Nursing diagnoses and problems

 

 

 


H.J., a 74-year-old black man, is a retired army military officer. His wife of more than 50 years passed away 4 years ago. He has 4 daughters and 2 sons who are all grown and married. He has 14 grandchildren with a great-grandchild on the way. His son brought him to the health care provider today because he is concerned his father has been more forgetful and is losing weight. H.J. has a history of coronary artery disease that is being managed with metoprolol XL (Lopressor) and aspirin. His son says that the knees are scraped from a recent fall.

Subjective Data

Patient states, “I am doing fine. I just miss my wife and the fine meals she used to make.”
His son says he has noticed his dad has been tightening his belt up to 2 notches.
Patient states, “My children are worrying unnecessarily.”
What level of assessment do you need to perform? and why
How will your assessment be different from the assessment performed by the health care provider?
What nursing diagnoses and problems do you feel exist for H.J.?

 

 

Sample Solution

The development and implementation of a nursing diagnostic aids nurses in determining the best course of treatment for their patients. These diagnoses influence the patient’s, family’s, and community’s treatment options. They are created after careful examination of a patient’s physical assessment and can be used to track the patient’s care plan’s progress. We’ll look at the NANDA nursing diagnosis list, instances of nursing diagnoses, and the four categories in this post. Some nurses may regard nursing diagnoses as archaic and time-consuming. It is, nevertheless, a critical instrument for promoting patient safety through the use of evidence-based nursing research. The official definition of nursing diagnosis, according to NANDA-I, is: “Nursing diagnosis is a clinical judgment concerning person,

at the genesis of a great man depends on the long series of complex influences which has produced the race in which he appears, and the social state into which that race has slowly grown….Before he can remake his society, his society must make him.” There is evidence to support for and against the great man theory. The suggestion that some people are natural leaders and therefore must have been born with some of the traits that make a good leader. However, individuals can learn and develop traits that will make them a good leader. Being self-aware and education goes somewhat to developing an individual. Herbert Spencer’s theory supports the idea that the situation and group characteristic are a key element of good leadership. Stogdill first survey indicated that an individual does not become a leader solely because he or she possesses certain traits. Rather, the traits that leaders possess must be relevant to the situation in which the leader is functioning or found them self in . In today’s society leadership is in general, not a standalone individual. The leader is supported by a team of advisors to guide the leader in making an informed decision. What makes a good leader is how the decision is communicated to the followers. As we have heard earlier in the paper, Charles de Gaulle was brought up in a patriotic environment. His upbringing shaped his beliefs and his determination to peruse them. Therefore he was not born patriotic, this was learned in adolescence. We have heard that he was intellectual, again a consequence of his upbringing. Encouraged to learn, he followed his mother’s desire to read and digest information. These basic foundations set de Gaulle up in to continue this later on in his military and political career. Trait Theory Analysis The trait theory is intuitively appealing. It fits clearly with the notion that leaders are the individuals who are out front and leading the way in our society. This fits with the concept of a hierarchical organisation that is seen in businesses, to include government, where most countries have an elected or appointed leader. However, it could be argued that elected or appointed leaders are not necessarily good leaders and they are not necessary elected for the traits they display. Therefore not all leaders will display traits that are linked to good leadership. There is century’s worth of research into the trait theory and no other theory can boast of the breadth and depth of the studies conducted, which are continued up to the present day. This has to be a strong indicator that there is something in this theory. The theory is leader-centric and highlights the leader component in the leadership process. This could also be seen as a weakness because as proven in more recent theorie

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