Question

case study

CASE STUDY Mrs. Brown, a 48-year-old woman, is living with a diagnosis of breast cancer. She has just come into the oncology clinic for her third round of chemotherapy. When asked how she is doing. Mrs. Brown starts speaking about how tired she is and how she is feeling burdened with keeping secrets from her daughter. Mrs. Brown has not told her daughter about her cancer diagnosis because she is afraid of how her daughter might react. Mrs. Brown says she is just barely holding on to things at this time, and she cannot take much more. She is also concerned about the chemotherapy and what she can expect, because the side effects are getting more intense. Consider Mrs. Brown in the critical thinking activities that follow. Critical thinking activities 1. Think about Parse's (2014) living the art of nursing-illuminating meaning (explicating), shifting rhythms (dwelling with), and inspiring transcending (moving with). Nurses live true presence with persons, and this means centering and preparing to bear witness to Mrs. Brown's reality. To invite Mrs. Brown to speak, the nurse may initially ask her to say more about her situation. In the cadence of speech, Mrs. Brown may pause, giving the nurse an opening to pose questions that assist Mrs. Brown's exploration of how she is feeling. The nurse may ask: "What is the burden about? What does it mean? What does she think will happen if her daughter gets upset?" Thinking about and picturing an anticipated event is, according to Parse (1990, 1998), an opportunity to rehearse and to clarify how best to be in light of anticipated consequences. In this way, the person is helped with decisions about how best to go forward or how to change the situation. 2. Articulate the judgments that are called for in the human becoming theory. The nurse refrains from summarizing. comparing, judging, or labeling Mrs. Brown as she struggles with the possibilities and choices in her situation. The unconditional regard called for by the human becoming theory is extremely challenging. It can be much easier to give advice or to try to teach, but what is called for is for the nurse to bear witness to the person's own value priorities. What might you say to Mrs. Brown to encourage her to explore her possibilities? 3. Where does experience lie for nurses guided by the human becoming theory? The nurse guided by human becoming theory believes that Mrs. Brown knows the best way to proceed the nurse cannot possibly know the way for another person. Mrs. Brown said she cannot take much more in her life, and yet she is burdened with her secret. This struggle is hers to wrestle with and choose a way to move on. The mother knows her daughter, and she also knows how much upset she can take in her life. The nurse's true presence and theory-guided questions can help Mrs. Brown to figure out how to be in light of her value priorities in the moment. The nurse also knows that Mrs. Brown's value priorities may change at any time, leading to a different course of action. The nurse may have expertise in other areas, based on her knowledge and experience, and trusts that persons will seek information when ready. in spoke about being tired. The nurse might explore this further. How does the tiredness show itself? What does Mrs. Brown find helpful? What would she like to do about it? Until these things are known, the nurse cannot know how to proceed. The nurse may discover helpful suggestions to offer. The nurse guided by human becoming offers information as people indicate their readiness to hear it. The nurse believes that providing information or suggestions as persons seek it in the flow of dialogue and listening are the most respectful and meaningful ways of teaching 5. Specify three benefits for humanity when nurses follow the human becoming theory. Human becoming living the art of true presence is consistent with what people say they want from health professionals. Persons have indicated in numerous reports and publications that they want to be listened to, respected, involved in their care, and provided with meaningful information when they want and need it. People do not want to be judged or labeled when it comes to their choices or ways of living. Persons want to be believed, understood, and respected. Human becoming theory provides a guide for nurses who want to live the art of nursing in ways that clients want. It has been shown that nurses guided by the human becoming perspective are more vigilant, more inclined to act on client concerns, and more likely to involve clients and families in their care (Mitchell & Boumes, 1998; Parse, 2011c).

Answer 1

1. Parse's Human Becoming theory illustrates the importance of quality of life. The nurse along with medical care should also concentrate on the meeting of biological, psychosocial, and spiritual needs. The theory mainly focuses on three main themes such as meaning, rhythmicity, and transcendence. The individual is coexisting with the situation, universe, and emerging values. In this case, Mrs. Brown living with a burden(meaning) by hiding her diagnosis to the daughter(rhythmic pattern), and constantly transform her thoughts of how will her daughter perceive this situation(transcendence). Nursing is the art of science and approaches the person with a total paradigm. The nurse has to speak openly more with this patient to express their feelings. Make the patient interact with her daughter and make her daughter understand her condition. The patient should realize that the daughter should perceive the value of mother and will help in the recovery of the patient. Make the patient interact with society as normally before to fulfill her roles. Change her concepts of thoughts by living with the goal of improving the quality of life.