Element Nursing Care Explained for Students (Easy Guide)
Understanding this question requires applying core subject principles.
What This Question Is About
This question relates to element nursing care and requires a structured academic response.
How to Approach This Question
Break the problem into smaller parts and analyze each logically.
Key Explanation
This topic involves element nursing care. A strong answer should include explanation, application, and examples.
Original Question
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? 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? 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 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: The nurse’s role in health promotion is to act as a facilitator CASE STUDY 6 The nurse is examining a patient involved in a car accident. The patient complains of shortness of breath. The tissue of the patient’s face,neck and torso gives a crackling sensation when palpated. The nurse suspects subcutaneous emphysema. GUIDE QUESTION: How can you assess a client suffering from subcutaneous emphysema? RATIONALE: CASE STUDY 7 A 76-year old woman has just been diagnosed with breast cancer. She also has severe cardiovascular disease that limits her choices of treatment. Her oncologist has recommended a series of chemotherapy that her cardiologist believes would be fatal. Her family is urging her to do all what is recommended. The client, who is in good spirits despite her diagnosis, chooses palliative care. GUIDE QUESTION: Based on her developmental stage, how can you help the family adjust to her choice? RATIONALE: CASE STUDY 8 Mr. Vicar has been visiting the clinic for more than a month. He visits weekly for follow-up care for a chronic venous stasis ulcer of the left leg. The nurse’s notes at the time of his first visit contained the following information: “Ulcer with irregular margins, 4cm wide by 5cm long, approximately 0.5cm deep, draining foul smelling purulent yellowish drainage. Only subcutaneous tissue visible. Skin around ulcer, brownish rust in color. Zinc oxide and calamine gauze applied to ulcer; elastic wrap bandage applied to gauze. Client instructed to return in 1 week.” GUIDE QUESTIONS: As the nurse who is caring for the client on the follow-up visit, what expected outcomes would you anticipate for the goal of “Wound will demonstrate healing within 4 weeks”? What evaluative measures would you use to determine if the wound was healing? RATIONALE: CASE STUDY 9 Mr. Moore is a 72 years old widower who is recovering from a fall in which he fractured his lips and underwent surgical repair 1 week ago. He will be staying with his son for 2 weeks after he is discharged from the hospital, he is eager to return to his own home. Once he is home, his son visit nightly after work, he will receive meals on wheels once a day, and a home health care attendant will visit weekly to assist him with hygienic care until he can move independently. Mr. Moore wife died 3 years ago, but he has remained independent and continued his social functions. He lives in a small single level house with his dog and cat, and he enjoys gardening. Prior to fracturing his hip he walked with his dog daily. So, you will be his home health care nurse. GUIDE QUESTION: What do you need to assess in regards to Mr. Moore’s safety and wht suggesstions can you make for enhancing his safety? RATIONALE: CASE STUDY 10 Mrs. Nile is 83 years of age and lives alone. She has difficulty walking and relies on a church volunteer group to deliver lunches during the week. Her fixed income limits her ability to buy food. Last week, Mrs. Niles’s 79 year old sister died. The two sisters had been very close. GUIDE QUESTION: As a home care nurse, explain the factors that might increase Mrs. Niles’s risk for infection. RATIONALE: CASE STUDY 11 You have been assigned to care for Mr. John, a 74 year old client being treated for a Urinary Tract disorder. Mr. John suffered a Cerebrovascular Accident (Stroke) 6 months ago and has had difficulty ambulating and attending to his own needs because of right sided weakness. While assessing Mr. John, you note that he is thin for his height, is incontinent of foul smelling urine, and deeply reddened areas on his right hip, coccyx and entire peritoneal area. Mr. John is alert and oriented to person, place and time, but, he has decreased sensation on his entire right side. He spends most of his time in bed or sitting at his bedside in a chair due to his difficulty with ambulation. GUIDE QUESTION: What independent measures can you take to protect Mr. John’s skin from further breakdown? RATIONALE: CASE STUDY 12 Linda is a young mother of three children who has developed a severe arthritic condition that has affected her ability to work and adequately care for her family. Her illness has created a financial hardship for the family and has strained their roles. Linda and her husband have custody of their children from marriages as well as a daughter of their own. They are reluctant to seek assistance from outside sources because they fear interference from their ex-spouses with regard to their children. GUIDE QUESTIONS: Explain why Linda’s family is considered to be in health crisis when only Linda is experiencing an illness? RATIONALE: CASE STUDY 13 You are a nurse assigned to care for Mr. Marasovitz, a 45-years old man, who will be returning from the recovery room after undergoing the removal of a mass from his abdomen. While you are preparing his room for the return, the head nurse and primary care provider arrive to talk with Mrs. Marasovitz about her husband’s surgery. The primary care provider explains that the mass was malignant and invasive. Mr. Marasovitz is a candidate for chemotherapy, but his prognosis is guarded because of the tumor growth. Mrs. Marasovitz looks away, closes her eyes and only nods her head “yes”. As the health care provider leaves, the nurse approaches Mrs. Marasovitz, who begins to cry. The nurse uses a soothing voice to tell Mrs. Marasovitz that it is okay to cry and assures her she will remain with her. The two of the sit in silence until Mrs. Marasovitz is able to express her feelings. The nurse offers to listen attentively. Later, the nurse offers to get a cup of coffee for Mrs. Marasovitz and asks if there is anything she can do to assist Mrs. Marasovitz at this difficult time. GUIDE QUESTION: Interpret Mrs. Marasovitz non-verbal behaviour response to the news about her husband’s surgery. RATIONALE: SELF-EVALUATION Tabulate evaluation of yourself in terms of your nursing process competency. Identify skills you possess that help you in your nursing practice and skills you need to improve on. How do you apply you critical thinking skills in the care of your patients?
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