Description
Read the following case study.
You are a staff nurse working in an intensive care unit and assigned to care for a 75-year-old man who had coronary artery bypass graft surgery four days ago. The patient has a history of chronic obstructive pulmonary disease exacerbated by heavy smoking. His postoperative course has been difficult, and he has suffered a number of setbacks. Staff members, despite their diligent efforts, have not been able to wean him off the ventilator since the surgery. He has required frequent suctioning throughout the shift, and he is being evaluated for the development of ventilator-associated pneumonia.
Today, when returning from lunch, you observed that an experienced nurse was suctioning your patient. His secretions were thick, and you observed that the nurse was instilling saline into the patient's endotracheal tube as she was suctioning him. The patient turned red and began coughing, and it was obvious he was in distress.
You asked the nurse why she was instilling saline into his endotracheal tube. She replied that this was being done to loosen the secretions. You told her this was no longer an acceptable practice. She stated that she many years of critical care experience and she didn't care what anyone said, that the only way you could loosen the patient's secretions would be to instill saline. She also said that would be the last time she would do something for one of your patients while you were at lunch.
Determine a plan of care for the patient using the nursing process.
Define each step of the nursing process and align each step to critical thinking and clinical decision-making processes.
Format your care plan as a concept map using visual presentation software, such as bubbl.us from the College of Education Technology Resource Library
- Click Web Tools.
- Click Collaboration & Productivity.
Format your alignment of the nursing process with the critical thinking process and clinical decision-making process in a document, table, or other visual representation approved by your instructor.
Click the Assignment Files tab to submit your assignment.
Assignment adapted from Leading and Managing in Nursing (Ch. 21), by Patricia S. Yoder-Wise, 2015, St Louis, MI: Elsevier. Copyright 2015 by Elsevier. Adapted with permission
Explanation & Answer
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RUNNING HEADER: Plan of care
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Plan of care
Student’s name
Course name and number
Instructor’s name
Date submitted
Plan of care
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Plan of care
A plan of care is done by all medical students to patients from all classes, either mental
health, intensive care units or for community care (Lehne & Rosenthal, 2014). Its main purpose
is to show the continuity of care that should be then passed to the next nurse in the shift thus
serving as a guide to him/her. It also to teach documentation by outlining which observations to
make, what information to give to the client and their family as well as the necessary nursing
actions to carry out (Lehne & Rosenthal, 2014). With the creation of Medicaid and Medicare, the
written care plan will assist in guiding the disbursement of money.
The first step in...
