Nursing Theory and Critical Thinking

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0 Undergraduate Writing from scratch Essay Not needed 2

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Subject:

Nursing

Topic:

Nursing Theory and Critical Thinking

Benner identifies the following seven domains of nursing practice including: 1.The Helping Role 2.The Teaching-Coaching Function 3.The Diagnostic and Patient-Monitoring Function 4.Effective Management of Rapidly Changing Situations 5.Administering and Monitoring Therapeutic Interventions and Regimens 6.Monitoring and Ensuring the Quality of Health Care Practices 7.Organizational and Work-Role Competencies Each domain is identified with different competencies. One of the competencies related to the helping role is maximizing the patient’s participation and control in his or her own recovery. Considering the care needs of Tina Jones, how can you as a nurse maximize her participation and control in her recovery? Provide an example from your current or past nursing practice where your patient demonstrated control in their recovery. Ms. Jones is a pleasant 28-year-old African American woman who presented to the emergency department for evaluation of a right foot injury and was admitted for IV antibiotics. She is a good historian. She hurt the ball of her right foot by scraping it on the edge of a metal step while changing a light bulb. The injury occurred about one week ago. Her pain has worsened, and the swelling has persisted. She tried ibuprofen, but it didn’t work well. The foot feels better when she rests, and it hurts more when she walks on it. Her pain is a 9 when she tries to ambulate. She took her temperature at home and reports it was 102. She has not been eating much and has been staying in bed the last few days, per patient report. The scrape is red and swollen with exudate and has no odor; she reports the swelling and exudate started two days ago. She reports diarrhea overnight. Pain improved with oxycodone. Stomach upset. Pain is rated as 7. Pain is localized to ball of foot related to wound. Dull and constant ache. Patient has tried ibuprofen, but reports it does not work well. Patient states there is relief when foot is elevated, not walking on it. Patient answers questions clearly and consistently. Offers information without hesitation. Vital signs are within range. Patient has Type 2 diabetes, diagnosed at age 24. She used to take metformin but stopped taking it due to gastrointestinal problems. She doesn’t monitor her blood sugar. She was last seen by a primary care doctor a few years ago. She has family history of diabetes mellitus(father and paternal grandfather) Her random glucose level is 238



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