The Nursing Situation that Nurtured the Patient’s Wholeness and Wellbeing
I was assigned to the nursed, Mr. K, 58 years old, history of staged 4 lung cancer with metastasis to several region of body, abdominal surgery, and chronic back pain from prior motor vehicle accident. This admission to the hospital was due to Mr. K needed emergency surgery for incarcerated incision hernia. Post-operative procedures were exploratory laparotomy, repair incision hernia, and sigmoid colectomy. I introduced myself to Mr. K, to establish a relationship of trust, and developed a conversation to get a sense of his thoughts on now having a colostomy and his intended plan of care. The nursed presented as talkative with authoritative tone, seems knowledgeable of about his medical condition, brilliant with a lot of life experiences and vast knowledge of world history. During this time, he voiced concerns about not being happy with outcome of the surgery, and his care. At this moment, Mr. K teared up, and stated no one is listening to him, and talk at him instead of to him. My purpose, as the nurse, is to assist the one being nursed by sitting, listening, offering encouragement, and resolve the concerns. So, Mr. K shared he is a divorcee, an ex- marine, and has one adult daughter, who resides in England and only communicates through text or telephone once a month. He expressed that he is lonely at times, and because of his medical diagnosis, prefers not to establish any personal relationship to burden anyone. He further stated his ex-wife visits often to make sure he has food and has arranged to have his apartment cleaned once a month and now one more thing to worry about this colostomy. In a reflective tone, Mr. K stated, she is such a good person to me, but most thinks I talk too much and bossy. After expression of his thoughts, the one being nursed was relaxed, connected/ bonded with the nurse, and receptive to directives, I then realized he was fearful and frustrated of not knowing how to care for the colostomy. I explained and demonstrated how to care for the colostomy and assured him a home health nurse will visit to assist with the colostomy until he is able to selfcare and supplies will be delivered at home. Also, I shared with Mr. K, that I will speak with staff about having him participate more in his care and to address any treatment plans and medical arrangement directly with him. At this time, he expressed gratitude and asserted he only wanted to be heard and joking said tell them I wont talk too much and we both laughed. Shortly after, Mr. K ex-wife visited, and he could be heard making jokes and laughing, the staff reported he was in better mood than upon admission. I reached out to the social worker to regarding Mr. K, was informed home health care will be in placed prior to discharge.
From the above nursing situation discuss how Watsons theory and Leiningers theory of caring are congruent in this nursing practice scenario. Also, briefly apply Marlaine C. Smiths analysis of nursing theories to the nursing situation and describe the purpose, the values, and the metaparadigm and environment. Please use subheadings for each discussion.
APA
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