NursingStudent005

I have to come up with an example of an older adult facing difficulty with self-concept. I understand that with you are having trouble facing the real self- concept one may not see them as an aging person, hard time finding a good quality of life and/or trouble becoming more dependent on others for activities of daily living. The one that sticks out to me would be the last one. What do you think of this example (it can be real or imagined) of an older person who refuses to go to a nursing home or getting home care despite a history of falls. My reasoning behind this is that as one gets older they tend to have an increased risk of falls. I just want to make sure I have the whole concept down?

Okay so I posted questions about Therapeutic Communication on Scenarios that I have and it helped tremendously and I decided I wanted to check my other answers since mine before were not fully correct. I will post the scenario and then my response and if someone has anything better please let me know or if you have any feed back that would be great. 1.) "I am so mad at the night nurse because she told me that I wasn't trying hard enough to help myself get out of bed." My response The Nurse upset you because she said you weren't trying hard enough. 2.) "I am so worried my insurance will not cover the extra day I am spending here." My response: You are concerned about not having the money to stay. 3.) "The pain Medications are just not working and no one is listening to me." My response: How often are you taking the pain medications? 4.) "The doctor just left and told me I have to start heparin. I don't have any idea what that is! He didn't even explain it!" My response: You sound angry. Lets sit down and talk about this. 5.) The client has just gotten devastating news about the recurrence of her breast cancer. She is alone in her dark room and sobbing. You enter the room. My response: Good Afternoon Ms. Jones. I can tell you are upset, would you like to talk about anything?

This was very helpful and thank you so much. I would really appreciate it if you could look over a few more of mine since I wasn't quite right before with those three questions.

Thank you for your responses. Since I see that I was sort of on track but not completely could you just check my other answers for other questions, that would be great. I appreciate all your help. 1.)"I am so mad at the night nurse because she told me that I wasn't trying hard enough to help myself get out of bed." My response The Nurse upset you because she said you weren't trying hard enough. 2.) "I am so worried my insurance will not cover the extra day I am spending here." My response: You are concerned about not having the money to stay. 3.) "The pain Medications are just not working and no one is listening to me." My response: How often are you taking the pain medications? 4.) "The doctor just left and told me I have to start heparin. I don't have any idea what that is! He didn't even explain it!" My response: You sound angry. Lets sit down and talk about this. 5.) The client has just gotten devastating news about the recurrence of her breast cancer. She is alone in her dark room and sobbing. You enter the room. My response: Good Afternoon Ms. Jones. I can tell you are upset, would you like to talk about anything?

I definitely would go with the Impaired gas exchange and also the Risk of infection. Make sure when you are doing a nursing diagnosis you end them with at least three defining characteristics.

Do you have access to http://evolvels.elsevier.com and then Gulanick. It is a very helpful website that helps you construct nursing diagnosis

Okay so I posted questions about Therapeutic Communication on Scenarios that I have and it helped tremendously and I decided I wanted to check my other answers since mine before were not fully correct. I will post the scenario and then my response and if someone has anything better please let me know or if you have any feed back that would be great. 1.)"I am so mad at the night nurse because she told me that I wasn't trying hard enough to help myself get out of bed." My response The Nurse upset you because she said you weren't trying hard enough. 2.) "I am so worried my insurance will not cover the extra day I am spending here." My response: You are concerned about not having the money to stay. 3.) "The pain Medications are just not working and no one is listening to me." My response: How often are you taking the pain medications? 4.) "The doctor just left and told me I have to start heparin. I don't have any idea what that is! He didn't even explain it!" My response: You sound angry. Lets sit down and talk about this. 5.) The client has just gotten devastating news about the recurrence of her breast cancer. She is alone in her dark room and sobbing. You enter the room. My response: Good Afternoon Ms. Jones. I can tell you are upset, would you like to talk about anything?

I got most of the scenarios on my paper but there are a few I was unsure on and I wanted to see what you guys think of my responses or if there is something better. 1.)"I could not sleep at all last night because the lady next door was moaning." My response would be It must have been a rough night, maybe you can take a nap this afternoon 2.)"You are the best nurse working here. No one else seems to care as much." My response would be. What makes you think that none of the other nurses seem to care? 3.) The people in physical therapy are very mean!" My response would be What makes you think that they are mean?