What is the nursing priority

Reference no: EM133039561

Anxiety or Spiritual Distress

Scenario

History of Present Problem:

John James is a 77-year-old man who had coronary artery bypass graft (CABG) x 4 vessels three days ago for multi-vessel coronary artery disease. He lost over 1000 mL of blood shortly after surgery due to a bleeding graft site and almost died as a result. He is currently off all vaso-active drips, his arterial line has been discontinued and he is clinically stable. John is scheduled to transfer to the cardiac step-down unit later today.

Personal/Social History:

John's wife died six months ago after fifty years of marriage. He lives alone in his own apartment. He has one son who lives in the area and checks in at least once a week to see how he is doing. He is a Vietnam War veteran who has not been active in his church since he returned from the war over forty years ago.

What data from the histories is important & RELEVANT; therefore it has clinical significance to the nurse?

What data from the current concern is important & RELEVANT; therefore it has clinical significance to the nurse?

Resolving the Dilemma

1. Identifying data that is RELEVANT, what is the essence of this current dilemma?

2. What additional information is needed by the nurse that would help clarify the current dilemma?

3. What additional members of the healthcare team could be used in this situation? Why?

4. What is the nursing priority?

5. What nursing interventions and/or principles can the nurse use to successfully resolve this clinical dilemma? b. What is the expected response of the patient that indicate the nursing interventions were effective?

7. What response by the patient would indicate that a change in the plan of care and nursing interventions are needed?

8. What is the patient likely experiencing/feeling right now in this situation?

9. What can I do to engage myself with this patient's experience, and show that he matters to me as a person?

10. What was learned from this case study that you will incorporate into your practice?

Attachment:- Case study Worksheet.rar

Verified Expert

The solution is provided for the case of John experiencing distress due to multiple reasons. The discussion is presented to answer the condition from nursing perspectives. Clinical dilemmas and the possible ways of resolving the situation are discussed. References are given as well.

Reference no: EM133039561

Questions Cloud

What data from the current concern is important : What response by the patient would indicate that a change in the plan of care and nursing interventions are needed and What is the patient likely experiencing

What is the date of acquisition : Gala Limited enters into an agreement with the shareholders of Wada Limited on 1 April 2021 to acquire a controlling interest. What is the date of acquisition

How much is the company contract asset : Costs incurred to date P900,000; Construction income to date P300,000. How much is the company's contract asset (liability) for the year 2019

Prepare flexible budget performance report : Prepare flexible budget performance report showing AirQual Test Corporation's revenue and spending variances and activity variances for February

What is the nursing priority : What is the patient likely experiencing/feeling right now in this situation and What was learned from this case study that you will incorporate

Prepare journal entries for lamplighter for the years : The lessor estimates that the fair value at the end of the lease term will be $20,000. Prepare journal entries for Lamplighter for the years

Which products should be processed beyond split-off point : Product R can be processed beyond the split-off point for an additional cost of $26,000 and can then be sold for $105,000. Which products should be processed

White-collar crime fit within strain theory : How does white-collar crime fit within strain theory? Explain how cyber stalking and harassment could be the result of strains.

What is the essence of this current dilemma : What is the essence of this current dilemma and What additional information is needed by the nurse that would help clarify the current dilemma?

User Account

All Pages