Week 8 Maternal DQ Assignment

Week 8 Maternal DQ Assignment

Week 8 Maternal DQ Assignment

Due to a fall from a second story townhouse, Jimmy sustained a fractured left femur and a mild head injury. Jimmy is 10 years old. He was reaching for a ball that had gotten lodged into the gutter over the small balcony of his parent’s bedroom. He thought if he stood on the railing and reached with the badminton racket he could get it.

Currently he is 2 days postoperative from repair of the left femur. He is being transferred out of the pediatric ICU where the Neurologist has stated he is stable but needs continued neuro checks q2 hours. He has a full left leg cast. The Foley catheter is to be replaced today, or he can attempt to roll onto a bedpan if needed.

Please list the systems that are affected by this boy’s injuries.

List the nursing interventions now that he is on your nursing unit.

Start a list of nursing diagnosis match the system you are presenting. 300 words

Week 8 Maternal DQ Assignment

Aliveness is very different.

Britney is one of the most devoted people I’ve ever met. She doesn’t make a whole lot of money as a CNA, and her job, working here with Alzheimer’s patients, isn’t particularly glamorous, but you can see that she really loves what she does… she’s passionate about her work. She’ll tell you that anything she can do to make her patients feel more comfortable or less fearful… more loved, really… brings her incredible joy. She’s not Mother Teresa… she’s not perfect and she gets stressed like the rest of us… but there’s this core of real devotion and passion about caring for these people.

Aliveness is conceptually related to the other qualities that we have considered that frame spiritual well-being… groundedness, centeredness, wholeness, and so forth… all of which are important to us as clinicians. As we discussed in the last chapter, these qualities of our own personal well-being

Stay Connected with Your Purpose

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• promote a spirit of equanimity and resilience, • help us to provide quality clinical care, • enable us to be open to intuition, and • spread in a ripple effect to other people with whom we work.

What the world needs… what health and wellness care needs… is people who have come alive.

ALIVENESS AND PURPOSE Spiritual aliveness for us as caregivers is typically anchored in purpose. When we have a present awareness of doing what we do because it is meaningful… because it relates to a purpose that matters to us… we are more alive.

In my research with exemplary community health centers,1 the methodology included interviewing all of the staff, both professional staff and support staff, and exploring why their organizations were such great places to work and to be a patient. One of the questions in our interview protocol was “Why is it important for you to work here?” In both health center sites (both in rural Maine communities), the overwhelming majority of the staff said “We are providing quality health care to people who would not otherwise have access to health care.” I heard this from the physicians, the administrators, the nurses, the receptionists, the medical records clerks, the housekeepers… everyone was truly on the same page that this was what they were about as an organization and as staff working together. It was clear that this shared purpose really helped to energize and coalesce them as health care teams.

The practical challenge is to maintain the present awareness of purpose. There are countless influences in health and wellness care that compete for our time, attention, and energy, such as productivity requirements, managed care authorization, endless paperwork, and multiple concurrent responsibilities. It is easy for purpose to become lost in the shuffle. However, if aliveness is important because it supports the personal arena of spiritual care.