What would happen to the blood pH if the CO2 level dramatically increased?FOR THE TWO POST BELOW READ CASE STUDY QUESTION 1 ATTACHED & STATE WHETHER OR NOT YOU AGREE WITH THEM AND WHY IN YOUR OWN WORDS?
WORD COUNT IS YOUR DISCRETION (MINIMUM 100 WORDS FOR EACH)
NO REFERENCES USE YOUR OWN WORDS!!!
FOR THE TWO POST BELOW READ CASE STUDY QUESTION 1 ATTACHED & STATE WHETHER OR NOT YOU AGREE WITH THEM AND WHY IN YOUR OWN WORDS?
1. Alexa just received devastating news of her HIV diagnosis and of her long-term boyfriend being unfaithful. At any age there truly is no greater heartbreak than to find out the one you were planning on spending forever with has been unfaithful. Add being 17 and being diagnosed with HIV on top of this is the hardest thing Alexa will ever have to go through. As a nurse I must develop trust with Alexa so she knows everything between us is confident and private. “If trust is broken and mistrust develops, it is very difficult for the informer (nurse) to regain trust” (Butts & Rich, 2016, pg. 195). This is the very thing I would want to avoid with her. I want to gain her trust and never lose it. I would do this by sharing with her my own heartbreak story so she feels equal with me and knows that I’ve been there and I won’t discount her feelings. If I share a personal story she may be more inclined to share more with me and trust me. Nurse-adolescent relationships are so important. You want them to be professional and respectful, but on some level personal so they feel comfortable coming to you.
When Alexa comes back to visit me I will take this as a sign that she is comfortable around me and can confide in me. I would take this time to further educating her on her HIV and possible next steps. I would make sure to respect her autonomy no matter my opinions because this diagnosis is hard for anyone especially a 17-year-old. I would apply the ethical competencies of beneficence and nonmaleficense as well by expressing what I believe to be best for her and what would bring her no harm.
Alexa is in such complicated situation and it is important for me to be understanding of her feelings and keep our conversation private so she knows she can always come back to speak to me about any concerns. Working with a 17-year-old girl can be tough but that is why it is extremely important to build a strong nurse-adolescent relationship immediately.
2. In my opinion the situation at hand is tough. Alexa is very young and she has not yet experienced life. With Alexa’s situation there are many different approaches I would take. I would first have to put myself in Alexa’s shoes to reach her on a personal level of emotions and stress. Alexa’s emotions are everywhere at this point because the person she loved and expected to be with for the rest of her life betrayed her. I would simply take my time with Alexa to show my compassion and care. I would then transition into a professional aspect, giving Alexa great facts about HIV and possibly different programs she could attend to help her cope with her situation. I would inform Alexa on how imperative it is to start treatment right away to slow down the progression of the HIV (CDC, 2018). I would inform Alexa of antiretroviral therapy which is the medicine she will be taking to protect her immune system. The medicine can help Alexa stay healthy for many years and greatly reduce any chances of transmission with future partners (CDC, 2018).
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