CASE STUDY 1 An element of nursing care that is of primordial importance is the safety of the client throughout the life
Posted: Tue Feb 15, 2022 3:51 pm
CASE STUDY 1
An element of nursing care that is of primordial
importance is the safety of the client throughout the life span.
Given the following case, how will you handle the
situation?
A 67 year old client has impaired balanced and
difficulty of walking.
QUESTION: What measures should be implemented to
ensure safety?
CASE STUDY 2
Disaster strikes in the Metro Manila as Typhoon Doleng
destroys a portion of the country. Families are displaced from
their homes. The area is designated as
uninhabitable.
QUESTIONS:
What are some of health effects that have emerged from
the floods?
What is the role of the nurse in the care of
clients before, during and after natural disaster?
CASE STUDY 3
A group of nurses who work in a long term care facility
are alarmed at an increase in pressure ulcers among the patients.
The nurses believe this may be caused by infrequent repositioning
and related to recent staff cuts. The nurses decide to conduct a
study that will examine the cause of increased pressure
ulcers.
QUESTIONS:
What type of reasoning would be used to connect the
increase in pressure ulcer to a specific cause?
How can the nurses used problem solving skills to create
and implement a policy to diminish pressure ulcers in nursing
homes?
CASE STUDY 4
Tony is a 32 year old man with HIV. His first AIDS
defining illness caused his weight to drop from 175 to 116 lbs. due
to intractable diarrhea. The physician thought caloric intake was
of primary importance and urged Tony to eat whatever he wanted. The
physician also prescribed tincture of opium for the diarrhea, but
Tony hated the tincture of opium because it made him feel out of
control. Because Tony was getting worse, his nurse argued that he
needed intravenous nutrition and should eat only bananas, rice,
apple sauce and weak tea until the diarrhea stopped. The nurse
suggested adding other foods one at a time and only as tolerated.
Tony’s family and friends offered to take control of Tony’s food
preparation.
The physician compared AIDS to advanced cancer and
argued he would not prescribed IV nutrition to advanced cancer. The
nurse argued that this was Tony’s first AIDS infection and that the
prognosis was better than someone with advanced cancer. The nurse
primary focus was on stopping the diarrhea and supplementing
nutrition with IV’s. Tony’s friends preferred the nurse’s approach,
but Tony was not as easily convinced.
Guide question:
1.How might Florence Nightingale analyse the
situation?
2.What appear to be the perspective or views represented
by the physician and the nurse ( how might you say they are
defining the metaparadigm)?
RATIONALE:
CASE STUDY 1
An element of nursing care that is of primordial
importance is the safety of the client throughout the life span.
Given the following case, how will you handle the
situation?
A 67 year old client has impaired balanced and
difficulty of walking.
QUESTION: What measures should be implemented to
ensure safety?
CASE STUDY 2
Disaster strikes in the Metro Manila as Typhoon Doleng
destroys a portion of the country. Families are displaced from
their homes. The area is designated as
uninhabitable.
QUESTIONS:
What are some of health effects that have emerged from
the floods?
What is the role of the nurse in the care of
clients before, during and after natural disaster?
CASE STUDY 3
A group of nurses who work in a long term care facility
are alarmed at an increase in pressure ulcers among the patients.
The nurses believe this may be caused by infrequent repositioning
and related to recent staff cuts. The nurses decide to conduct a
study that will examine the cause of increased pressure
ulcers.
QUESTIONS:
What type of reasoning would be used to connect the
increase in pressure ulcer to a specific cause?
How can the nurses used problem solving skills to create
and implement a policy to diminish pressure ulcers in nursing
homes?
CASE STUDY 4
Tony is a 32 year old man with HIV. His first AIDS
defining illness caused his weight to drop from 175 to 116 lbs. due
to intractable diarrhea. The physician thought caloric intake was
of primary importance and urged Tony to eat whatever he wanted. The
physician also prescribed tincture of opium for the diarrhea, but
Tony hated the tincture of opium because it made him feel out of
control. Because Tony was getting worse, his nurse argued that he
needed intravenous nutrition and should eat only bananas, rice,
apple sauce and weak tea until the diarrhea stopped. The nurse
suggested adding other foods one at a time and only as tolerated.
Tony’s family and friends offered to take control of Tony’s food
preparation.
The physician compared AIDS to advanced cancer and
argued he would not prescribed IV nutrition to advanced cancer. The
nurse argued that this was Tony’s first AIDS infection and that the
prognosis was better than someone with advanced cancer. The nurse
primary focus was on stopping the diarrhea and supplementing
nutrition with IV’s. Tony’s friends preferred the nurse’s approach,
but Tony was not as easily convinced.
Guide question:
1.How might Florence Nightingale analyse the
situation?
2.What appear to be the perspective or views represented
by the physician and the nurse ( how might you say they are
defining the metaparadigm)?
RATIONALE:
CASE STUDY 5
Mr. Woo, a 50 year old professional man, has pneumonia
and is currently being treated with antibiotics. He smokes two
packs of cigarettes a day. Since this bout of pneumonia he voices
concern about his smoking and his wonders if he should try to quit
again. He states “I’ve tried everything and nothing works. The
longest I smoke last is about one month.” He admits to being 30lbs.
overweight and state that his wife and he have started walking for
30 minutes every evening. His wife has also started making low fat
meals. He is concerned that if he quits smoking he will gain more
weight.
GUIDE QUESTION:
Each contact between a nurse and a client is an
opportunity for health promotion. Based on the knowledge or key
concepts listed above, what questions would you ask to Mr.
