Your assignment this week will be an APA paper to include title page, level headings, and a reference page.
- Case Study
The hospice nurse sat with Ann’s husband, Ben. Ann was resting quietly as the increased dosage of IV pain medication gradually reached its therapeutic level. Ben turned his head and slowly turned, looking out the room’s only window. As he glanced up, a small flicker of light caught his breath. It was a shooting star. A tear fell from the corner of his eye and he turned to Ann. The nurse sensed that something significant to Ann and Ben was unfolding. Shuffling to Ann’s bedside, he took her small fragile hand in his. These hands had rocked cradles, burped babies, and groomed the horses she loved to ride. Gently holding her hand, he turned to the nurse. “She would ride like the wind was chasing her.” Looking back to Ann his voice broke; choking back tears “Ann, Ann I saw Jessie…Jessie is calling.” Ben turned “Jessie was our daughter. She died having a baby that was too big. When she died it was a pitch-black night. Cold, so cold, the baby died too, a little boy, named him Abe, Jr. after Jessie’s husband. I took Ann outside so she could cry to God above and there in this dark sky we saw two falling stars…together…just falling. We knew it had to be Jessie and Abe…two angels to light up the night.” Ben turned back as a deep sign escaped from Ann’s lips. A soft smile remained as she joined Jessie and Abe.
- Based on this case study how would the nurse actualize Parse’s theory of Human Becoming?
- What are characteristics of a humanbecoming nurse? What are strengths and weaknesses to this theory of nursing?
- What challenges exist for healthcare institutions to switch to this nursing approach?
- How might Parse’s understanding of transcendence guide the nurse, as Ann’s death became a reality to Ben?
- From the nursing theories we have discussed, what theory would you apply to this case study? Develop a plan of care to include both nursing theories (be specific and provide reasons)
The APA formatted paper should include 2 outside references and your book. The essay should be between 1250 and 1500 words in length.
Expert Solution Preview
Introduction:
The given case study portrays the end-of-life scenario of a patient named Ann. The hospice nurse provides support to the patient and her family during this difficult time. In this assignment, we will analyze how the nurse can actualize Parse’s theory of Human Becoming to provide patient-centered care to Ann and her family. We will also discuss the characteristics of a humanbecoming nurse, challenges faced in healthcare institutions to switch to this approach, and other nursing theories that may be applied to this case study.
1. Based on this case study, how would the nurse actualize Parse’s theory of Human Becoming?
Parse’s theory of Human Becoming emphasizes patient-centered care, which focuses on the patient’s experience and individuality. The nurse can actualize this theory by understanding Ann’s unique perspective, choices, and preferences. The nurse should collaborate with Ann and her family to develop a care plan that aligns with her values and beliefs and supports her to achieve her goals. The nurse should also respect Ann’s autonomy and facilitate her decision-making process.
2. What are the characteristics of a humanbecoming nurse? What are strengths and weaknesses to this theory of nursing?
The characteristics of a humanbecoming nurse are empathy, respect, collaboration, flexibility, and holistic approach. The humanbecoming nurse recognizes the patient’s subjective experience and values, which helps to establish a therapeutic relationship. The strengths of this theory are that it emphasizes the patient’s individuality, offers a holistic perspective, and promotes patient-centered care. The weakness of this theory is that it doesn’t focus on the disease process and doesn’t provide specific interventions for disease-related symptoms.
3. What challenges exist for healthcare institutions to switch to this nursing approach?
The switch to humanbecoming nursing requires significant institutional changes that may pose challenges for healthcare institutions. The challenges include resistance from nurses who have been trained in a biomedical model and lack of resources to provide patient-centered care. Humanbecoming nursing also requires a shift in the organizational culture to prioritize patient’s values and preferences over the biomedical model’s objective data.
4. How might Parse’s understanding of transcendence guide the nurse, as Ann’s death became a reality to Ben?
Parse’s understanding of transcendence suggests that individuals can go beyond their current situation and find meaning in their experiences. As Ann’s death became a reality, the nurse should provide emotional support to Ben and facilitate his transcendence process. The nurse should encourage Ben to reflect on the positive memories of Ann, support him in acknowledging his feelings, and help him find meaning in this experience.
5. From the nursing theories we have discussed, what theory would you apply to this case study? Develop a plan of care to include both nursing theories (be specific and provide reasons)
The nursing theory that can be applied to this case study is the Comfort theory by Katherine Kolcaba. This theory provides a framework to manage patient’s symptoms and improve their quality of life. The plan of care for Ann includes managing her pain and discomfort using medication and other non-pharmacological interventions. The nurse should also use therapeutic touch and massage to provide comfort to Ann. The humanbecoming nursing theory should also be applied by respecting Ann’s autonomy and collaborating with her and her family to develop a care plan that aligns with her values and preferences. The nurse should also provide emotional support to Ann and her family and facilitate their transcendence process.
