Study Guide for Fundamentals of Nursing The Art and Science of Nursing Care

3.What intellectual, technical, interpersonal,

and/or ethical/legal competencies are most

likely to bring about the desired outcome?

4.What resources might be helpful for the

Morita family?

PATIENT CARE STUDY

Read the following case study and use your

nursing process skills to answer the questions

below.

Scenario:Mr. Eisenberg, age 84, was admitted

to a nursing home when his wife of 62 years

died. He has two adult children, neither of

whom feels prepared to care for him the way

his wife did. “We don’t know how Mom did it

year after year,” his son says. “After he retired

from his law practice, he was terribly demand-

ing, and it just seemed nothing she did for him

pleased him. His Parkinson’s disease does make

it a bit difficult for him to get around, but he’s

able to do a whole lot more than he is letting

on. He’s always been this way.” The aides have

reported to you that Mr. Eisenberg is frequently

incontinent of both urine and stool during the

day as well as during the night. He is alert and

appears capable of recognizing the need to void

or defecate and signaling for any assistance. His

son and daughter report that this was never a

problem at home and that he was able to go

into the bathroom with assistance. He has been

depressed about his admission to the home and

seldom speaks, even when directly approached.

He has refused to participate in any of the floor

social events since his arrival.

1.Identify pertinent patient data by placing a

single underline beneath the objective data in

the case study and a double underline beneath

the subjective data.

2.Complete the Nursing Process Worksheet on

page 250 to develop a three-part diagnostic

statement and related plan of care for this

patient.

3.Write down the patient and personal nursing

strengths you hope to draw on as you assist

this patient to better health.

Patient strengths:

Personal strengths:

4.Pretend that you are performing a nursing

assessment of this patient after the plan of

care is implemented. Document your findings.

CHAPTER 37 URINARY ELIMINATION 249

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins. Study Guide for Fundamentals of Nursing:

LWBK696-C37_p243-250.qxd 9/3/10 11:56 AM Page 249 Aptara Inc