Question

CASE STUDY 3. How might the RN use the nursing process to help the nursing team meet Mrs. Stein's needs? Mrs. Sarah Stein was admitted to Pine Crest Nursing Center today. She is an 80-year-old widow of Jewish religion. She came to the United States from Germany with her parents when she was 12 years old. She speaks German and English fluently. She was a college professor and taught at the local university for 20 years. She was married for 55 years. Her husband died 2 years ago. Mrs. Stein has difficulty hearing and wears eyeglasses. She walks with a cane. Before coming to Pine Crest Nursing Center, she lived with her married daughter for 2 years. Her daughter felt it was no longer safe for her mother to live with her because her mother was by herself most of the day. Mrs. Stein has fallen twice during the past month and has lost 5 pounds. 4. What feelings might Mrs. Stein have about moving to Pine Crest Nursing Center? A. What measures might help her adjust? Answer the following questions: 1. What characteristics make Mrs. Stein unique? 5. What needs might Mrs. Stein's daughter have? A. What measures might help her adjust? 2. How might her culture and religion affect her care plan?

Answer 1

1.The characteristics like her birth place (Germany) migration to US,age,religion,memory power of speaking clearly and fluently at this age,her weight loss and decreased motor functions (fall) makes her unique

2.The Jewish believes that life is provided by God and has to be maintained well.If sick physician's help can be taken to get healed from the illness.They also rely on communal services or a low cost service with good quality care when they are not affordable. The German culture health care concentrates on the quality of care delivered to a patient,they provide adequate information to the patient about the disease and its condition, the health-care providers usually collect a complete history of the patient and are generally hard working.

3.The nursing process should concentrate on fall prevention techniques, good dietary or nutritional habits,musculoskeletal activities like movements, range of motion, mild physio and exercises, provide psychological support.

4.Mrs.Stein will have a psychological disturbances like getting separated from the family,feeling loneliness and isolation, loss of hope ,at times depressed.

A.She can be assisted in the following way

• Provide psychological support
• Indulge her in group activities,occupational therapy, support group to make her self busy and engaged
• Make sure the visitors are allowed
• They are permitted to go with their family at any point of time if not feeling comfortable
• Explain the daily routine ,this gives an idea of what she gas to do and how her days will be there.

5.Mrs.Stein daughter may have emotional disturbance of leaving her mothrrninnthe center,but will also have a relief that a proper medical care can be given to her and the quality if her mother will increase

A.

• she has to be provided an emotional support
• Orient her with their protocols and their services