Question Management of Care Case Study Josepha is working on a medical… Management of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients. In addition she is most frequently assigned any change of shift admissions. While she understands that she is part of a team, she often feels that the consistency of the inequity of these assignments is not fair. She is self aware of how this is affecting her. As she starts her shift today, she is again assigned to the clients with the highest acuity on the unit, as well as an admission. The following are the clients assigned to Josepha: Mrs. Mary Harvey, a 42-year-old African American female, postop day 2 from abdominal surgery. Still has pain, nausea and vomiting, and an NGT. She is also Muslim.Ms. White, a 60-year-old female, admitted 3 days ago with a diagnosis of bacterial pneumonia. She is dyspneic with exertion and on 2L of oxygen via nasal cannula. Uses a walker when ambulating.Mr. Raj Singh, a 68-year-old admitted with chest pain and scheduled to have a cardiac catheterization done today at noon. He is very anxious and rings the call bell every 15 minutes to ask whether he is going to die and if the cardiac catheterization is really necessary.Mr. George Rivera, a 38-year-old Mexican male, admitted with high blood sugars and newly diagnosed with diabetes. He is scheduled to be discharged today, but still needs some reinforcement of diabetes education. He does not speak English very well.Scheduled admission is Mrs. Mary Smith, a 75-year old black female admitted with change in mental status. ER calls to give report at 0800.How should Josepha manage her perceived inequity of assignments? What resources does she have to help her with this management? How does management style of the leadership on the unit impact how Josepha addresses the issues?Josepha should manage her perceived inequity of assignments by planning, organizing, directing, and controlling. The proper management of resources available such as LPNS and other RN when needed. Delegating the appropriate task which can be done legally by them.She has LPNS and RNS to help her as a human resource.If there is centrtralizeds Based on the information provided determine the priority order in which the clients should be seen and the reasoning behind the nurse’s decision. What tasks need to be done? How would the nurse organize the day? What resources are available? What strategies could the nurse use to help with Mr. Singh’s anxiety? How might the nurse engage the team to consistently manage Mr. Singh’s anxiety? Which of the following tasks could be delegated and to who? Provided your rationale. Assisting Mrs. Harvey with bathing Mr. Rivera’s nutrition education Mr. Rivera’s discharge teaching Feeding Mrs. Smith Completing Mrs. Smith’s admission Ambulating Mrs. White to the bathroom Taking Mr. Singh’s hourly vital signs when he returns from his cardiac catheterization When providing diabetes education to Mr. Rivera, what cultural considerations should the nurse consider? When receiving report on Mrs. Smith, the nurse tells Josepha that Mrs. Smith is well known to the hospital and has a diagnosis of mild neurocognitive impairment without behavioral disturbances. “She’s a frequent flyer who is pleasantly confused. She normally stays for a couple of days while we run lab work and then we send her back home to her daughter, who is somewhat overbearing. Are you ready for us to bring her to the floor?” How should Josepha handle this situation? “What information does she know about this admission? What additional information does she need to know? What is Mrs. Smith’s baseline functional status? When Mrs. Smith arrived on the floor, the patient care tech spoke her name, “Mary” to orient her to the room and take her vital signs. The patient slowly opened her eyes and turned her head but made no further signs of acknowledgment. The patient care tech told the nurse that she was concerned about the patient because she wasn’t responding. When Josepha entered the room, she called the woman Mrs. Smith. Mrs. Smith then became alert, pleasant, and cooperative. Provide an explanation of the cultural values that may play a role here. How should the interdisciplinary team manage Mrs. Smiths care to promote optimal outcomes? When explaining the cardiac catheterization procedure to Mr. Singh, he becomes upset when you mention they may shave his groin. He states he does not want the procedure. What should the nurse do? What legal and ethical issues must Josepha consider? How might the ANA code of ethics and the Nurse Practice Act help to gui Health Science Science Nursing Share QuestionEmailCopy link Comments (0)