Nursing Model Case Paper

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Model Case A 42 year-old female presents to the hospital and is admitted for cellulitis. This woman is undergoing chemotherapy for stage IV cancer. She has a storied medical history to include adult cyclic vomiting syndrome, depression, lung cancer and diabetes. The cellulitis developed secondary to decreased immunity from chemotherapy and her poorly managed diabetes. The nurse has developed a therapeutic and spiritual relationship with this woman over several years. She is crying and dispirited because she is missing many of her life activities related to her illness. She still has one teenager at home, and is not home to care for her child. She is also not allowed to drive related to her illness. She states, “I am so sick of being sick and in the hospital!” The nurse comes to her room to administer medications for pain and nausea via port access. The …show more content…
The nurse gently knocks on the door, and the patient states that it is acceptable for the nurse to enter the room. The nurse asks the patient if there is anything I can be done to make the patient feel better. The patient shares that they are having many financial difficulties, and that a large hospital bill will only add to the financial burden. The nurse asks the patient if they would like some pain medication to help them rest, and forget about financial issues. This related case provides some of the attributes associated with a spiritual relationship between the nurse and the patient. The nurse realized that the patient was in distress, and asked if the patient needing anything, not specifying what would be provided. The nurse also stated that she would provide a specific medicinal intervention. The nurse failed to promote the spiritual relationship by continuing to listen to the reasons the patient was distressed, and therefore failed to completely provide for a spiritual care relationship.
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