significant risks associated with hospitalizations. The registered nurse, dietician, and social worker are expected to meet once per week as an effort to collaborate and prevent hospitalizations and negative outcomes. Human resource expresses the importance of interdisciplinary communication by mandating conference calls that discuss facility outcomes. Discussions are centered upon dialysis access, nutrition, and fluid management, infection control, near misses, and medical error to name a
During my career as a registered nurse I have had the privilege of caring for my patients at the bedside and meeting their needs holistically. Additionally, the safety of my patients is one of the most important aspects of my current role. The experience of advocating for my patients during my nursing career has taught me to place my patient’s health and wellbeing first. The second most important aspect of nursing that I have learned during my career is how to meet my patient’s needs as a whole, not just physically but also emotionally and psychologically applying the holistic approach to each patient. I believe that the patient’s needs
at the orphanage, I was able to help build a sidewalk and a garage for
The patient, LL, is a twenty four year old female who was diagnosed with obsessive-compulsive disorder five years ago. Around the ago of eighteen, LL started to experience many symptoms of obsessive-compulsive disorder. She had just started her freshman year at a local college and moved into the dorms with a random roommate. LL was constantly washing her hands and grossed out by the germs, so she came to realize she had a phobia of germs. She would begin sweating and having major anxiety when people went to shake her hand or her roommate would touch her food or any of her things. LL started skipping class and isolating herself in her room in order to avoid contact with other people. When her grades dramatically declined,
It was a quiet and pleasant Saturday afternoon when I was doing my rotation at the surgical medical unit at Holy Cross Hospital. It’s time to get blood sugar levels from MM, a COPD patient. His BiPAP was scheduled to be removed before his discharge tomorrow. When I was checking the ID badge and gave brief explanation what I needed to do. The patient was relaxed, oriented and her monitor showed his SPO2 was 91, respiratory rate was 20. His grandchildren knocked the door and came in for a visit. I expected a good family time, however, the patient started constant breath-holding coughing and his SPO2 dropped to 76 quickly. With a pounding chest, the patient lost the consciousness. His grandchildren were scared and screaming,
Patients under the care of advanced nursing professionals who were advised to take an proactive role in the development of management plan under the supervision of their nurse practioners and medical doctors. were more effective in their compliance than those While no significant differences were in the outcomes that included A1C and the levels of triglyceride, there were notable increases in patients who comply with activities related to caring for self and willingness to make healthy lifestyle changes in the areas of increased physical activity and nutritional intake.
Humanity presents individuals with extraordinary gifts as well as weaknesses. Growing up I realized this notion as I gave insulin shots to my younger brother and reminded him to check his blood consistently throughout the day. I was determined to fight this battle with him through researching alternative medicine options and attending his doctor’s appointments. This life experience enlightened me on my compassion for individuals with health issues and my passion for management and prevention of chronic diseases. As a nurse practitioner, my major goal is to help others like my family through properly educating patients and their families while being a source of comfort and strength in their time of distress.
This author met with a patient named JB to assess her current health status as well as her needs to ensure her health and well being or as she put it to “make sure she is her in the future for her children”. JB was an engaging and honest patient that had the eagerness and desire to improve her curren...
Fiction and story telling is an integral part of life. It is all around us and we cannot escape it. Storytelling is such a powerful tool in a person’s life and nurses must be able to not only tell stories but also learn how to listen to a patient’s story, interpret the stories, and empathize with the patient. Narrative competence is a valuable skill to have as a nurse. Narrative competence is the “ability to acknowledge, absorb, interpret, and act on the stories and plights of others” (Charon, 2001). This is why having narratives from a patient’s perspective that a nurse can reference to is vital. By reading narrative nurses then have a background or an idea of what a patient may be going through and why he or she is acting in a certain way.
The career of a registered nurse is one of the most interesting professions in the medical field, because not only do they help to improve the health of their patients, they also help their patients to maintain a healthy lifestyle. Registered nurses work to promote health, prevent disease, and help patients cope with illness. Their job is to help patients get their health back on track, and prevent increased visits to the physician. When providing care directly to the patient, they observe, assess, and record symptoms, reactions, and progress. They do this to see where the patient’s health stands and prevent further illness or health problems if such occurs. Registered Nurses help to develop and manage nursing plans, and instruct the patient and their
First and foremost, it is essential that health care providers remain empathetic, knowledgeable and non-judgemental towards people facing a chronic illness. This will allow the patient to feel comfortable with their health care provider and help instill a sense of trust within the relationship. Several researchers postulated that hope evolves from a therapeutic relationship between patient and care provider, within which the patient feels heard, valued and respected (Hawthorn, 2015). This idea reflects the major importance of active listening by health care providers. Throughout the therapeutic relationship, it is beyond important for health care providers to refrain from pretending to understand what their patient may be experiencing or going through in terms of their chronic illness. “Findings from an early study by (Thorne, 1990) documented that chronically ill patients and their families often found that most health care providers could not be trusted to understand the requirements of managing a chronic health condition” (Bucher, Camera, Dirksen, Heitkemper, Lewis, 2014, p.75). This finding raises an important reminder that the patients are the most valuable and knowledgeable source of information concerning their illness, and that the greatest understanding of the illness will be
Many individuals may feel as if they have lost control of their everyday routines, or are somewhat defeated when following treatments programmes and not being able to see an improvement in health. Recently healthcare professionals recognized that if they provide patients with well-defined, straightforward information and knowledge about their illness, it could encourage people to take more of an involved role in managing their condition, such as setting achievable goals, or becoming better practiced at monitoring and managing insulin levels. Thi...
The nursing purpose is to establish and actively participate in a holistic healing approach, by focusing on the individual and not just the illness. Critical thinking and evidence based practice mobilizes the nursing process and provides a foreground for the medical profession. Nursing is a selfless endeavor that exemplifies a sacrifice of the nurse to assist the needs of a stranger before their own. The obligation of a nurse is not to heal a sickened client, nor their families or communities, but to contribute to enhancing the outer influences that compromise one’s health. The nurse is there to fulfill a desire of health by alleviating outward stressors, educating individuals, and henceforth creating equilibrium within the environment, which in return allows the individuals to establish a sense of homeostasis. A nurse must be unbiased, responsible, and always honest with the patient. For example, Hegge emphasizes the importance of honesty in her statement, “She [Florence Nightingale] cautioned against giving patients false hope when recovery was not possible” (2013, pp. 214). The reason the nurse must overcome her own personal emotions is because she is required to tell the patient what they need to hear, not what they want to
Review of Little Women Kent State University’s production of the Broadway musical, Little Women, revealed the importance of family and the necessary bond of sisters. The story is a coming of age tale that followed Jo March and her desire to become a famous writer. The audience went along with Jo as she grows up with her three other sisters, Meg and Beth and Amy, becomes best friends with Laurie Lawrence, and tries to act ladylike so she can travel to Europe with her Aunt March. Jo ends up losing the trip to Europe to her sister Amy, but travels to New York to start her writing career and meets Professor Bhaer.