Select one of the following scenarios related to a specific nursing. Think about what you would do in the scenario presented and post your ideas.
Post two discussion questions based on the readings along with your answers.
Read and then respond to at least two of your classmate’s postings.
Using Nightengale’s concepts of ventilation, light, noise, and cleanliness, analyze the setting in which you are practicing nursing (working as an employee or student).
Using Nightengale’s theory, evaluate the nursing interventions you have identified for an individual patient in your facility or practice.
Your hospital patient is an 82 year-old woman. She does not have immediate family and has been living alone in her own home. Her hospitalization was unanticipated; it followed a visit to the emergency room for a burn on her lower leg. The patient has been hospitalized for 14 days. She pleads with you to allow her friend to bring her dog, a 16-year-old Scotty Terrier, to the hospital. She tells you that none of the other nurses have listened to her when she asked them about such a visit. Based on Nightingale’s model, and 13 cannon, what actions would you take for this patient?
Martina is a middle-aged Hispanic woman who brings her family to a local free clinic to obtain medical care. She works part time in a restaurant for minimum wage. She lives in a small apartment with her daughter and four preschool children; her daughter speaks only very broken English. Martina’s medical diagnoses are hypertension, arthritis, and depression.
Use the Neuman System Model as a conceptual framework to respond to the following:
Describe the family as a system.
How does the dominant Anglo culture impact on the family’s stability as a system?
What stressors (actual and potential) threaten the family?
What additional assessment data are needed related to Martina’s medical diagnoses?
What additional assessment data are needed related to the family’s health status?
How will cultural differences influence planning for prevention as intervention at primary, secondary, and tertiary levels?
Using the Neuman System Model, organize a patient care conference in your workplace to deal with a patient situation that has been difficult to manage. Involve caregivers from nursing and at least one other disicpline to discuss each of the following:
What factors comprise the patient’s normal and flexible lines of defense and lines of resistance?
What stressors are causing the problems with this patitent? What is the patient’s reaction to the stressor? What is each discipline’s perspective on the problem or isssues that are involved?
How is the situation influenced by the patient’s family system? By the patient’s environment?
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