Isaac Livingston Good Assignment Help: How to Answer This Question
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This question relates to isaac livingston good and requires a structured academic response.
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Use appropriate theories and support your answer with clear reasoning.
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Original Question
Isaac Livingston had led a good life. He had worked as a pharmaceutical salesman for 45 years before retiring 6 years before his most critical medical problems began. Now, at 72, he was hospitalized for what the nursing staff suspected might be his last time. He was suffering from carcinoma of the prostate that had metastasized to the bone and sapped his strength. His current hospital admission was triggered by several episodes of fainting, undoubtedly related to a serious drop in blood pressure. The pain of the tumor, the side effects of the medication (Dilaudid, 4 mg q 3-4 hours as necessary and chlorpromazine 10 mg qid as needed for nausea from the chemotherapy), and his lethargy combined to make him somewhat groggy. Moreover, Mr. Livingston often desired to get up and leave his room “to get some air” as he put it. Mr. Livingston was diagnosed with a partial paralysis of the left leg of some 15 years’ duration, apparently caused by spinal cord damage related to pressure from a spinal disc. All of these facts led the nursing team to be concerned about potential injury should Mr. Livingston fall getting out of bed. To protect him from such injury, Mr. Livingston was placed in a room across from the nurses’ station. His bed was lowered as close to the floor as possible, he was observed closely, his bed rails were raised at night, and he was instructed to press his call button to summon the nurse or nurse’s aide whenever he wanted to get out of bed. Despite these precautions, however, the nurses frequently found Mr. Livingston trying to get out of bed by himself with- out help. His safety became a serious issue the night Ms. Howard, his nurse, found Mr. Livingston on the floor at 1:00 A.M. Apparently, he had slipped to the floor while trying to get out of his bed. He was not injured, but he could easily have suffered some injury. To prevent this from happening again, Ms. Howard told Mr. Livingston that he absolutely could not leave his bed without someone else being present, left a light on in his room at all times, and moved his bed so that he could not get out of it without observation by the nurses. During the next day, Mr. Livingston vociferously objected to having to wait for a nurse or aide in order to get out of bed, use the toilet, or walk in the hallway—something he wanted to do quite frequently. Although he understood that these precautions were intended for his own good and that the nurses thought it was dangerous for him not to have someone accompany him when he was out of bed, Mr. Livingston intensely disliked all the constraints to his freedom. That evening, Ms. Howard was approached at the nurses’ station by Mr. Livingston’s son during visiting hours. The son explained that Mr. Livingston had been trapped in a burning building when he was a child and since then had been severely afraid of suffocating or being enclosed or otherwise confined in small rooms. He needed to be able to get out of bed . Under the principle of nurses provide inclusive and culturally safe care by practising cultural humility, For this principle: • Explore an empirical and theoretical literature peer reviewed to identify specific strategies to assist in the application of this particular principle to Mr Livingston’s case study. • Identify the resources needed to support your intended strategy. • Identify the challenges you foresee that may limit the success of your intended strategy. • Explain how the challenges will be addressed Sent 1m ago Enter Write to
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