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Ebook The essentials of clinical reasoning for nurses: Part 2

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Nội dung chi tiết: Ebook The essentials of clinical reasoning for nurses: Part 2

Ebook The essentials of clinical reasoning for nurses: Part 2

c H A p T ECLINICAL REASONING AND YOUNG ADULT HEALTH ISSUESLEARNING OUTCOMES■Explain the components of the OPT Model that are essential to the reflect

Ebook The essentials of clinical reasoning for nurses: Part 2tive clinical reasoning to manage the problems, interventions, and outcomes of a patient undergoing caregiver strain.■Identify relevant nursing diagno

ses specific to the health issues of the caregiver role.■Identify outcomes appropriate for the health problems assessed in a caregiving scenario.■Desc Ebook The essentials of clinical reasoning for nurses: Part 2

ribe relevant tests and clinical judgments used to reason about present-state to outcome-state changes for an individual in the caregiving role.■Descr

Ebook The essentials of clinical reasoning for nurses: Part 2

ibe the different thinking processes that support clinical reasoning skills and strategies to determine priorities and desired outcomes for a caregive

c H A p T ECLINICAL REASONING AND YOUNG ADULT HEALTH ISSUESLEARNING OUTCOMES■Explain the components of the OPT Model that are essential to the reflect

Ebook The essentials of clinical reasoning for nurses: Part 2ry caregiver for her terminally ill mother and has recently assumed the guardianship role for her two siblings, ages 15 and 13 years.On an annual basi

s, there are approximately 43.5 million adults in this country who provide unpaid care for someone with a serious health condition (National Institute Ebook The essentials of clinical reasoning for nurses: Part 2

s of Health |NIH], 2015). Informal caregiving implies various activities and experiences involved in assisting individuals who arc unable to provide h

Ebook The essentials of clinical reasoning for nurses: Part 2

elp and assistance for themselves. Two factors arc involved in caregiving: the affective component, which is “caring,” and the behavioral component kn

c H A p T ECLINICAL REASONING AND YOUNG ADULT HEALTH ISSUESLEARNING OUTCOMES■Explain the components of the OPT Model that are essential to the reflect

Ebook The essentials of clinical reasoning for nurses: Part 2l on the health and well-being of the caregiver. Many suffer physical and emotional strain and feelings of being overwhelmed. For those engaged in ful

ltime employment, the demands become even more complex. Caregivers working at least 30 hours a week are more likely to report having workday interrupt Ebook The essentials of clinical reasoning for nurses: Part 2

ions as a result of caregiving responsibilities (National Alliance of Caregiving and A ARP. 2015).Caregivers arc diverse in age, gender, socioeconomic

Ebook The essentials of clinical reasoning for nurses: Part 2

status, race, and ethnicity', but they share many commonalities in the stress and strain of providing care. The degree of strain and burden felt by c

c H A p T ECLINICAL REASONING AND YOUNG ADULT HEALTH ISSUESLEARNING OUTCOMES■Explain the components of the OPT Model that are essential to the reflect

Ebook The essentials of clinical reasoning for nurses: Part 2ter depressive symptoms, anxiety, and impaired sleep quality (Phillips, Gallagher, Hum, Der, Sc Carroll, 2009).Caregivers’ needs differ depending upon

the various aspects of the care recipients’ conditions and needs as well as rhe caregivers' own problems, strengths, and resources. In one study, 84% Ebook The essentials of clinical reasoning for nurses: Part 2

of caregivers state they could use more information or help on caregiving topics (National Alliance of Caregiving and AARP, 2015). Most commonly they

Ebook The essentials of clinical reasoning for nurses: Part 2

want information about keeping rhe care recipients safe ar home and about managing their own stress (National Alliance of Caregiving and A ARP, 2015)

c H A p T ECLINICAL REASONING AND YOUNG ADULT HEALTH ISSUESLEARNING OUTCOMES■Explain the components of the OPT Model that are essential to the reflect

Ebook The essentials of clinical reasoning for nurses: Part 2t addressed caregiver strain were Ineffective Family Coping and Fatigue. The more recent diagnosis of Caregiver Role Strain presented a well-described

family phenomenon that can be measured and predicted (Burns, Archbold, Stewart, Sc Shelton, 1993). I he diagnosis of Caregiver Role Strain was update Ebook The essentials of clinical reasoning for nurses: Part 2

d in 1998 and 2000. I he current definition is “difficulty in performing family or significant-other caregiver role” (Herdman Sc Kamitsuru, 2014, p. 2

Ebook The essentials of clinical reasoning for nurses: Part 2

79). Defining characteristics identify several dimensions of rhe diagnosis that include caregiving activities; physiological, emotional, socioeconomic

c H A p T ECLINICAL REASONING AND YOUNG ADULT HEALTH ISSUESLEARNING OUTCOMES■Explain the components of the OPT Model that are essential to the reflect

