Week 7 Discussion .docx - Week 7 Application of Nursing...

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Week 7: Application of Nursing Theory to Practice 33 unread replies.55 replies. You are a professional nurse caring for Mr. R, a 58-year-old patient who recently underwent surgery for colon cancer that resulted in a temporary colostomy. Select one of the nursing theories from our textbook and address the following: •    How would you provide professional nursing care for Mr. R. using the theory you  have selected? Be sure to use terminology from the selected nursing theory to explain  your interventions. •    How can patient-centered care and the patient's cultural preferences be enhanced by use of this theory? •    Relate applications of legal and ethical standards to this case study. Hello Professor and Class, Many of the nursing theories can be utilized in this situation, but I will choose Imogene King ’s System Interaction Model (Theory of Goal Attainment). According to King s   systems interaction model, the purpose of nursing is to help people to attain, maintain, or restore health, primary by mutual goal setting ” ( Hood, 2014, pp.129 ).  King s   System emphasizes three systems which interact with each other: personal, interpersonal, and social system. These three systems will help to provide professional and quality care for Mr. R. I feel that for most patients, it has hard to accept a new self-image, and based on that, depression is the common next sign. It is necessary to remind the patient that it is a “temporary colostomy” and it will be reversed eventually. It  is great when we can provide patients with “light at the end of the tunnel.”  The personal system is “characteristic of the human process of interaction and along with  communication provides a channel for passage of information of one person to another” (Hood, 2014, pp.129). As a nurse, I would first try to comfort Mr. R and make him see  the positi ve outcome of his situation – the fact that he will get better. To get him to this  outcome will require a lot of communication, examples, and resources. Intrapersonal system “includes transactions, roles, stress and all the concepts identified in  personal  system ” (Hood, 2014, pp.129). Accepting of the new image of self is the  hardest part for the patient. My goal is to make Mr. R accept his new body image, and  try to utilize his new appliance. From my experience, many times patients refuse to deal with the  colostomy and develop stress over it. Additionally, they show signs of panic or a disgusting feeling when looking at colostomy. I would involve Wound Care Specialist Nurse and Social Worker to help and minimize the stress of the patient. In time, the patient will start to ask questions: “When should I change the bag?” “How can I clean my stoma?” “What  company should I use to buy stoma supplies?” That makes me happy as a nurse; 
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  • Fall '14
  • Pettus
  • Nursing, Wolters Kluwer Health, Hood, Colostomy

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