¶ … Life Care
Difficult Situations as a Nurse Practitioner
The scenario for the nurse practitioner centers on Angela Smith and her family. Angela is a 55-year-old who suffered a stroke and admitted after neighbors noticed some really odd behaviors. The situation was further complicated when Angela suffered a respiratory arrest and required mechanical ventilation and after a second CT scan the team found that she bleed into the ventricles and brainstem which may have caused irreversible brain damage. Her condition is quite serious and there must be a decision made about how to proceed with the care for Angela. It is likely that she will need long-term ventilation and PEG and the neurological team suspects that the brain damage is irreversible.
The most difficult aspect to this scenario is that there is no advanced directive and the family is being indefensibly optimistic regarding the potential for recovery. In fact, the patient's family, her two daughters, have stated that they believe that God will provide a miracle cure and that their mother would somehow beat the odds with divine intervention. While it may be good to have a sense of optimism through a difficult period, it is also necessary to temper these impulses with objectivity. Furthermore, as a nurse practitioner, it is critical to provide the family with an objective interpretation of the patient's situation and have a conversation about the best way for the family to proceed under such trying circumstances. This analysis will identify some of the themes that a nurse practitioner will want to address in their conversations with the family and try to guide them towards a consensus about treatment goals and their options.
End of Life Care
This case deals with one of the most important aspects to nursing. End-of-life care encompasses a broad and sensitive...
Nursing Ethics In the late 20th and early 21st centuries, medical technology has advanced enough to provide certain measures to keep the body "alive," but not necessarily the brain or the cognitive functions that make up quality of life (O'Keefe-McCarthy, 2009). Despite the fact that death is a cyclical part of life, humans still have a very difficult time dealing with issues surrounding terminal illness: hospice, do not resuscitate, costs for
The death of a child is significant and in this case avoidable and a plaintiff has the right to seek compensatory damages as is allowed by law. Case Study 1 Part B At the end of the night shift, Nurse Brown took a verbal handover and then noticed the observation chart had not been filled in. To assist her friend, Nurse Harvey, whom she knew had a busy night, filled in the
Nursing Theory Applications in Nursing Nursing Theory and its Applications In this paper, we will assess a grand nursing theory namely the Humanistic Model. First let's have a brief introduction regarding this theory. The nursing theories either grand or middle range give organization in expressing statements which are related to questions in the field of nursing. It also gives nurses the opportunity in describing, predicting, explaining and controlling different sorts of activities which
Bibliography Mendes, IA, Trevizan, MA, Noqueira, MS, Mayashida, M. (2000) Humanistic Approach to Nursing Communication: The Case of hospitalized Adolescent Female. Rev Bras Enferm (2000) Jan-Mar, 53(1):7-13. Williams, Carol A. & Gossett, Monette T. (2001) Nursing Communication: Advocacy for the Patient or Physician" Clinical Nursing Research Vol. 10 No. 3 332-340 (2001) Online available at http://cnr.sagepub.com/cgi/content/abstract/10/3/332. Colon-Emeric, Cathleen (2006) Patterns of Medical and Nursing Staff Communication in Nursing Homes: Implications and Insights From Complexity
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Both were conscientious leaders and neither would allow herself to be stepped on. But the manner in which each accomplished this differed considerably. Miss Redecker made her presence known in her quiet, defiant way, while Capain Crawford had an authoritative desk-pounding approach" (p. 104). The natural leader has been defined by some as the person who is willing to take a stand on a moral issue and to stand alone,
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