Case Study 1Grand Nursing Theories Based on Human Needs Reference…

Case Study 1Grand Nursing Theories Based on Human Needs Reference… Case Study 1—Grand Nursing Theories Based on Human NeedsReference Orem and Neuman’s models in chapter 7 of your textbook to complete this activity.Mr. Juan Duran is a 60-year-old patient who has been coming to the diabetes clinic at the VA for a few months. One day, the clinic director, Jim Carlson, finds him wandering the hallway, appearing somewhat dazed, with a bag of supplies for blood glucose testing and insulin administration. Mr. Duran tells him that he has been instructed to start insulin for his diabetes but doesn’t know how. He doesn’t recall receiving any appointment or instructions. Mr. Carlson finds the diabetes nurse educator, Jenny O’Connell, and asks her to fit Mr. Duran in for an unscheduled appointment.Jenny O’Connell starts the appointment with a thorough assessment of Mr. Duran. In addition to the physical assessment, she covers psycho-social-spiritual issues. She discovers that Mr. Duran has had diabetes for about 10 years, and, recently, his blood glucose levels and HgbA1c cannot be controlled with oral medications and exercise. The physician wants to start him on insulin. Here are notes that she took from her assessment:Sixty-year-old Mexican American patient. He is exceedingly polite and respectful of health care personnel (and does not like to interrupt or ask too many questions). He has been in the United States more than 50 years; he is a Navy veteran.Married; lives with wife in a comfortable apartment in Chula Vista, California.Mr. Duran speaks fluent English, but his wife’s English is limited. They speak Spanish at home.Because Mr. Duran has limited vision, his wife has to administer the insulin.Had one (single) daughter, who was found murdered in the apartment parking lot less than 2 weeks ago, leaving Mr. and Mrs. Duran to care for her child.Mr. Duran seems befuddled by the insulin and syringes and is stoic when he talks about the loss of his daughter.QUESTIONSAfter selecting either Orem or Neuman’s model from chapter 7, discuss why you chose the model and explain how it applies to the case study.Based on the model selected, what additional information would Jenny want to collect/assess?Based on the model selected, how would Jenny initiate a plan of care (education) for Mr. Duran?Do you think that Jenny would assess and plan differently for Mr. Duran’s care if she used a different model (than the one you selected) for Mr. Duran? Why or why not? Health Science Science NursingNRS 501Share QuestionEmailCopy link Comments (0)

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