Psychological Complications Resulting From Illnesses and Injuries

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The nurse’s role goes far beyond that which is expected. Nurses are the main communicators
between patients, doctors, and family, and they care for more than just physical ailments.
Often, nurses are presented with difficult situations where being an advocate becomes
paramount to the healing of the patient. One of the issues that patients with acute and
chronic illnesses or extended hospitalization face is a tendency to become depressed.
The nurse’s role in this situation requires more than just attention to the physical problem.
Another situation where a nurse may need to shift his or her care is when a patient
presents with a suspicious injury or illness. In addition to considering the legal and ethical
responsibilities of the nurse, he or she must consider the psychological undertones that
may be present. For this Discussion, you will consider delicate situations that nurses
often face and analyze the implications of these situations. Reflect on a patient care
situation in which you have encountered one of the following: A suspicious illness or
injury Depression resulting from illness or injury Then, locate at least one scholarly
journal article related to your patient care situation that offers strategies for managing the
Psychological Complications Resulting From Illnesses and Injuries
The nurse’s role goes far beyond that which is expected. Nurses are the main communicators between
patients, doctors, and family, and they care for more than just physical ailments. Often, nurses are presented
with difficult situations where being an advocate becomes paramount to the healing of the patient. One of the
issues that patients with acute and chronic illnesses or extended hospitalization face is a tendency to become
depressed. The nurse’s role in this situation requires more than just attention to the physical problem. Another
situation where a nurse may need to shift his or her care is when a patient presents with a suspicious injury or
illness. In addition to considering the legal and ethical responsibilities of the nurse, he or she must consider the
psychological undertones that may be present.
For this Discussion, you will consider delicate situations that nurses often face and analyze the implications of
these situations. Reflect on a patient care situation in which you have encountered one of the following:
A suspicious illness or injury
Depression resulting from illness or injury
Then, locate at least one scholarly journal article related to your patient care situation that offers strategies for
managing the circumstances.

Sample Solution

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Career Development and Counseling Case: Shirley

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Tony lives with his wife, Shirley, and two children (a boy at age 5 and a girl at 7). The couple purchased their 4-room flat shortly after they were married, and they put a great deal into what Tony calls their ‘dream house’.
Since giving birth to the younger son, Shirley has quitted her job as an account clerk. She stays at home as a full-time wife and mother. Shocked by the news that her husband has lost his job, the idea of returning to the workforce has surfaced in her mind. Tony disagrees to her idea as he is concerned about the schooling and caring for the children.
One day Shirley passed by a Career Connect’s career centre. She decided to take a bold step. She walked in wanting to talk to someone and to find out if there are any useful services, information, and resource.
Refer to Case: Shirley Ng. You are the career coach at the career centre. How would you intervene and help if you were to work with Shirley? What has happened to her? Apply no more than two (2) models or theories only for conceptualization of the case and suggest practical steps you would help Shirley to address her career concerns and guide her.

Sample Solution

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“How can we create an ethical culture in this organization?

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If someone of authority, within your organization, were to ask you, “How can we create an ethical culture in this organization?” – How would you respond? Offer three points of advice you would share. Dont be generally share some ideas on the topic.

Sample Solution

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Various aspects of consent

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Assess the various aspects of consent, including informed consent, capacity to consent, adequacy of consent,
proof of consent, authorization for consent, implied consent, and statutory consent
Describe means for obtaining informed consent, including expressed, implied, oral, written, complete, and
partial
Outline four exceptions to informed consent
Analyze the influence of medical literacy as it pertains to informed consent
Describe advanced directives, including living wills, natural death acts, and durable power of attorney for health
care and do-not-resuscitate directives.
Assess risk factors, and physical and behavioral findings associated with patient abuse
Describe reporting requirements for abuse

f. Nurses
must understand and use measures that ensure one’s right to control his or her destiny. This module
concluded with a discussion of patient abuse, focusing specifically on pediatric and geriatric populations. Risk
factors, as well as behavioral and physical signs of abuse were discussed. Legal reporting requirements for
abuse were outlined.
Assignment:
Professional Development Exercises :
Read the case study presented at the end of Chapter 8 (Guido, p. 150)
Is the patient correct in asserting that he has a right to know the names and status of individuals who will be
performing this procedure?
Does the manner in which the student introduced herself and the two other team members have relevance in
this case?
Was the informed consent deficient to the degree that there was a lack of informed consent by the patient?
How would you decide this case?
A patient is admitted to your surgical center for a breast biopsy under local anesthesia. The surgeon has
previously informed the patient of the procedure, risks, alternatives, desired outcomes, and possible
complications. You give the surgery permit form to the patient for her signature. She readily states that she
knows about the procedure and has no additional questions; she signs the form with no hesitation. Her
husband, who is visiting with her, says he is worried that something may be said during the procedure to alarm
his wife. What do you do at this point? Do you alert the surgeon that informed consent has not been obtained?
Do you request that the surgeon revisit the patient and reinstruct her about the surgery? Since the patient has
already signed the form, is there anything more you should do?
Now consider the ethical issues that such a scenario raises. Which ethical principles is the husband in this
example most portraying? Which ethical principles should guide the nurse in working with this patient and
family member?
Jimmy Chang, a 20- year- old college student, is admitted to your institution for additional chemotherapy.
Jimmy was diagnosed with leukemia 5 years earlier and has had several courses of chemotherapy. He is
currently in an acute active phase of the disease, though he had enjoyed a 14- month remission phase prior to
this admission. His parents, who accompany him to the hospital, are divided as to the benefits of additional
chemotherapy. His mother is adamant that she will sign the informed consent form for this course of therapy,
and his father is equally adamant that he will refuse to sign the informed consent form because “Jimmy has
suffered enough.”
You are his primary nurse and must assist in somehow resolving this impasse. What do you do about the
informed consent form? Who signs and why? Using the MORAL model, decide the best course of action for
Jimmy from an ethical perspective rather than a legal perspective. Did you come to the same conclusion using
both an ethical and a legal approach?

Sample Solution

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