Woo?
RATIONALE:
An element of nursing care that is of primordial
importance is the safety of the client throughout the life span.
Given the following case, how will you handle the
situation?
A 67 year old client has impaired balanced and
difficulty of walking.
QUESTION: What measures should be implemented to
ensure safety?
CASE STUDY 2
Disaster strikes in the Metro Manila as Typhoon Doleng
destroys a portion of the country. Families are displaced from
their homes. The area is designated as
uninhabitable.
QUESTIONS:
What are some of health effects that have emerged from
the floods?
What is the role of the nurse in the care of
clients before, during and after natural disaster?
CASE STUDY 3
A group of nurses who work in a long term care facility
are alarmed at an increase in pressure ulcers among the patients.
The nurses believe this may be caused by infrequent repositioning
and related to recent staff cuts. The nurses decide to conduct a
study that will examine the cause of increased pressure
ulcers.
QUESTIONS:
What type of reasoning would be used to connect the
increase in pressure ulcer to a specific cause?
How can the nurses used problem solving skills to create
and implement a policy to diminish pressure ulcers in nursing
homes?
CASE STUDY 4
Tony is a 32 year old man with HIV. His first AIDS
defining illness caused his weight to drop from 175 to 116 lbs. due
to intractable diarrhea. The physician thought caloric intake was
of primary importance and urged Tony to eat whatever he wanted. The
physician also prescribed tincture of opium for the diarrhea, but
Tony hated the tincture of opium because it made him feel out of
control. Because Tony was getting worse, his nurse argued that he
needed intravenous nutrition and should eat only bananas, rice,
apple sauce and weak tea until the diarrhea stopped. The nurse
suggested adding other foods one at a time and only as tolerated.
Tony’s family and friends offered to take control of Tony’s food
preparation.
The physician compared AIDS to advanced cancer and
argued he would not prescribed IV nutrition to advanced cancer. The
nurse argued that this was Tony’s first AIDS infection and that the
prognosis was better than someone with advanced cancer. The nurse
primary focus was on stopping the diarrhea and supplementing
nutrition with IV’s. Tony’s friends preferred the nurse’s approach,
but Tony was not as easily convinced.
Guide question:
1.How might Florence Nightingale analyse the
situation?
2.What appear to be the perspective or views represented
by the physician and the nurse ( how might you say they are
defining the metaparadigm)?
RATIONALE:
CASE STUDY 1
An element of nursing care that is of primordial
importance is the safety of the client throughout the life span.
Given the following case, how will you handle the
situation?
A 67 year old client has impaired balanced and
difficulty of walking.
QUESTION: What measures should be implemented to
ensure safety?
CASE STUDY 2
Disaster strikes in the Metro Manila as Typhoon Doleng
destroys a portion of the country. Families are displaced from
their homes. The area is designated as
uninhabitable.
QUESTIONS:
What are some of health effects that have emerged from
the floods?
What is the role of the nurse in the care of
clients before, during and after natural disaster?
CASE STUDY 3
A group of nurses who work in a long term care facility
are alarmed at an increase in pressure ulcers among the patients.
The nurses believe this may be caused by infrequent repositioning
and related to recent staff cuts. The nurses decide to conduct a
study that will examine the cause of increased pressure
ulcers.
QUESTIONS:
What type of reasoning would be used to connect the
increase in pressure ulcer to a specific cause?
How can the nurses used problem solving skills to create
and implement a policy to diminish pressure ulcers in nursing
homes?
CASE STUDY 4
Tony is a 32 year old man with HIV. His first AIDS
defining illness caused his weight to drop from 175 to 116 lbs. due
to intractable diarrhea. The physician thought caloric intake was
of primary importance and urged Tony to eat whatever he wanted. The
physician also prescribed tincture of opium for the diarrhea, but
Tony hated the tincture of opium because it made him feel out of
control. Because Tony was getting worse, his nurse argued that he
needed intravenous nutrition and should eat only bananas, rice,
apple sauce and weak tea until the diarrhea stopped. The nurse
suggested adding other foods one at a time and only as tolerated.
Tony’s family and friends offered to take control of Tony’s food
preparation.
The physician compared AIDS to advanced cancer and
argued he would not prescribed IV nutrition to advanced cancer. The
nurse argued that this was Tony’s first AIDS infection and that the
prognosis was better than someone with advanced cancer. The nurse
primary focus was on stopping the diarrhea and supplementing
nutrition with IV’s. Tony’s friends preferred the nurse’s approach,
but Tony was not as easily convinced.
Guide question:
1.How might Florence Nightingale analyse the
situation?
2.What appear to be the perspective or views represented
by the physician and the nurse ( how might you say they are
defining the metaparadigm)?
RATIONALE:
CASE STUDY 5
Mr. Woo, a 50 year old professional man, has pneumonia
and is currently being treated with antibiotics. He smokes two
packs of cigarettes a day. Since this bout of pneumonia he voices
concern about his smoking and his wonders if he should try to quit
again. He states “I’ve tried everything and nothing works. The
longest I smoke last is about one month.” He admits to being 30lbs.
overweight and state that his wife and he have started walking for
30 minutes every evening. His wife has also started making low fat
meals. He is concerned that if he quits smoking he will gain more
weight.
GUIDE QUESTION:
Each contact between a nurse and a client is an
opportunity for health promotion. Based on the knowledge or key
concepts listed above, what questions would you ask to Mr.
Woo?
RATIONALE: