Item at position 1
Explain the various characteristics of effective partnerships in nursing and how you could apply each of these characteristics in your nursing interactions with the person you have chosen from the scenarios given.CHOOSE ANY ONE SCENARIO.
a) Scenario One
You are working in the medical ward. Mr. John is being admitted to the ward with chest pain for investigation. Mr. John is 56 years old with a history of hypertension and Type 2 Diabetes for the last 30 years. Mr. Johns is currently on Lipid medication (Lipitor 75mg once per day) and anti-hypertensive medication (Metoprolol 50mg BD). Mr. John’s is allergic to Penicillin. Mr. John also is a heavy smoker (a pack a day for the last 35 years) and drinks 6-8 stubbies of beer each night. This morning Mr. John ate breakfast and is waiting for you to do a set of observations and complete his nursing admission.
On arrival to the room, you find Mr. John on the balcony smoking a cigarette. Mr. John asks you to keep this to yourself and not tell his wife as she thinks he gave up smoking 2 years ago.
b) Scenario Two
You are a nurse working in the medical ward. Ben Adams is a 28-year-old man who was admitted with palpitations for investigation. Ben has had no previous hospital admissions and is generally well. Ben has a history of Asthma that he has had from childhood and uses a Ventolin puffer and a preventer medication to manage this condition. Ben undertakes vigorous exercise as a basketball player. Ben has pressed the call bell for assistance as he needs to use the toilet and requires assistance with moving the intravenous pump to the bathroom.
After helping Ben to the bathroom, you go back to tidy his bed. You notice that Ben has some additional steroid medication in his drawer that a doctor does not prescribe.
c) Scenario Three
You are a nurse working in the medical ward. Mrs. Grey is a 54-year-old woman who has Type 1 Diabetes. Mrs. Grey has been admitted for pyrexia of unknown origin and unstable diabetes. Mrs. Grey is ordered Mixtard 30/70 insulin 75 units BD. You are going to take the 0730 BGL/BSL measure before administering the morning insulin.
You notice that Mrs. Grey has a couple of packets of lollies in her drawer that are not sugar-free. Her BGL, when you take it, is reading HI.
d) Scenario Four
You are working on the surgical ward and looking after a fifteen-year-old girl, Susan, who has been admitted for a D& C. Susan tells you that she had attended a party, where she drank a lot of alcohol and could not remember all that happened. Later, she found out that she had left the party with a boy on her social media site. She did not know his name, and that is how she ended up pregnant.
Susan told you that she had been too scared to get the morning after pill but eventually had told her mother when she missed her period. Susan is too scared to tell her father and asks that you not mention why she is having the procedure as she told her father it was due to ‘women’s problems and her mother had consented to the procedure.
e) Scenario Five
Ms. Maureen Smith, a 65-year-old, is admitted to the medical ward at 07 00 AM following an acute right CVA. She has a history of arthritic pain in her knees and both feet. Maureen Smith also lives with myopia. She wears corrective lenses.
Maureen Smith has remained stable for 72 hrs. She has been assessed by the rehabilitative team as stable and, therefore, will commence rehabilitation. Maureen has a left-sided hemiparesis with neglect and is currently prescribed a texture-modified diet for dysphagia. Mrs. Smith is due to be discharged to rehabilitation tomorrow and appears anxious about leaving the hospital