CASE STUDY 11 You have been assigned to care for Mr. John, a 74 year old client being treated for a

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? Health Science Science Nursing NURSING NR708 Share QuestionEmailCopy link Comments (0)

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