Nursing Case Study: J. Doe Overview

Brain damage that occurs after birth, not present at birth. Often from an accident or surgery.

Part of the brain involved in hearing, language comprehension, and speech production.

Surgical procedure to open the skull.

Softening of the brain tissue. Often a symptom of an injury.

Mental health condition impacting thoughts, emotions, and behaviors.

Healthcare professionals who support patient care, beyond doctors and nurses.

Healthcare professional who specializes in nutrition.

Food cut into small pieces, often for easier swallowing.

A uniquely defined, experienced, and expressed feeling by individuals within their family, community, and culture.

Actions needed to support patients and their families through their experiences, valuing them and their journeys

A form of nonverbal communication that creates connections, differentiated in types.

Paying attention to words, tone of voice, and perspective; understanding the patient's needs.

Being present, demonstrating understanding and support through body language, and attitude.

Understanding patient's responses to therapy, routines, habits, coping mechanisms, physical abilities.

A nurse-client relationship that develops gradually offering support and care.

Core process based on patient understanding; crucial for sound judgments.

Informal and formal support systems available to a patient/client. Examples include family, friends, and support groups, or formal programs like ACT teams.

Social support impacts physical and mental well-being. Lack of support can negatively affect health.

Teaching handwashing using alcohol-based hand rub (ABHR), considering different client needs; including speech difficulties or cognitive deficits to tailor instructions and communication.

Adjusting communication style. For example, using slower speech/ demonstrations/allowing more time for patient responses.

Treating each patient as a unique individual, considering their specific needs, values, and preferences.

A specific care moment where professional qualities relating to effective communication are utilized (e.g., use of listening, respecting, understanding needs)

A sense of being connected to oneself, others, and something greater than oneself.

Planning the support needed for clients moving from one care setting to another, for example, from the hospital to the community.

Skills and knowledge required for competent practice in nursing, including incorporating knowledge and participating decisions, planning transitions, and preparing for discharge.

The nurse's role in supporting the patient's spiritual well-being by fostering hope, finding meaning in illness, and utilizing available resources.

A complex concept that involves finding meaning and purpose in the face of cancer, and believing in positive outcomes.

The concept of caring in nursing practice, reflecting on what caring means to nurses themselves and how this influences their practice.

The idea that hope can be actively promoted and strengthened as a therapeutic intervention to improve patient outcomes in cancer care.

Incorporating the family's perspectives and needs in patient care, recognizing their crucial role in health and illness.

A visual tool that uses facial expressions to help patients, particularly children, communicate their level of pain.

Supporting a resident's move from a general unit to a specialized unit for those with dementia, involving careful preparation for both the resident and their family.

Actions that aim to ease distress, offer support, and create a calming environment for patients, acknowledging their individual needs and preferences.

Being transparent with families about their loved ones' health status and care plan, answering their questions openly and honestly.

Pain is a complex experience that can affect people physically, mentally, and emotionally. Physical pain, like from a chronic illness, can lead to psychological distress like depression.

Pain can significantly impact a person's ability to participate in daily activities, socialize, and even find meaning in life. It can cause reduced mobility and lead to social isolation.

A person's past experiences, beliefs about pain, and cultural background all shape how they perceive and cope with pain. For example, someone who has experienced trauma might be more sensitive to pain.

Acute pain is short-term and usually related to an injury or medical procedure (e.g., surgery). Persistent (chronic) pain occurs for a longer period and may come and go, making it harder to manage.

Assessing pain involves more than just asking the person how they feel. We also need to observe their body language, behaviour, and consider their emotional and spiritual well-being.

Many people believe that pain is an unavoidable part of getting older. However, pain is not a normal part of aging, even though its occurrence may increase with age.

Just because someone doesn't express pain verbally doesn't mean they don't have it. There are many reasons why people might not complain about pain, including cultural factors or fear of being seen as a burden.

People react to pain in different ways. Even if someone appears active or functional, they may still be experiencing significant pain. It's essential to assess their pain level regardless of their outward behaviour.

The nurse-client relationship can support healing by mobilizing hope, finding meaning in illness, and using resources.

Being connected with oneself.

Being connected with others and the environment.

When a client has a cognitive deficit, they may struggle with tasks like medication management, understanding and following instructions, and communicating their needs. This requires nurses to provide extra support and adapt their care plan accordingly.

This stage of cognitive development is characterized by the ability to think logically about concrete objects and events, but still struggles with abstract concepts. Clients in this stage can understand numeracy and can think about actions without actually performing them.

As people age, they experience various physical, psychological, and social changes. Nurses need to be aware of these changes and adapt their care plan accordingly. For example, an elderly client may require assistance with mobility or have specific communication needs.

Clients with a neurocognitive deficit may not show typical psychosocial changes associated with their age. Their emotional responses and social interactions could be affected by their cognitive impairment.

Nurses must tailor their care plans to meet the unique needs of each client. This involves considering their medical history, diagnosis, and any specific challenges they may face.

This stage of cognitive development involves the ability to think abstractly, engage in hypothetical reasoning, and understand complex concepts. Clients who haven't reached this stage may struggle with understanding abstract ideas and making complex decisions.

Some clients may require more extensive nursing care due to their medical condition or cognitive abilities. This might involve medication management, monitoring their health, and assisting with daily activities.

Clients with movement disorders may have difficulty performing motor tasks, which can affect their ability to manage their medication or participate in certain activities. Nurses need to be aware of these limitations and provide appropriate assistance.

Family is whoever the patient defines them to be. It's not limited to blood relatives; it can be friends, chosen family, or anyone who provides support.

Families can provide informal caregiving, emotional support, and practical help to their loved ones.

How do you support a 96-year-old resident moving from a general unit to a Memory Care Unit?

Share an example of how you provided care and comfort to a client last week.

Pain can negatively affect a person's ability to move, socialize, and even find meaning in life. It can lead to decreased mobility and isolation.

Assessing pain involves observing body language, behavior, and considering the person's emotional and spiritual well-being, in addition to asking how they feel.

Just because someone doesn't voice their pain doesn't mean they aren't experiencing it. There are many reasons why people might not report pain, including cultural norms or fear of burdening others.

A moment where someone demonstrates concern and support for another person, showing they care about their well-being.

An ongoing situation with recurring issues that highlight a particular concept or challenge.

A caring event is a moment where someone demonstrates concern and support for another person, showing they care about their well-being. It can be a simple gesture like helping someone carry groceries or offering a listening ear to a friend in need.

It's an ongoing situation with recurring issues that highlight a particular concept or challenge. It's like a story that keeps unfolding and teaching us. It's not ending, it's persistent.

It's not just about managing the physical pain, but also understanding that pain can affect a person emotionally, mentally, and spiritually. It's about addressing all aspects of pain and finding ways to help the person feel better.

These are approaches to pain relief that don't involve medication. Examples include massage, relaxation techniques, and distraction.

Factors like past experiences, beliefs, and culture can all affect how someone perceives and reacts to pain.

Common misconceptions about pain, like believing it's normal with aging or that people who don't complain are pain-free.

A theory that describes five processes that are essential to caring, these include: knowing, being with, doing for, enabling, and maintaining belief

A theory that describes the five basic needs that all humans must fulfill, starting with physiological needs and ending with self-actualization needs.

Sympathy is feeling sorry for someone, while empathy is understanding and sharing someone’s feelings.

These components of caring are: human touch, listening, knowing, spiritual care, and family care

Independence is the ability to make your own choices and be self-sufficient.