Case Study Consider Explained for Students (Easy Guide)
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Original Question
Case Study: Consider what was effective and ineffective in the communication, skills and strategies used by the nurse, patient and demonstrate your awareness of the potential of this to impact on patient safety. Case Study: You (the nurse) are commencing your shift in a medical ward and have been allocated a new admission, Ms Jane Fryberg, a 28-year-old Indigenous female from Goomeri, a small rural town 200kms north-west of Toowoomba. You received a very brief bedside clinical handover as the end of shift nurse was rushing to leave for a personal appointment. You agreed to read the patient’s medical records and discuss with the patient about her health history and admission to hospital. You decide to talk to Jane first in order to establish a therapeutic relationship. You commence with asking her age and if she lives locally. Jane replied and her observed facial expression was one of annoyance. You then question Jane regarding her symptoms leading up to her hospital admission and asked what investigations have been undertaken since her arrival into the ward. Jane becomes much shorter in her responses, providing limited details and avoids eye contact with you. You ask Jane, “Is everything ok Jane, I notice you are very brief in your answers to my questions?” Jane replies, “I don’t understand why you are asking me all of these questions when you can just read the notes about my age and address in my hospital chart and that folder at the end of my bed”. I feel like I am repeating the same things over and over, to the last nurse and now you.” You explain to Jane you are talking with her to learn more about her and checking that information already documented is correct, as part of your responsibility in caring for her this afternoon. Jane still appears to be frustrated from your observations of her non-engagement with you, and continued avoidance of eye contact. Jane nods her head with questions you further ask about her family, relatives in the area and any special dietary requirements. Jane has no family in Toowoomba, all reside on the Sunshine Coast. She was in Toowoomba at a friend’s birthday party when she became unwell with headaches, vomiting and dizziness, causing her to collapse at the party. She has bruising to the left side of her face? impact on collapse or physical assault. Her serum blood alcohol level was slightly elevated. Jane states to you, “I need to get home to my family and help Aunty who is looking after my kids while I am stuck in here. Can you talk to the Doctors and tell them to send me home or I’ll have to leave here soon?” Jane then walks to the bathroom, ending the conversation.
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