
Basic Nursing 1st Edition by Judith Wilkinson, Leslie Treas
Edition 1ISBN: 9780803627789
Basic Nursing 1st Edition by Judith Wilkinson, Leslie Treas
Edition 1ISBN: 9780803627789 Exercise 22
PATIENT SITUATION
Alice Baker is a frail elderly woman, 93 years old, who lives in a nursing home. She has almost total Self-Care Deficit related to her weakness, painful joints, and dementia. Her mental and physical conditions are not likely to improve. Imagine that your charge nurse has instructed you to provide a complete bed bath and other hygiene care for Ms. Baker. When you enter her room with bath supplies and say, "Good morning, Ms. Baker, it's time for your bath," she screams, "Go away from me. I just had a bath. I don't want a bath." You discuss this with the charge nurse, who says, "She has not had a bath, and she needs one today. You will need to do it whether she likes it or not." You tend to agree that Ms. Baker needs a bath because her clothing and linens have food stains, and she smells of urine and perspiration.
THINKING
Critical Thinking (Considering Alternatives, Deciding What to Do):
a. What do you think Ms. Baker is feeling and experiencing, and how does that help you know what to do?
b. What are some alternatives to a complete bed bath that would achieve the same purposes?
Alice Baker is a frail elderly woman, 93 years old, who lives in a nursing home. She has almost total Self-Care Deficit related to her weakness, painful joints, and dementia. Her mental and physical conditions are not likely to improve. Imagine that your charge nurse has instructed you to provide a complete bed bath and other hygiene care for Ms. Baker. When you enter her room with bath supplies and say, "Good morning, Ms. Baker, it's time for your bath," she screams, "Go away from me. I just had a bath. I don't want a bath." You discuss this with the charge nurse, who says, "She has not had a bath, and she needs one today. You will need to do it whether she likes it or not." You tend to agree that Ms. Baker needs a bath because her clothing and linens have food stains, and she smells of urine and perspiration.
THINKING
Critical Thinking (Considering Alternatives, Deciding What to Do):
a. What do you think Ms. Baker is feeling and experiencing, and how does that help you know what to do?
b. What are some alternatives to a complete bed bath that would achieve the same purposes?
Explanation
The reason for a client's agitation is t...
Basic Nursing 1st Edition by Judith Wilkinson, Leslie Treas
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