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A Nursing Situation and Theories/Concepts of Caring 1. The Nursing Situation My nursing situation is about a young doctor in the system where I work. He was admitted to an intensive care unit private room for an inguinal hernia repair. The surgery is usually simple.


On the third day I got report that the patient had a horrible night. I went in the room for a quick look I notice the patient was pale, no urine output, and was complaining of abdominal pain. The report was that the intensivist doctor tried everything during the night including giving him laxative and diuretic during the night shift with no success. In assessing his condition, I noticed his abdomen was taut and swollen. I asked the day intensivist to do CT scan for a more accurate picture of what was going on with this patient. He decided against the CT scan but ordered an X-Ray of the abdomen. The result showed that there was a lot of fluid compressing on his bladder, colon, and kidney. I called the intensivist with the result but he wasn’t convinced of the seriousness of the situation and was indecisive. I took it upon myself to call the surgeon and explained what was going on with the patient, what was done, and begged him take a look at the patient. Within an hour he was there. I updated him in all the happening. He decided to take the patient to the Operating Room for an emergency surgery which removed three litres of clots from the surgical site. I transfuse the patient with multiple units of blood. After the surgery the patient recovered quickly. He and his family were very grateful to me and said that I saved his life. Before he left the hospital he gave me a personal thank you card with a gift. ...
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