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Adult Nursing Practice: Care of the Patient with Stroke - Essay Example

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Adult Nursing Practice: Care of the Patient with Stroke Introduction Education, especially in the field of nursing, involves both the inculcation of nursing theories, as well as the application of these theories into the clinical practice…
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Adult Nursing Practice: Care of the Patient with Stroke
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Adult Nursing Practice: Care of the Patient with Stroke

In fact, Kozier, Erb, Berman, Snyder, Lake, and Harvey (2008) mentioned in their book that most theorists tend to side more with the aspect of ‘learning through experience’. Indeed, this preference for experiential learning can be most seen in the student nurses’ practice placement. Also, from the views of the students themselves, Fell and Kuit (2003) revealed that most students prefer learning in the clinical setting rather than in the classroom. Therefore, it is apparent that clinical learning, through practice placements, is a significant aspect of nursing education. However, a main issue with practice placements is the difficulty by which teachers can assess their students’ learning or development. Thus, educators developed ways for assessing student learning in practice placements, by letting the students reflect and assess the care they have observed or implemented. One way of achieving this is through a reflection on a significant episode of care for a patient. In relation, this paper will attempt to do just that, by assisting the student in reflecting on a significant care delivered to a patient whose care this author has been involved with in the recent term. This paper will first present an overview of the case to be studies, and it will then explore the pathophysiology of the disease condition to be discussed. The psychosocial influences of the patient’s illness, as well the reflections on the care given will be discussed. The case to be explored involves the care of Mr. Smith (pseudonym, for purposes of patient confidentiality), a 60 year old male who has been admitted to the institution after experiencing a severe pain in his abdomen. He presented to the Emergency department with complaints of severe pain in the left lower quadrant of his abdomen, which has progressed over the past few days. In addition to the gradual increase of the said pain, the patient verbalized that the pain was constant, even after rest or the intake of analgesic. In addition to the symptom of pain, the patient has also been experiencing diarrhea, which was a concern for him since his regular stool pattern was mostly regular and hard. Based on the patient’s case, certain differential diagnoses were given. The most probable diagnosis given by the doctor was diverticulitis, but other diagnoses were also considered. The care, assessment, diagnosis, and management of the patient will be further discussed in the following portions of the paper. However, among the greatest concerns with the patient is the fact that his family, his status, and his personality made it difficult to care for him. Mr. Smith owned a small enterprise that was, according to the patient, “beginning to rise and compete with the bigger players out there”. As an effect of this, the patient was constantly in front of his laptop or cellular phone, dictating notes to a secretary, or discussing business with another partner. The patient would also often neglect his medications, even his meals (he was given a liquid diet) and when the nurse would go and check on him, he would often lie about drinking his meds. To make matters worse, the client’s family rarely visited him, with his wife dropping by for only a few minutes after she had come from the salon or the gym. In the two days’ confinement of the patient, his son also rarely visited, since the said son was supposedly busy maintaining the family business. The patient’ ... Read More
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