Priority Goals for Stue Dent: A Nursing Process Case Study

QUESTION

eued Nursing Process Case Study List 5 priority goals for Stue: Stue Dent, a 46 year-old-patient, is separated from his wife, who asked for a divorce and left him one HOWNE week ago. His son and daughter brought Stue to the hospital after they visited him and found that he had not been getting out of bed to shower or eat. They reported that their farther, stated that he 6.)Rewrite each goal to be a SMART goal and wished he were dead. Stue admits to feeling identify as short- or long-term. suicidal but denies having any suicide plans. His hair is greasy and uncombed and his clothes smell of body odor. He has no history of medical or psychiatric illnesses and takes no medicine. Stue states that he stopped seeing his friends one month ago and does not want to do anything anymore. He is not close to his parents, who live 7.)Identify the various types of nursing out of state. He called the school in which he interventions and define each. teaches four days ago and said he was sick. He admits to staying in bed "all the time" but sleeping INm only 3-4 hours a night. Stue was admitted to the hospital with depression. Identify interventions for each goal above and label 1)Step 1 of the Nursing Process is correctly. It includes 2 types of data: (offer examples from Stue that correlate] Data: Data: 2.) Define the term "chief complaint": Identify Stue’s chief complaint: 8.)Step 4 of the Nursing Process Is Identify your role as a registered nurse during this phase: 3.)Step 2 of the Nursing Process 9.]Finally, Step 5 of the Nursing Process Is What Gordon’s Patterns would you prioritize for Stue? The registered nurse’s role during this phase includes: 4.)What is the most concerning issue for you? why? 5.)Step 3 of the Nursing Process is 10.)Identify reasons that may affect some goals from not being met or partially met

ANSWER

Priority Goals for Stue Dent: A Nursing Process Case Study

Stue Dent, a 46-year-old patient, is experiencing significant distress after his wife’s recent departure and is showing signs of depression and potential suicidality. To address his immediate needs and promote his mental and emotional well-being, the following SMART goals (Specific, Measurable, Achievable, Relevant, Time-bound) should be established:

Goal 1: Enhance Emotional Well-being
SMART Goal: Within two days, Stue will express one positive aspect of his life during daily interactions with the nursing staff, as evidenced by verbalization of a positive experience or emotion.

Goal 2: Improve Self-Care
SMART Goal: Over the next three days, Stue will shower and change into clean clothes daily, as observed and documented by nursing staff during their rounds.

Goal 3: Establish a Supportive Social Network
SMART Goal: Within one week, Stue will initiate a conversation with at least one fellow patient or nursing staff member in the hospital common area for at least five minutes, as documented in the nurse’s notes.

Goal 4: Alleviate Sleep Disturbance
SMART Goal: Within five days, Stue will report sleeping for at least six hours each night with no interruptions due to anxiety or restlessness, as recorded in the nursing progress notes.

Goal 5: Enhance Coping Strategies
SMART Goal: Over the next two weeks, Stue will participate in at least one group therapy session per day, as indicated in the activity log and session attendance records.

Interventions for Each Goal

1. Goal 1:
Intervention: Engage Stue in daily discussions about positive memories, accomplishments, or hobbies.
2. Goal 2:
Intervention: Provide Stue with fresh clothes and hygiene supplies, and encourage and assist him in taking regular showers.
3. Goal 3:
Intervention: Arrange group activities that promote interaction among patients, fostering a supportive environment.
4. Goal 4:
Intervention: Implement relaxation techniques and sleep hygiene education to help Stue improve his sleep pattern.
5. Goal 5:
Intervention: Involve Stue in group therapy sessions focused on coping skills, emotional expression, and stress management.

Chief Complaint

Stue’s chief complaint is his feeling of overwhelming sadness, loss of interest in daily activities, and his statement that he wished he were dead.

Gordon’s Patterns

Relevant Gordon’s Patterns to prioritize for Stue include:
Health Perception-Health Management Pattern (self-care neglect)
Activity-Exercise Pattern (social isolation and lack of activity)
Sleep-Rest Pattern (sleep disturbance)
Coping-Stress Tolerance Pattern (poor coping strategies and suicidal ideation)

Role of the Registered Nurse

During this phase, the registered nurse’s role involves performing a comprehensive assessment, collecting relevant data, establishing a therapeutic relationship, identifying potential risks, and setting appropriate goals for Stue’s care plan.

Concerning Issue

The most concerning issue for Stue is his statement of feeling suicidal, indicating a significant risk to his safety and well-being.

Factors Affecting Goal Achievement

Factors that may affect some goals from being met include Stue’s level of motivation, emotional state, degree of social engagement, and his response to interventions.

In conclusion, the nursing process for Stue involves formulating SMART goals and interventions that address his emotional well-being, self-care, social interactions, sleep disturbance, and coping strategies. By tailoring interventions to his specific needs, nurses can support Stue in his journey towards recovery and mental well-being.