In your response to classmates, take the

In your response to classmates, take the role of the nurse manager who monitors the quality of care provided on the unit. Your responses should include but are not limited to: Share your thinking about the similar and different areas of concern for Chris and Pat Pender. How does the RN plan for care address safe, effective, quality care? How will the RN’s plan impact patient satisfaction? here is the scerino imagine your dream job is working in your community hospital, as a primary care nurse on a medical-surgical unit. You may respond to this discussion prompt in any format you like. Consider using a multimedia format to make your presentation more interesting. Today you are providing care for Chris Pender, an 80-year-old patient who is recovering from abdominal surgery 2 days ago. Chris is eager to get up and moving around, and frequently presses the call bell to ask for assistance to the bathroom and to walk in the hall. Chris winces with pain when getting up, has an unsteady gait, and is refusing pain medication. Chris tells you: “I must get better quickly so I can get home. My sweetheart needs me.” You are a little frustrated that Chris looks uncomfortable, insists on not taking anything for pain, and frequently requests to ambulate. Later that afternoon, Chris’s spouse, Pat, comes in to visit. Pat’s shirt is buttoned incorrectly and you notice bilateral hand tremors. You introduce yourself to Pat and explain how Chris is progressing. Ten minutes later, you enter the room and see Chris feeding Pat lunch from the patient tray. Pat asks “Who are you?” when you say hello. Later that afternoon, Chris asks, “Do you think I will be ready to go home tomorrow?” Classmate Response here Part 1- Welcome to a dream job: Managing a patients Care situation as an RN For the first part of this situation: As a newly licensed RN, caring for Chris and Pat, use the nursing process and your newly acquired critical thinking skills to identify the most relevant and important information in this situation. Highlight your key areas of concern After carful observation as a newly licensed RN, I have come to assess that Chris is the primary caregiver for pat at home. Based on my early assessment of their interaction, I believed that pat is experiencing early stage of dementia by evidence of her poor grooming and forgetfulness. My nursing judgement also suggest that Chris will not be properly care for at home due his current medical condition and not having someone who is capably of caring for him after discharge. Part 2: Further explore the differences between the LPN/LVN role and the RN role as you transition. Compare and contrast role differences between the LPN/LVN and the RN role in taking care of Chris and Pat Pender. As an LPN/LVN, describe the next steps you would take to communicate your concerns for Chris and Pat. Then put yourself in the role of the RN. Describe how you would proceed in taking care of Chris and Pat Pender. LPN/LVN and RN are both nurses but differs in that, RN perform initial assessment and diagnostic test, educate patients on how to manage their health and treatment, and initiates discharge planning on admission. Whereas an LPN/LVN performs basic nursing care, like taking vital signs, monitoring patients’ condition, helping with ADLs, and administering oral medications. As an LPV/LVN, my initial role is to make my concern known to the RN or Physician with reference to Chris behaviors and his insistent to go home. I will also make known Pat’s forgetfulness and inability to care for self. As an RN base on my initial assessment of Chris and Pat, I will indicate in my discharge planning the need for a professional home health care giver. I will also teach Chris on the benefit of taking his pain medication to alleviate his for post-surgery. I will also recommend PT and OT due to his unsteady gait and maybe recommend discharge to short term rehab. I will recommend that social worker take up or look into Pat needs at home for safety. SCIENCE HEALTH SCIENCE NURSING NUR 101

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