The human developmental stage
1 Case Study Mrs Green ( 20 Markss for general description )
Mrs. Green is a 55 twelvemonth old female who had a entire articulatio genus arthoplasty 3 yearss ago. The client is on 6 hourly observations. The last set of observation are: Temp 36. 5 ?C. RR 22. HR 110. BP 170/86mmHg and SpO2 98 % on room air. She has been kicking of ‘awful pain’ in her articulatio genus.
She has refused to hold a shower and make her modus operandi Read-only memory exercisings due to the hurting in her articulatio genus. She requires aid to execute ADLs at this phase and expresses feelings of embarrassment and defeat. Mrs. Green has besides reported that she has non opened her bowels since the operation.
Socioeconomic position: Mrs. Green lives with a hubby and has three grown up kids.
1. Write a nursing attention program for Mrs. Green:
Supply two ( 2 ) existent and two possible nursing diagnosings include intercessions and expected results for each. Use the templet provided.
2. What are three ( 3 ) gender specific nursing attention needs for Mrs. Green? The three gender specific nursing attention needs for Mrs Green may be. the demand for a female nurse. guidance and instruction lessons. Although there is gender specific nursing these twenty-four hours
Mrs Green may necessitate a female nurse the nurse will necessitate to derive Mrs Greens trust to assist her with her activities of day-to-day life. as she may experience abashed acquiring aid from a male nurse to assist her shower. toileting and acquiring dressed. This may be why Mrs Green has non had a shower or completed her ADLSas she may experience like her self-respect and privateness have been invaded ( Crisp and Taylor 2010. pp 303-304 ) On the other manus guidance may assist Mrs Green understand why she is experiencing frustrated and may supply ways on how to pull off her defeat and emphasis.
Reding can supply aid Mrs Green with emotional. religious and psychological support ( Crisp and Taylor 2010. pp 303-304 ) in footings of her current wellness position and can frequently affect merely her-self or her household besides ( Crisp and Taylor 2010. p. 304 ) In decision Educating Mrs Green on how she will be able to assist herself and come up with end related outcomes will assist Mrs Green in her day-to-day activities at place. learning her the exercisings that she needs to execute will help Mrs Green in a faster recovery and may avoid re-hospitalisation ( Crisp and Taylor 2010. pp 304-305 )
3. Describe two ( 2 ) precedence needs to be considered in be aftering for Mrs. Green’s discharge. When be aftering Mrs Greens discharge the nurse will necessitate to measure Mrs Green’s mobility and whether or non Mrs Green will necessitate to accompanied rehabilitation for her articulatio genus. The discharge procedure will go on throughout Mrs Green’s infirmary stay with an rating of the wellness attention needs. this may besides necessitate instruction Sessionss for herself and her household to supply the wellness attention needs that are required for Mrs Green ( Tollefson etal 2012 pp 52-53 ) .
When fixing Mrs Green for discharge the nurse will measure her degree of mobility. and happen out if there is any jeopardies or barriers that may impede her advancement. like stepss. accessing the bathroom safely. is their aid available to assist with her activities of day-to-day life ( Koutoukidis. Stainton & A ; Hughson 2013. pp 343-344 ) . Along with any rehabilitation that she may necessitate. she might to boot necessitate to travel and see a physical therapist. The physical therapist will travel through exercising that will assist her acquire her mobility back a ( Koutoukidis. Stainton & A ; Hughson 2013. pp 343-344 ) .
4. Identify the human developmental phase for Mrs. Green.
The human development phase for Mrs Green is in-between aged. this phase begins at 40 old ages of age and continues until 60 five old ages of age ( Koutoukidis. Stainton & A ; Hughson 2013. p. 223 ) . The features of this phase. are persons may be enduring from empty-nest syndrome. they may be grandparents. or it can be a clip that the person may be go through a mid-life crisis or contemplating major life alterations. for Mrs Green she may be sing the early phases of climacteric ( Koutoukidis. Stainton & A ; Hughson 2013. p. 223 ) .
5. Briefly explain the developmental phases in relation to Mrs Green.
The developmental phase that Mrs Green is in is in-between maturity. in this phase of life there are many physical. cognitive and psychosocial alterations ( Koutoukidis. Stainton & A ; Hughson 2013. p. 224 ) . The physical alterations that Mrs Green may be experience are a alteration in her physical visual aspect. graying hair. furrows. and alterations in organic structure as she may be demoing marks of climacteric. On the other manus her cognitive responses stay the same and be able to pull off stress more efficaciously ( Koutoukidis. Stainton & A ; Hughson 2013. p. 224 ) . In Erik Erikson theory this phase is “Achieving a sense of generativity while avoiding self-absorption and stagnancy ( middle-age ) ” ( Crisp and Taylor 2010. p. 149 ) . This phase is described as the focal point of raising kids and to give their ain demands for others. ( Crisp and Taylor 2010. p. 149 ) . Mrs Green may happen that her relationship with her kids is stronger. and may hold a really active societal life as she may be acquiring ready to retire from work ( Koutoukidis. Stainton & A ; Hughson 2013. p. 224 ) .
