Reference no: EM133657804

Assignment:

The nurse is caring for Odina River, a 78-year-old Native American woman, who presents to the emergency department for shortness of breath. The computed tomography (CT) scan shows a mass in her right lung, which is suspicious of cancer. When presented with options for further testing and potential treatments, Ms. River refuses. She states, "My tribe has a folk healer who will take care of this." The nurse remains adamant that Ms. River should consider her treatment options, but she is uninterested. She tells the nurse that she will pray about the situation and that she has faith that if she does have cancer, it can be fully healed with traditional folk medicine.

UNFOLDING CLINICAL SCENARIO

INFORMATION Three months later, Ms. River presents to the emergency department for severe shortness of breath. Another CT scan is performed and shows multiple tumors throughout her lung fields. She states that she worked with her healer and has been praying but that she accepts her fate and is ready to die.

Discussion Questions

1. What additional factors should the nurse include in this client's care plan? (Recognize Cues) a., e.g., age, religion, nursing knowledge, literacy, or cultural preferences

2. Identify potential client problems. (Analyze Cues)

3. What findings require immediate follow-up? (Analyze Cues)

4. Identify the client's primary problem. Provide a rationale for your decision. (Prioritize Hypotheses)

5. What safety considerations should be included when planning care for this client? (Generate Solutions) a. Fall risk (e.g., medication, age, mobility).

6. What education should the nurse provide for this client? (Take Actions) a. Self-care, health promotion, disease management (e.g., medication, diet, activity, ADLs).

7. How will you determine if expected client outcomes are achieved? (Evaluate Outcomes)

8. Discuss ways to modify or revise the plan of care when client outcomes are unmet. (Evaluate Outcomes)