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Nursing Process – Case Study

Daniel is a 16 year old boy who is an identical twin. He and his brother Jeff are very close and do most things together. While Daniel excels at sports he believe his brother is much better at most everything. Daniel, his brother, and their two sisters live with their parents in the Midwest. Recently Daniel has been feeling more tired than usual. He thought it was because of his schedule and school work, which he is fairly good at. He gets mostly Bs, but his grades have been slipping of late. One day he fainted while getting ready for a game. His coach called his parents to let them know Daniel was taken to the Emergency Room. While there the doctor decided to admit Daniel to the hospital for observation. At the time he was running a slight fever, his breathing was shallow, and he was sweating. He was also very sleepy and his blood pressure was high. He did have some abnormal laboratory work, but his doctor was not too concerned at present. Daniel also stated that he felt achy.

You are assigned to take care of Daniel today and when you walk into his room, his mother and brother Jeff are there. Daniel appears to be sleeping. In your written assignment, respond to the following questions applying the nursing process:

Assessment: What type of objective and subjective data can you collect with what you know? How will you collect these data? What further evidence do you need?

Analysis and Identification of the Problem: What do you believe Daniel’s problem(s) are? What might be the nursing diagnoses? Use the following for identification.

Planning: Identify two goals and one nursing intervention for each, based on your nursing diagnoses.

While you will not be able to implement or evaluate, how well do you think your nursing interventions might help with Daniel’s care.

Sample Solution

An examination concerning the degree of shame experienced by individuals living with schizophrenia. Survey When leading examination into the disgrace that accompanies living with schizophrenia, it tends to be exceedingly hard to acquire exact data. This report will give an assortment of conceivable research plans that could be utilized in the given situation, and by investigating various information accumulation alternatives we can assess which strategies will be the best when attempting to get precise and solid information. The Diary Method is outstanding in mental research and is getting to be utilized all the more much of the time (Bolger, et al. 2003). It includes the member making every day composed records of their own considerations and suppositions, of specific encounters (Iida, et al. 2012). There are three classifications of journal thinks about; interim unforeseen conventions, signal-unexpected conventions and occasion unexpected conventions (Wheeler and Reis, 1991). The journal technique that would be best utilized with this situation would be the occasion unforeseen conventions. By utilizing this structure technique, it implies that the member is required to give a self-report each time the occasion being referred to happens. For this situation, it will be the point at which the member feels that they have been dependent upon shame because of their schizophrenia. One of the primary focal points of utilizing the journal strategy is that scientists can assemble information in the members regular day to day existences, which means they can stop and archive the occasion. This is exceedingly significant when working with people with schizophrenia, as it has been appeared in an examination done by Alexiadou et al in 2018, that shortages were appeared in verbose and semantic recollections of occasions, certainties and notwithstanding in regards to explicitly reviewed occasions. By diminishing the measure of time between the member encountering the occasion and recording it, it will essentially expand the legitimacy of occasions review (Almeida, 2005). Notwithstanding, one of the fundamental issues with the journal strategy is that the members may not dependably recognize each significant occasion. This can be because of miscommunication between the analyst and the member or, all the more generally, the people possess point of view of what shame towards them and their psychological instability truly is (Gunthert, 2012). This can prompt occasions not being reported, and along these lines diminishes the inquires about dependability (Iida, 2012). In spite of the fact that, if the occasion being archived is more mind boggling than no doubt, the member has no restriction to the amount they record after the occasion that happened. Giving an a lot further knowledge into the members feelings and prosperity. By utilizing this methodology, it will enable wonders and procedures to be evaluated in their normal settings instead of a controlled research facility setting (Ebner-Priemer and Kubiak, 2007). Another exploration strategy that could be utilized would be a self-controlled online poll. This poll will contain both open and shut inquiries. The primary preferred position to this strategy, over the journal technique, is that it takes into account significantly more productive examination of the discoveries (Cantrell, et al. 2007). Just as this, this kind of research takes into consideration fast information gathering, as we can send a survey to any individual who fits the criteria for it, which for this situation is schizophrenia. This will give us access to an enormous example of members. Then again, by utilizing this kind of survey, the example is constrained. As the people partaking in the poll must approach a PC or some type of electronic gadget wherein to get to it, this implies all people who don't approach such gadgets are promptly expelled from the example. Making the outcomes less generalisable (Le Fever, et al. 2007). Be that as it may, with the bigger example size that the online poll would give, some contend that the disposal of a select gathering would have an insignificant impact of the outcomes (Van Selm, et al. 2006). As expressed before, online overviews enable a specialist to arrive at gigantic measures of individuals in a short measure of time, in spite of potentially being isolated by incredible geographic separations (Taylor, 2000). This isn't just a preferred position since it enables access to a bigger populace but since it has additionally been appeared to spare time for analysts (Wright, 2017). Notwithstanding, because of the constrained data that can be gotten by means of an online survey, the greatest burden is that it has absence of knowledge and profundity into the individual and why they've said what they've said. By utilizing the Diary technique, the specialist can pick up understanding to every occasion of disgrace that the members experience. While most, if not all, of this data is lost when utilizing an online survey. Proposed Design Plan This exploration will be directed utilizing semi-organized meetings (SSI). The meetings will occur at a similar area, every member will have their very own designated schedule vacancy in which to land at the set area. Every member will be asked the equivalent SSI inquiries, given to them by a SSI direct. Members Members will be found utilizing the emotional wellness administration. Everybody that meets the criteria will be reached and allowed the chance to participate in the exploration. 6 members are required and the example size was chosen following past investigations, for example, Smith et al, (1999). All members must give a medicinal structure affirming finding of schizophrenia, must be between the ages of 25 – 65 with no other comorbid conditions. Materials A semi-organized meeting aide will be accommodated every analyst playing out the meetings. This will contain a progression of inquiries with prompts that the specialists can use to advance the meeting. Preparation structures will likewise be required for every member alongside a questioning structures. A timetable for all the vacancies for each meeting will likewise be required. Technique A scientist will meet the member at the concurred area, which will be some place peaceful and private, at the chose time. The analyst will pose an opening inquiry, to settle the member into the discussion (Cridland, 2015). The primary meeting at that point starts, utilizing the SSI guide gave. The meeting should last at any rate an hour members must know that all sound is recorded from these sessions (Pietkiewicz, et al. 2014). Before the meeting starts the specialist must affirm that the member completely comprehends the brief and their entitlement to pull back from the meeting whenever. When the member has affirmed they comprehend the meeting can start. The specialist directing the meeting ought to pursue the SSI guide gave, yet don't be shocked if different themes are brought into the discussion by the member. Members should in any case be locked in with when they stray from the guide, as more extensive subject investigation is perfect for SSI's (Smith, 2011). This makes it feasible for the scientist and member to participate in a discourse, which enables further inquiries to be altered all things considered of the other members' (Smith, 2015). When the meeting is finished the member can be questioned. Investigation When the sum total of what meetings have been directed, the accounts must be changed over into a transcript. Every transcript is then perused and explained, recognizing what you accept is to be the most intriguing or noteworthy, words or expression, in what the member said (Pietkiewicz, et al. 2012). When this has been done, the scientist returns to the comments that have recently been made and starts the procedure once more. This is called sectioning (Husserl, 1999. In The Essential Husserl). All condensed segments and explanations become increasingly compact and explicit, adjusting a more significant level of reflection (Smith, et al. 1997). All while doing this, the scientist must ensure that they are returning over the first transcript to guarantee that the expressions or subjects that have been picked, interface back to what the member at first said (Eatough, et al. 2008).

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