please help me with this case study
please help me with this case study We’re now going to do a conflict resolution case study. Here’s our scenario. You’re the nurse for Mrs. Jennifer Glazer, who’s an 85-year-old woman. She was admitted three days ago with heart failure exacerbation. Her other co-morbidities include Type-2 diabetes with peripheral neuropathy, anemia, and macular degeneration. Mrs. Glazer lives alone, but her daughter lives five miles from her. Mrs. Glazer’s physician is planning to discharge her to home today. You, the nurse, have arranged for care conference. Let’s look at the roles of the people who are involved in Mrs. Glazer’s care conference. First, we have Mrs. Glazer. As we said, she’s an 85-year-old woman who’s got an exacerbation of heart failure. Put your picture here. You are her nurse. Dr. Thomas is her primary care physician who is planning to discharge her home today. Emily Farret is Mrs. Glazer’s daughter, who lives about five miles from Mrs. Glazer. John McMann is the unit social worker who will be helping with the discharge planning for Mrs. Glazer. Dr. Thomas has written the following discharge orders for Mrs. Glazer. Discharge to home. Her medications include furosemide 20 milligrams twice daily, lisonopril, 10 milligram, one per day. Aspart insulin corrective scale before meals and at bedtime, metforim 850 milligrams once per day, and then iron 325 milligrams once per day. Dr. Thomas has also prescribed that she attend heart failure support group. At this point, you should know all of those meds and be able to tell us what each of those meds does and when the patient should take them. Some issues to consider with this care conference. Mrs. Glazer has never administered insulin to herself, and due to her macular degeneration, cannot accurately see the syringe markings. Remember, she’ll be on aspart as a corrective scale. Mrs. Glazer is still weak and needs assistance with her ADLs. Mrs. Glazer insist that she wants to go to her own home alone. Mrs. Glazer’s daughter does not want her mother to go home alone and wants her mother to go to a skilled facility until arrangements can be made for her mother to move in with the daughter. The daughter works full-time and has school-age children to care for. You, the nurse, do not believe that it’s safe for this patient to go home alone. Other issues. The physician, Dr. Thomas, feels the patient should be discharged today to home, and he does not want to spend any more time in the care conference as he has made the decision on the discharge. The social worker, Mr. Mcmann, can make arrangements for home health care nurse three days per week in a home health aide, one day per week. The social worker also has a list of different skilled nursing facilities in the area. This is a very real scenario that we see often in the hospital. You’re the nurse, you’ll lead the care conference. Ideally with this conflict resolution case study, we would have different students take on the different roles, and will play how we would do it. . Just answer questions of what you as a nurse would do question: After reviewing the case study of Mrs. Jennifer Glazer, answer each of the following questions. Please submit two to three sentences per question. Each question is worth 10 points. What was your initial reaction? 1. Develop two SMART goals for Mrs. Glazer. 2. What was your purpose for forming a care conference? 3. What other resources can you, the nurse, use to help resolve this conflict? 4. Look back at the goals, roles, process, and interpersonal skills (GRPI) model, located in the first voiced-over presentation. Who has decision-making authority for this conflict and why? 5. Using the ANA Code of Ethics, which provision would you use to support your position in this conflict and why?
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