Discuss Grand Nursing Theories Based on Human Needs.He is exceedingly polite and respectful of health care personnel (and does not like to interrupt or ask too many questions).
Mr. Juan Duran is a 60-year-old patient who has been coming to the Diabetes Clinic at the VA for a few months. One day, the Clinic Director, Jim Carlson, finds him wandering the hallway, appearing somewhat dazed, with a bag of supplies for blood glucose testing and insulin administration. Mr. Duran tells him that he has been instructed to start insulin for his diabetes but doesnt know how. He doesnt recall receiving any appointment or instructions. Mr. Carlson finds the Diabetes Nurse Educator, Jenny OConnell, and asks her to fit Mr. Duran in for an unscheduled appointment.
Jenny OConnell starts the appointment with a thorough assessment of Mr. Duran. In addition to the physical assessment, she covers psycho-social-spiritual issues. She discovers that Mr. Duran has had diabetes for about 10 years and, recently, his blood glucose levels and HgbA1c cannot be controlled with oral medications and exercise. The physician wants to start him on insulin. Here are notes that she took from her assessment:
Sixty-year-old Mexican American patient. He is exceedingly polite and respectful of health care personnel (and does not like to interrupt or ask too many questions). He has been in the United States more than 50 years; he is a Navy veteran. Married; lives with wife in a comfortable apartment in Chula Vista, CA. Duran speaks fluent English, but his wifes English is limited. They speak Spanish at home. Because Mr. Duran has limited vision, his wife has to administer the insulin. Had one (single) daughter, who was found murdered in the apartment parking lot less than 2 weeks ago, leaving Mr. and Mrs. Duran to care for her child. Duran seems befuddled by the insulin and syringes and is stoic when he talks about the loss of his daughter.
1. Review the situation 2. Select one of the nursing models/theories from this chapter that will help Jenny in assessing Mr Duran and planning for his care. Discuss why that particular model was selected. 3. Based on the model selected, what additional information would Jenny want to collect/assess? 4. Based on the model selected, how would Jenny initiate a plan of care (education) for Mr. Duran? 5. Do you think that Jenny would assess and plan differently for Mr. Durans care if she used a different model (than the one your group selected) for Mr. Duran? Why or why not.
Case Study
Poor Novice Competent Proficient
0
3 4 5
Knowledge of topic or subject
Does not demonstrate knowledge of the topic/subject by addressing each question. Displays basic knowledge of subject/topic, does not expand ides or provide new ideas. Only addresses 3 of question completely. Presents new information, provides opportunity for further analysis, and /or suggests some practical application. Addresses 4 of the questions points. Presents new ideas, reflects critical thinking, and/or shows practical application by thoroughly addressing all questions.
Criteria
Poor Novice Competent Proficient
0 3 4 5
Research
Utilized a minimum of 3 current professional references to support ideas. Lacks research and /or consistent argument. Lack of citations, improper citations or inappropriate use of research. Provides citations but over use of direct quotes rather than supporting original thought. Provides proper citations, applies concept from research to support discussion, and uses research as a tool not as a replacement for original thinking.
Grammar
Free of grammatical and spelling errors. Cannot make sense of content due to grammar or errors. Numerous errors of structure and grammar Somewhat confusing structure, grammar, and spelling detracts from message Readable, good structure, grammar, few spelling errors.
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