Concept Map - Pain Pals

How does the professional Nurse provide care for the patient in this case study?

How does the professional nurse provide care for the patient in this case study?

• Educating patient on his diagnosis and treatment options.
• Advocating for our patient's desired treatment.
• Assist the patient in identifying strategies, resources, and effective coping method.
• Provide psycho-education on testicular cancer.

Challenges

• Challenges for the nurse in communicating empathy.
• Providing adequate religious support since he is a reformed druid.
• Counter-indications would include holistic remedies.
• Advice to others regarding care for this patient would include: be patient and respectful to his decisions with no judgement.
• Self-reflecting during frustrating times.

How to handle stress

Stress

• Ask other nurses for advice
• Personal Diary
• Retreat to a peaceful place (Nurse Lounge)
• Recruit support
• Exercise after shift to relieve tension

How does the professional nurse lead this patient and family situation?

Leading

• Inspire them to remain positive and in path of a common goal.
• Become familiar with the needed leadership style, most likely charismatic, in this situation.
• Incorporating patient and family in plan of care.
• Plan ahead and be prepared to talk to the patient and family.

How does the professional nurse act as a change agent for this patient in his trying time?

Change Agent

• Create new knowledge
• Develop healthcare policies and practices
• Improve the quality of care
• Advance health information technology

Serve, Thrive, Renew, and envision

Vision

By potentially finding new strategies to implement care that are evidence based you are advocating for your patient through new knowledge.

Ethical issues for the patient and health care providers and how they should be handled

Ethics

• Ethical issues for the patient, nurse, and other health care providers include patient's young age, family matters, and religion.
• These ethical issues should be handled by becoming familiar with the patient's values and beliefs. Higher levels of moral development will be made through shared decision making.

Health promotion needs, programs, and opportunities.

Health Promotion

• Programs include support groups for individuals with similar conditions.
• Needs include medication and treatment adherence, staying physically active, being outdoors, and eating healthy.
• Health promotion opportunities include staying involved in social networking support groups/pages.

Patient education needs

• Educational needs on treatments available, diagnosis, and resources available.
• Best handled through discussion and demonstration from patient.
• The patient will be in need of on-going patient education and support for as long as the disease progresses. Patient should look to the Nurse, family and friends for assistance.
• Nurse education related to aspects of this case are coping methods, treatment methods, and self-care.

Patient education

Advocating

Advocacy

• Protecting the client
• Defending them from harm, representing his needs and wishes
• Protect the client's rights, empowering caring behavior, and following up with client.
• Determining access to resources for family incorporating them in his care. Determining extent of family support.
• Community events suggested to involve patient's like Mason.

Care Competencies

• Communication
• Collaboration
• Health Care Quality
• Safety
• Technology & Informatics
• Evidence
• Health Care Delivery Systems
• Health Care Economics
• Health Policy
• Health Care Laws

Communication

• The professional nurse communicates with the patient by listening closely to the patient's needs and implementing all phases of therapeutic Nurse-Patient Relationship.
• Orientation: introducing yourself to the patient and getting to know them
• Working phase: using open communication throughout day, addressing tasks that were outlined, using touch, emotional tone, stance, space needs, etc.
• Termination phase: discharge teaching, answering questions, and providing resources.
• Using SBAR when communicating with other health professionals.
• Special communication needs include use of technology.

Reference: Professional Nursing concepts, page 232.

Collaboration

• Interprofessional Collaboration
• Collaborating with other health care professionals like PCP, oncologists, dieticians, other nurses, pharmacists, psychologists, and counselors.
• Successful collaboration entails respect for other collaborators, confidence in your own knowledge, willingness to learn, cooperative spirit, self-awareness, excellent communication skills, and tolerance of differing opinions.
• A potential challenge would be a communication barrier amongst reaching agreement with other professionals and conveying information effectively to the patient.

Health Care Quality

• One way to assure quality health care for this patient is by keeping care patient-centered by honoring and respecting the patient's decisions.
• This could include patient specific care such as allowing this patient to express his feelings through art, poetry, nature, and festivals; in congruence with his religion.

Safety

• Safety issues involved in this case include risk for infection due to compromised immune system, safety in administering the chemotherapy, and using the six rights of medication administration.
• These safety issues are for both the patient and the nurse.
• Occupational Safety issues include handling of medication like hygienic care, contact precautions, and flushing the toilet twice and covering it with chux pad.

Technology and Informatics

• Online cancer support groups
• Telehealth
• Patient portal
• Since our patient is 21 it is highly unlikely that he would find it difficult to use technology. A potential barrier could include his religion.

Evidence

• Evidence based practice includes testicular self-examinations, ultrasound exams, inguinal orchiectomy, and serum tumor marker tests.
• Obtaining patient's family and his medical history

Health Care Delivery Systems

Health care economics

Health Policy

Health Policy

A policy in New Mexico is the prescription monitoring program ensuring the balance the safe use of controlled substances with the need to impede harmful and illegal activities involving these pharmaceuticals.

New Mexico Board of Nursing 16.12.9.9

Health Care Law

Family and Medical Leave Act (FMLA) is a law in the United States that guarantees employers unpaid employment for up to twelve weeks without threat of losing their job. It is a federal law.

Health Care Law