1. Case Study Martin Mc Donald ( 20 Markss for general description )
Martin McDonald is a 31 twelvemonth old adult male who has been diagnosed as holding a low sperm count. low sperm motility. and a high per centum of unnatural sperm cells. He has been married for six old ages and his married woman has already undergone three unsuccessful efforts at unreal fertilization and one unsuccessful effort at in vitro fertilization ( IVF ) .
On admittance. his critical marks are ; Temp 37. 0 ?C. RR 18. HR 53. BP 122/66mmHg and SpO2 99 % on room air. He appears clean and tidy but lethargic. He does non interact much with the nursing staff unless it is necessary.
Socioeconomic position: He works as a chef in a popular eating house in the town and works really long hours. 6 yearss a hebdomad. His married woman is really caring and supportive with his diagnosing. but becomes emotional when she sees babes in public.
1. Write a nursing attention program for Martin:
Supply two ( 2 ) existent and two possible nursing diagnosings include intercessions and expected results for each. Use the templet provided.
Please see affiliated
2. Write nursing admittance notes for Martin. Use the Progress Notes templet provided.
Please see affiliated
3. Describe the appropriate method to roll up wellness related informations as a portion of the admittance procedure for Martin. A patient interview will necessitate to be conducted on Martins hospital admittance. The nurse will necessitate to acquire to interview Martin to obtain a complete medical history. his critical marks. blood force per unit area. temperature. O impregnation. pulsation and respiratory rate. these can be completed at the bed side with Martins permission and necessitate to be documented suitably ( Koutoukidis. Stainton & A ; Hughson 2013. p. 274 ) . The method that the nurse can utilize is SOAPIE or ADPIE this will hold subjective and nonsubjective informations along with appraisal. program and execution both methods can supply the an accurate indicant of the best wellness attention program for Martin ( Koutoukidis. Stainton & A ; Hughson 2013. p. 274 ) . On the other manus E-Health can besides supply the nurse with an accurate history. supply that Martin has an E-Health history ( Australian Government Health Department 2014 )
4. Discourse the possible impact of sterility on Martin and his married woman.
The impacts on sterility on twosomes ab initio is denial. followed by daze. incredulity. choler and depression. The impact of sterility on twosomes can differ from twosome to twosome and can depend on how of import it is to the twosome to holding a household ( Women’s wellness Queensland. 2011 ) . Sterility can set a strain on the couple’s relationship particularly if the diagnosing merely relates to one spouse. In this instance survey. Martin and his married woman have had failed efforts of IVF this can do dissensions and set a strain on the couple’s matrimony. sex life and fundss. On the other manus some twosomes
hold found that the inability of being able to hold kids has brought them come nearer together as a twosome ( Women’s Health Queensland. 2011 ) .
5. Summarize the developmental phases of early maturity.
The early maturity development phases have reach their full potency between the age of 20 five to thirty old ages of age this includes their physical. cognitive and psychosocial ( Koutoukidis. Stainton & A ; Hughson 2013. p. 218 ) . The early grownup has reach adulthood with their maximal tallness reached and their physical strength has increased to its peek degree along with their sexual reactivity. For some work forces. male patterned phalacrosis may look ( Koutoukidis. Stainton & A ; Hughson 2013. p. 218 ) . With the encephalon wholly developed the early grownups cognitive abilities have maximised and their memory additions. this gives the early grownup the ability to job solve and happening a happy balance in their life ( Koutoukidis. Stainton & A ; Hughson 2013. p. 218 ) .
Psychosocial development for the early grownup is about emotional development and harmonizing to Erik Erickson this is the phase of “intimacy. solidarity and isolation” ( Koutoukidis. Stainton & A ; Hughson 2013. p. 218 ) . This means that the early grownup is looking for meaningful relationships and deriving the independency and calling to set up the ends for the hereafter ( Koutoukidis. Stainton & A ; Hughson 2013. p. 218 ) .
1. Describe two ( 2 ) physical alterations that occur in older grownups.
Two physical alterations that can happen in older grownups are brickle or decreased bone denseness and a lessening in vision. These alterations occur due to the effects of aging on the organic structure and the body’s variety meats ( Koutoukidis. Stainton & A ; Hughson 2013. pp 332-334 ) . As an single ages their vision may go bleary and their ability to concentrate might diminish. this can be due to cataracts. peripheral vision can be affected or the person may hold macular devolution. All of these vision jobs can do the older grownup more susceptible to falls and breaks. Furthermore along with a lessening in bone denseness and the crispness of the castanetss the falls may frequently take to hospitalization ( Koutoukidis. Stainton & A ; Hughson 2013. pp 332-334 ) .
