NRS-410V Module3 Case Study2

NRS-410V Module3 Case Study2

NRS-410V Module3 Case Study2

Mr. P is a 76-year-old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy. He has 4+ pitting edema, moist crackles throughout lung fields, and labored breathing. He has no family other than his wife, who verbalizes sadness over his declining health and over her inability to get out of the house. She is overwhelmed with the stack of medical bills, as Mr. P always took care of the financial issues. Mr. P is despondent and asks why God has not taken him.

Question

Considering Mr. Ps condition and circumstance, write an essay of 500-750 words that includes the following:

· Describe your approach to care.

· Recommend a treatment plan.

· Describe a method for providing both the patient and family with education and explain your rationale.

· Provide a teaching plan (avoid using terminology that the patient and family may not understand).

NRS-410V Module3 Case Study2

Pick One or Two Areas to Inquire about People’s Spirituality

Changes like commitment to a partner, birth of a child, starting a new job, retirement, or deaths of parents transform the landscape of your life and present opportunities to envision the kind of person you want to be in your newly-configured roles.

Some of the most sacred times in my own life have been my marriage 36 years ago, the births of our three children, the passing of my parents in 1993 and 2000, and the marriage of our daughter to a bright and devoted man last year. If being father of the bride doesn’t make you think about what’s important in your life… walking down an aisle arm-in-arm with the child, now a woman, with whom you have shared birthday parties, bedtime stories, bike riding, school sports, travel around the country, proms, college visiting, and graduate school… nothing will.

With our patients, transitions can be good times for spiritual inquiry. As you are concluding by now, I don’t think of this in terms of formal spiritual history-taking as much as just asking a conversational-language question that invites patients to reflect on “the vital and sacred” in their forthcoming roles. Examples:

• What do you picture it like for you being a mom… what kind of mom do you hope to be?

• What prompts you to change to this new job? What is it, in particular, that is important to you that you hope will be better served in this new role?

• Last child leaving home… wow. How is that going to be for the two of you… what do you hope your relationship with Jeff will be like now that you’re back to being more of a couple again?

• So sorry about your dad. I know how much you meant to each other and how devoted you have been taking care of him. I’m curious… where do you go from here? What do you see yourself putting energy into at this point as you try to adjust to his loss?

With my particular style, I find that these types of questions about “What kind of person do you want to be?” and “How do you wish to be approaching this?” are often good entry points for spiritual inquiry. I can then follow up with more particular.