Scenario 1
Jane, a 55-year-old woman with advanced Multiple Sclerosis was admitted to the chronic care unit of a hospital. As part of the admission routine a full diet was ordered. At lunch time Nurse Elizabeth observed that Jane was eating very slowly and appeared to have difficulty swallowing. She has had previous episodes of choking. Jane explained that she needed to chew her food well in order to avoid choking. After staying with her until she finished her meal, Nurse Elizabeth told Jane that she was going to fill out a special diet requisition for a soft diet.
At dinner time, when her food tray was presented, Jane became very angry, “I don’t want baby food.” She asserted. “Bring me some real food that I can enjoy.” Nurse Elizabeth patiently explained to her why it was best that she eats a soft diet and informed her about the risks of choking and aspiration. She also pointed out that the nursing staff would have limited time to spend assisting her with meals. Even so, Jane was adamant. “It’s my life and I will live it the way I want.”
Assignment Outline
one of the human science theorists on the experience of care and nursing practice (use specific examples, minimum of three specific examples including use of language specific to the theories used?
Benner’s work, two specific examples of nurses’ level of skill acquisition)
rationale for applicability (include both theoretical and CNO standards)
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