The Thomas Case Study Nursing

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The Thomas's Case Western Governors University The Thomas's Case My experiences over the years as a registered nurse, a certified nurse’s aide, and a member in society in general, has enabled me to have many encounters with chronically and terminally ill clients. My personal experiences have lead me to my own personal beliefs on these issues. I believe that the chronically ill and terminally ill should be able to make their own decisions on how they live, are cared for, and die. I have seen so many people that have not made their own decisions prior to losing their ability to do so. In many of these situations I have seen the patients suffering in pain, starvation, and lack of care, yet the family members want more time, and make…show more content…
By controlling the pain we enable Mrs. Thomas to have the opportunity to get up and go out and do things that she enjoys for as long as she is able, instead of being cooped up in her bedroom with the time she has left wasting away. I would recommend bringing in physical therapy and occupational therapy at this time. They would both examine the client and her environment and create individualized plans of care for the client. Physical therapy would create an exercise program to help restore and maintain Mrs. Thomas’s maximum functional abilities throughout the cancer process. They may suggest and move things in the house to optimize her functional ability and to conserve the most energy. For example: if the client’s bedroom is upstairs, they may suggest setting up an area downstairs so she does not have to climb the stairs, may bring in canes or walkers for support while ambulating, may recommend a bedside commode, or an extended height potty seat, to make it easier to get up. These things will help to conserve energy to use doing other things the client may enjoy. The client may want to be able to go out and visit others or…show more content…
Thomas with his chronic depression. I would be able to get him started with a support group for spouses of clients with cancer. I can assist him in finding a psychologist that he can also talk through his issues with. I can find him a psychiatrist to better manage his medications for the depression. I can assist him in setting up a medication box to help him to remember to actually take his medications. I can help to acquire a support system for himself, to help give him companionship, people to talk to, people to help give him a break from the home setting and his duties there, help him to get out and live. I can help him to understand that he is not alone in this and that he has all the help and support that he needs. As a community health nurse I am able to provide those in need with the appropriate resources to help them through their individual needs and circumstances. I am able to touch the lives of my clients and their families in a positive way and to ease their burdens and worries in trying times. I am able to present to them all the possible solutions that are available for them and the processes of different medical issues that will occur and provide them

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