Novel Coronavirus Disease (COVID-19) Family Dilemma: Part
Novel Coronavirus Disease (COVID-19) Family Dilemma: Part II Glenda Taylor, 67 years old (John’s spouse) STUDENT-COVID-19-UNFOLDING_Reasoning-Part-1.pdf STUDENT-Part-II-COVID-19-Family_Dilemma.pdf I. Scenario History of Present Problem: John Taylor is a 68-year-old African-American male who was admitted to the Med Surg unit after testing positive for COVID-19 today. Four hours later he got up to use the bathroom and went into acute respiratory distress with increasing O2 needs and decreasing O2 sat. John is transferred emergently to the intensive care unit (ICU). John’s spouse Glenda has not been allowed to visit her husband because of current hospital policy that does not allow visitors for COVID-19 patients. 2. What data from the history is RELEVANT and must be NOTICED as clinically significant by the nurse? (Reduction of Risk Potential) RELEVANT Data from Present Problem: Clinical Significance: 3. Current Concern: Since Glenda has not been updated on John’s change of status, you call Glenda and communicate his critical condition and his need to be intubated and placed on a ventilator. Glenda is clearly upset and states, “I need to see him! I need to be there! We’ve been married for 48 years and nothing has separated us! He needs me now more than ever!” What data from the current concern is RELEVANT and must be NOTICED as clinically significant by the nurse? (Reduction of Risk Potential) RELEVANT Data from Current Concern: Clinical Significance: 4. Caring and the “Art” of Nursing: what is John’s spouse likely experiencing/feeling right now in this situation? What would you specifically communicate to his spouse under these circumstances? (NCLEX: Psychosocial Integrity) What Patient/Family is experiencing: What to Communicate: Resolving the Dilemma 1. Interpreting RELEVANT clinical data, what is the essence of this clinical dilemma? (Management of Care) 2. What additional information is needed by the nurse to clarify the dilemma? (Management of Care) 3. What additional members of the healthcare team could be used in this situation if Glenda was able to be in the hospital? Why? (Management of Care) 4. What psychosocial/holistic care PRIORITIES need to be addressed for this patient? (Psychosocial Integrity/Basic Care and Comfort) SCIENCE HEALTH SCIENCE NURSING NUR 211
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