2. Identify two ( 2 ) specific wellness demands for older grownups due to the physical alterations identified in Question one ( 1 )
Two specific heath attention needs for the older grownups are vision and hearing trials. This may besides include a wellness appraisal for older grownups ( Koutoukidis. Stainton & A ; Hughson 2013. p. 241 ) . For the older grownup. regular vison and hearing trials will place and help in any countries that may necessitate intervention. This may include erosion of spectacless or hearing AIDSs to help the person in keeping their independency ( Koutoukidis. Stainton & A ; Hughson 2013. p. 241 ) . If the older grownup is at hazard of falls they may be referred to a physical therapist for a falls hazard appraisal or be assessed by an aged attention appraisal squad. this can be a self-referral by the household or by their physician. This appraisal will find if the single requires high or low attention demands and the appropriate steps can be made based on the appraisal ( Koutoukidis. Stainton & A ; Hughson 2013. pp 241-242 ) .
3. Describe two ( 2 ) socioeconomic activities normally associated with early and in-between maturity. Socioeconomic position in early maturity may concentrate on deriving the makings for the calling way that they have chosen and is non uncommon for the early grownup to alterations occupations if calling patterned advance is unavailable. On the other manus we are seeing more immature grownups populating with their parents while they gain their makings or even in the first few old ages of matrimony ( Koutoukidis. Stainton & A ; Hughson 2013. pp 219-220 ) . In in-between grownup hood their calling is good established and their kids are turning up and may besides be looking after their ripening parents this is called the sandwich coevals ( Koutoukidis. Stainton & A ; Hughson 2013. p. 224 ) The in-between aged grownup may be looking at cutting down their on the job hours to concentrate more on societal activities or even retirement. by and large they have paid off their mortgage and can be financially stable ( Koutoukidis. Stainton & A ; Hughson 2013. p. 224 ) .
4. Describe two ( 2 ) growing and development alterations seen in in-between adolescence.
Middle adolescence is between 14 to 17 old ages of age. This is a period where the stripling it seeking to set up their ain individuality and personality. every bit good as a altering relationship with their parents and equals. In this age group they can frequently hold feelings withdrawal and their ain ego ( Koutoukidis. Stainton & A ; Hughson 2013. p202 ) . When the stripling is set uping their individuality they can go really egoistic and their behavior may go fickle as they are seeking to suit in with their equals. This may take the stripling to arise against their parents and give in to peer force per unit area. where they may experiment with different drugs or substance maltreatment. intoxicant and engage in insecure sexual activities ( Raising kids web Australia. 2011 ) .
The relationship that the stripling has with their parents may endure as they are seeking to be independent and desiring control over what they can and can’t do. This can frequently take to a communicating interrupt down with the parents therefore taking to rebellious behaviors. therefore ensuing in the parent ( s ) fring trust in the stripling. For the parent ( s ) to maintain a stable relationship with the stripling they will necessitate to pass on openly as to what is acceptable and fit boundaries ( Raising kids web Australia. 2011 ) .
5. Discourse two ( 2 ) common issues associated with striplings during growing and development. Two common issues in adolescence are body image and eating upsets. these two issue can consequence both male and female striplings. this is due to what is considered to be normal by media. every bit good as what the stripling considers acceptable by themselves and their equals ( Koutoukidis. Stainton & A ; Hughson 2013. pp 208-209 ) . There are many alterations to the organic structure that the stripling will travel through boulder clay they mature to the full. this includes the development of chests in females. facial hair for males and pubic hair for both sexes. and it can be a hard and awkward phase of their life ( Koutoukidis. Stainton & A ; Hughson 2013. p. 210 ) . It can be a clip that fad diets. inordinate exercise and weight lifting in the stripling becomes their chief focal point due to what is portrayed by the media as to what is considered normal. this in bend can take to eating upsets like anorexia and binge-eating syndrome nervosa which can hold long permanent psychological effects. These upsets don’t discriminate and can impact both males and females where they have an overpowering fright of deriving weight ( Koutoukidis. Stainton & A ; Hughson 2013. p. 210 ) .
6. Hospitalization of kids impacts on the kid and household significantly.
Discuss two ( 2 ) possible impacts of hospitalization on the kid and household.
