CARE PLAN

 

 

 

You are the nurse caring for a 64-year-old male client who is postoperative day four on the medical-surgical unit after having an emergency right colectomy due to cancer. The client is NPO with a nasogastric (NG) tube to low intermittent suction. The client has a history of smoking and no other health problems.

Vital signs:
Temperature: 99.2° F
Heart rate: 91 beats/min
Respirations: 20 breaths/minute
O2 saturation: 93% on 2L oxygen via nasal cannula
Blood pressure: 110/68 mm Hg
Pain: “6/10”
Focused assessment findings:

Alert and oriented to person, place, and time
Moves all four extremities, refuses to ambulate
Apical pulse is regular at 91 beats/minute
Lungs clear to auscultation, diminished bilaterally
Bowel sounds hypoactive, abdomen soft, tender in all four quadrants
Midline abdominal incision well approximated with staples intact, no erythema, Penrose drain intact with scant serous drainage
Right lower quadrant Jackson-Pratt drain with sutures intact, no erythema, 30 mL of serosanguineous drainage
Instructions

Sample Solution

in interpretation of current social changes in lifestyles with this ‘major paradigm of sociological thought’ with application to ‘formal rationality’ being ‘purposeful calculation’ in the ‘most efficient’ way for ‘means to an end’ can arguably be the ‘dominant aspect’ in post-modern society than ‘substantive rationality’ prior to that i.e. ‘an orientation towards ideal values and ends’ (Weber, 1904, Parsons, 1981). In the past, rational ideas concerning healthy lifestyles reflected more of an ‘ideal’ state as an end ‘value’ in strengthening beliefs in religion to increase spirituality of the soul with traditional holistic treatments, however, the modern society changed towards ‘formal’ methods ‘to look better, enjoy increased vitality, and enhanced life expectancy’ therefore modern trend towards healthier society arguably links to knowledge of rational choices whereby control over own health is calculated in the most efficient way controllable by each person freely (Weber 1904, Cockerham, Abel and Luschen, 1993). Ritzer and Walczak (1988) analysis of ‘formal rationality’ evidenced that for example, Americans had reduced relying on physicians as the main authority in their health matters, consequently ‘liberating’ the dependence on health ‘experts’ and therefore unlocking the ‘bureaucratic iron cage of dehumanization and overwhelming dependence’ (Ritzer and Walczak 1988, Weber 1904, Cockerham, Abel and Luschen, 1993). To date ‘formal rationality’ has evidenced that in the past society lacked ‘freedom’ or choice to be ‘creative’ in controlling their lifestyles, however, contemporary Weberian scholars have linked ‘formal rationality’ has encouraged freedom of choice for ‘healthier lifestyles’. Weber’s (1904) ‘formal rationality’ concepts was ‘sometimes ambiguous and inconsistent’ in how it was interpreted by sociologists, however, past interpretations on ‘dehumanization’ effects of bureaucratic systems as compared to ‘iron cages’ led to lack of freedom in choice, however, in comparison the contemporary sociologist has reversed the interpretation of the ‘dehumanization’ effects of the ‘iron cage’ to positive liberating the society with Weberian concepts towards gain of a healthier western society (Weber 1904, Cockerham, Abel and Lusche

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