Case Study Of A Woman With Bilateral Gangrene Discussion
Amy, a junior nursing student, was assigned to care for Flora, an eighty-fiveyear-old woman with bilateral gangrene of the lower extremities secondary to diabetes mellitus. Flora’s treatment regimen included maggot therapy. She was on strict contact isolation due to methicillin resistant staph aureus (MRSA). Amy came to clinical well prepared but with some obvious apprehension as she began her day. She donned a gown, gloves and mask before entering Flora’s room for an initial nursing assessment. The usual morning care followed: breakfast, medication administration, bathing and tedious dressing changes. Flora was hearing impaired, so Amy leaned close to her and spoke clearly in her ear. Flora chewed her food slowly, but Amy very deliberately helped her take each bite of breakfast, a process that took over thirty minutes. Flora was afraid and in pain, so Amy touched her gently and combed her hair carefully, gave good skin care and held her hand. Flora said she couldn’t remember when her family last visited, so Amy read each of her greeting cards to her and listened as Flora reminisced about family. Amy opened the curtains to let Flora feel the warmth of the sun and see the activities outside her window. Case Study Of A Woman With Bilateral Gangrene Discussion
Flora was confused, due to sleep deprivation, so Amy developed a plan for a soothing bedtime routine. When Flora refused to take her medications, Amy 26 helped her with each pill, calling pharmacy to get liquid meds where possible. Flora dreaded the painful dressing changes to her lower extremities, but Amy carefully explained each step in the process and used strategies to minimize the pain Flora experienced. When a wandering maggot escaped from under the edge of the dressing, Amy unobtrusively removed it. Amy was weary as she came out of the room after morning care, sweat matting the hair around her face as she sat down for the first time in two hours to do her charting. When her instructor returned later, she found Amy back in isolation gear, sitting in Flora’s room, holding her hand. When her instructor asked Amy why she returned to Flora’s bedside, she replied, “I saw Jesus going back into that isolation room to bring comfort to a lonely woman, but I knew Flora would not be able to see him, so I went instead.” (Adapted from Carol Bence, “I Went Instead,”Journal of Christian Nursing, spring 2003, pp. 4-5.) Discussion Questions 1. In what ways does Amy’s care for Flora illustrate the principles given in the Bible passages above? 2. How did Amy’s personal faith affect her nursing care? 3. What did Amy’s care for Flora imply about the way she viewed her patient? 4. How did Amy alter Flora’s environment to enhance her care? What seemed to enable Amy to endure the discomfort in her environment? 5. What seemed to be the goal of Amy’s care for Flora? How do you think she viewed health? 6. Describe one of your most difficult patients. How could you apply similar approaches in your nursing care for this person? Case Study Of A Woman With Bilateral Gangrene Discussion
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Amy is a junior nursing student. She was assigned to care for Flora.
Flora was eighty-five year old woman with bilateral gangrene of the lower extremities secondary to diabetes mellitus.
So she is admitted in the hospital.
Amy’s care for Flora:
- Amy came to clinical well prepared. She had some obvious apprehension as began her day to take care of Flora.
- She donned a gown, gloves and mask before entering flora’s room for an initial nursing.
- Morning care :
- Breakfast, medication administration, bathing and tedious dressing changes.
- Amy very deliberately helped her to eat bites of breakfast.
- She touched her gently and combed her hair carefully. Case Study Of A Woman With Bilateral Gangrene Discussion
2) Answer :
Amy is personally take care Flora because her health condition is not well. So she decided to take care her and helped her to get back with some faith.
She prayed for Flora for good health. She is affecting the faith on her nursing. Moreover she helped her with taking precautions.
3) Answer :
Flora was confused due to sleep deprivation, so Amy developed a plan for Flora a soothing bed time routine.
When Flora refused to take care her medicine Amy helped with her each pill, calling pharmacy to get liquid meds where possible.
4) Answer :
Amy was weary as she came out of the room after morning care, swetmating the hair around her face as she sat down her first time in two hours to do her Charting. Amy is going to Flora room to know her health condition. Amy entered flora room and take her to isolation on her health issue.
5) Answer :
Amy is goal is to take care her patients Fora. Flora is unable to do her things and her health condition is difficult. Amy decided to get medicine to Flora. She done with some medication and yoga to recover flora health.
Amy’s goal is to take care nursing her patient. She decided to get some breakfast and combed her hair.
Amy is prayed for Flora to get better health.
Final answer :
6) Answer :
Here I want to describe few situations happen to me in nursing to take care one patient.
Her name is jansi. She is admitted in hospital because she is suffered with jaundice.
At that time I was assigned to her to take care in the hospital.
She was feared to admit in the hospital. She couldn’t take injections and medicines. Doctor is clearly mention her condition to her parents. Finally she is having injections with the help of doctor.
She is cried over and over again to get her home back . All the nursing staff members are talked to her to improve her mental health.
I was told that she will recover soon and get back her home within two days.
So this was the situation in nursing to take care the person. Case Study Of A Woman With Bilateral Gangrene Discussion