When a kid is hospitalised it can be a really hard clip for both the kid and the household. Both the household and the kid may see times of fright. anxiousness. emphasis and non understanding what is go oning ( Koutoukidis. Stainton & A ; Hughson 2013. p. 334 ) . The child’s frights and anxiousness may by and large be caused by being in an unfamiliar topographic point with different sounds. odors and people. Besides being separated from their household and friends without holding excessively many amenitiess from place. The household will besides be traveling through similar emotions as they are concerned for the child’s wellness and the fright of non cognizing or understanding what is go oning to their kid. The parent ( s ) may experience they are pretermiting their parental function with other kids and spouse. as they try to split their clip between work. and traveling to and from the infirmary or in other cases they may hold to halt working to be with the kid full clip depending on the state of affairs ( Koutoukidis. Stainton & A ; Hughson 2013. p. 334
7. Describe two ( 2 ) methods or techniques that nurses can specifically utilize when working with households to increase the family’s engagement in their child’s attention during hospitalization.
When a kid is hospitalised the nurse needs the household to be engaged and assist with the child’s attention. This can assist the kid have a faster recovery. Constructing a curative relationship with the kid and household. every bit good as educating the parents. these are two techniques that could increase the family’s engagement ( Pediatric Nursing. 2010 ) . Effective communicating to construct a curative relationship with the household. is a manner that a nurse can derive the trust of the household. by actively listening to their concerns for the kid and giving medical advice on how the household can assist with the hospitalised kid.
This in bend will assist acquire the household actively involved with the child’s daily care demands ( Koutoukidis. Stainton & A ; Hughson 2013. pp 107-112 ) . Educating the parent on how they can help with the child’s attention. this could include the importance of curative drama. which can assist the kid act out how they are experiencing in a positive manner. assisting to live over the emphasis and acquiring the household involved ( Koutoukidis. Stainton & A ; Hughson 2013. pp 334-335 ) . .
8. Describe two ( 2 ) factors that influence human growing and development.
Geneticss and environment influences growing and development. this can besides be known as nature and raising. these work in concurrence with each other and are non easy separated. ( Koutoukidis. Stainton & A ; Hughson 2013. pp 191-192 ) . From before we are born the familial construction are pre-programed from fertilization this means that physical features. our hair coloring material. eyes coloring material. sex. tallness and clamber coloring materials are already determined every bit good as parts of our psychological do up for illustration our attitudes. Raising or environmental factors are how we are raised. what we are exposed to. who we have contact with and what experience we have this will act upon the persons beliefs. values and attitudes ( Koutoukidis. Stainton & A ; Hughson 2013. pp 191-192 ) .
9. What are two ( 2 ) spiritual or cultural dietetic demands to be considered for a Muslim client in the health care environment?
When caring for a Muslim client the Enrolled Nurse should happen out the patients spiritual and dietetic demands. as the patient may non be presently take parting in their faith. The dietetic demands for a Muslim patient are ; they don’t eat porc or porc byproducts and other meats must be halal. this means that the animate being is blessed before being slaughter ( Koutoukidis. Stainton & A ; Hughson 2013. and p. 654 ) . Another cultural dietetic demand that should be considered is Ramadan this means the patient will non eat or imbibe between dawn to sunset. this means that the patient is nil by oral cavity in the holy month ( Islamic council of Victoria 2014 ) .
10. Supply an illustration of how nurses must protect the patient’s confidentiality and privateness in the wellness attention environment.
When caring for a patient the Enrolled Nurse must keep the patient’s privateness and confidentiality. this means that all information about the patient is merely disclosed to those involved in the patients direct attention or with the consent of the patient. This can be done by locking off patient records and ever seeking consent before unwraping information to other practicians or household member. ( Koutoukidis. Stainton & A ; Hughson 2013. p. 29 ) . This means that it is lawfully and ethically incorrect to unwrap their information to a 3rd party unless the nurse has gained consent from the patient to make so. The lone clip that a patients private and confidential information will be discussed is with the patient. or if it falls within her professional responsibilities and is merely discussed with other wellness attention professionals ( Koutoukidis. Stainton & A ; Hughson 2013. p. 29 ) .
Australian Government Health Department 2014. about e-health. viewed 28th August. 2014 & lt ; World Wide Web. ehealth. gov. au/internet/ehealth/publishing. nsf/content/home & gt ;
Crisp. J & A ; Taylor. C. 2010. Potter and Perry’s: Fundamentalss of Nursing. 3rd edn. Elsevier Australia. NSW.
Islamic Council of Victoria2014. what does Ramadan intend. viewed 26th August World Wide Web. icv. org. au/index. php/background-info/ramadan
Koutoukidis. Stainton & A ; Hughson 2013. Tabbner’s Nursing Care: Theory and Practise. 6th edn. Elsevier Australia. NSW.
Pediatric nursing 2010. how can a nurse aid the household when kid is hospitalised. viewed 25th August
Raising kids web Australia 2011. Peer force per unit area and the in-between stripling. viewed 23rd August
Womens wellness Queensland 2011. Sterility in twosomes. viewed 19th August