Ebook The essentials of clinical reasoning for nurses: Part 2ain that caregivers feel. This diagnosis also lends itself to a significant societal issue that needs to be addressed by nurses working in a variety o

f settings.THE PATIENT STORYMeet Miss Darlene Davis, a 26-ycar-old female who has served for the past 6 months as the primary caregiver for her 53-yea Ebook The essentials of clinical reasoning for nurses: Part 2

r-old mother who is diagnosed with stage IV ovarian cancer. .Miss Davis is the oldest daughter of three. She has been close to her mother throughout h

Ebook The essentials of clinical reasoning for nurses: Part 2

er life and supported her mother through two divorces and deteriorating health. Her mother has been receiving palliative care since her cancer diagnos

c H A p T ECLINICAL REASONING AND YOUNG ADULT HEALTH ISSUESLEARNING OUTCOMES■Explain the components of the OPT Model that are essential to the reflect

Ebook The essentials of clinical reasoning for nurses: Part 2verbal responses, is being controlled.Miss Davis was granted guardianship a month ago for her two younger sisters, ages 15 and 13 years. The biologica

l father of the two younger siblings refused to assume these responsibilities due to health concerns of his own and living out of state. A full family Ebook The essentials of clinical reasoning for nurses: Part 2

assessment had been conducted earlier and revealed no issues with the custodial arrangements. Arrangement for financial support has been established

Ebook The essentials of clinical reasoning for nurses: Part 2

to assist Miss Davis with the financial responsibilities of the family. Due to rhe rapid deterioration of her condition. Miss Davis’s mother is nor ex

c H A p T ECLINICAL REASONING AND YOUNG ADULT HEALTH ISSUESLEARNING OUTCOMES■Explain the components of the OPT Model that are essential to the reflect

Ebook The essentials of clinical reasoning for nurses: Part 2ths she has experienced depression, anxiety, fear of the unknown, grief, and loss of personal freedom related to the impending death of her mother. Sh

e has also experienced physical, emotional, and social burdens of caring for both her mother and younger siblings. She suffers from sleep disturbances Ebook The essentials of clinical reasoning for nurses: Part 2

and is irritable most of the day.Miss Davis has been engaged for the past 6 months to her long-term boyfriend and indicates that she docs not spend a

Ebook The essentials of clinical reasoning for nurses: Part 2

s much time with her fiance or friends as she had 3 months prior. This is due to fatigue and lack of sleep. She spends most of her free time assisting

c H A p T ECLINICAL REASONING AND YOUNG ADULT HEALTH ISSUESLEARNING OUTCOMES■Explain the components of the OPT Model that are essential to the reflect

Ebook The essentials of clinical reasoning for nurses: Part 2s and asks for advice and assistance on caregiving responsibilities, such as meal planning, household maintenance, providing transportation, and payin

g bills. She also wants to become more involved in her siblings’ school activities when she has the available time. She has told the nurses that she h Ebook The essentials of clinical reasoning for nurses: Part 2

opes to one day regain feelings of optimism.Physical AssessmentThe physical examination reveals that Miss Davis’s height is 5’9”, her weight is 120 lb

Ebook The essentials of clinical reasoning for nurses: Part 2

. with a reported weight loss of 8 lb. over the past 7 weeks. Her BMI is 18.2 (underweight}. Her vital signs arc (a) temperature of 98.4T, (b) heart r

c H A p T ECLINICAL REASONING AND YOUNG ADULT HEALTH ISSUESLEARNING OUTCOMES■Explain the components of the OPT Model that are essential to the reflect

Ebook The essentials of clinical reasoning for nurses: Part 2 from normal blood pressure readings for her age (American Heart Association, 2017). Currently she is not experiencing any pain bur reports occasional

tension headaches. Miss Davis is current on all vaccinations and has had no prior trauma. Her father had a history of alcoholism and has been decease Ebook The essentials of clinical reasoning for nurses: Part 2

d since 2010. Her mother was diagnosed with stage IV ovarian cancer in 2015 and is currently receiving hospice care at home.2099 CLINICAL REASONING AN

Ebook The essentials of clinical reasoning for nurses: Part 2

D YOUNG ADULT HEALTH ISSUESPsychosocial AssessmentMiss Davis verbalizes feelings of depression, grief, anxiety, fatigue, despair, and social isolation

c H A p T ECLINICAL REASONING AND YOUNG ADULT HEALTH ISSUESLEARNING OUTCOMES■Explain the components of the OPT Model that are essential to the reflect

Ebook The essentials of clinical reasoning for nurses: Part 2ls and ibuprofen as needed for tension headaches. There arc no known drug allergies.PATIENT-CENTERED PLAN OF CARE USING THE OPT MODEL OF CLINICAL REAS

ONINGThe patient story in this case study has been obtained from all possible sources, including a physical examination, a current list of medications Ebook The essentials of clinical reasoning for nurses: Part 2

, and care conferences. The lists of patient problems and relevant nursing diagnoses support rhe creation of the Clinical Reasoning Web Worksheet and

Ebook The essentials of clinical reasoning for nurses: Part 2

rhe OPT Model of Clinical Reasoning that help the nurse begin to filter the assessment data and information, frame the context of the story, and focus

c H A p T ECLINICAL REASONING AND YOUNG ADULT HEALTH ISSUESLEARNING OUTCOMES■Explain the components of the OPT Model that are essential to the reflect

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