How should you assist the patient in facilitating maximal health and quality of life?

Instructions1. Review the Critical Thinking Indicators found on pages 9-10 in your textbook.2. Thinking ahead:a. Using the template provided, identify 5 Critical Thinking Indicators that you are most comfortable with when faced with a situation requiring judgment.b. Why did you choose these indicators?3. Work through the provided case study (ONLY CHOOSE ONE. You will be graded on the use of your thinking skills to assist with the situation)4. Thinking back – after the case study, reflect on what happened:a. Did you have the opportunity to utilize the Critical Thinking Indicators that you identified in the second instruction? b. Identify the Critical Thinking Indicators you used and why.c. Identify factors that supported your ability to think critically.d. Identify factors that impacted your ability to think critically. e. Identify strategies for improvement.Case Studies1) You are a nurse caring for an 87-year-old retired teacher who underwent hip replacement surgery two weeks ago and has transferred to your rehabilitation unit for physical therapy and nursing care until she is physically able to return home. Before her surgery, she lived alone, maintained an immaculately clean house, and was very socially active, with several events scheduled throughout her week. She traveled extensively but limited her driving to daylight hours. Upon admission to your rehab unit, the patient wonders aloud how she’ll return to her former lifestyle and who will help her. How should you assist the patient in facilitating maximal health and quality of life?2) You are a nursing student observing a primary nurse completing an admission history on a 55-year-old woman. The patient shared that she was currently working as a nurse in a subacute unit of a long-term care facility. She indicated that she felt pressured by her organization to continue her education and was adapting to electronic health records. She commented on the patient population being “sicker” than she remembered. Frustrated, she stated, “I just want to retire and enjoy my life.” What can you do to help adapt your nursing career to these trends?3) You are a nurse caring for a 42-year-old mechanic who is hospitalized for a gangrenous wound on his foot. His history includes unmanaged diabetes, smoking (20 pack-years), and hypertension. He denies alcohol use. He supports himself with full-time work. Socially, he belongs to a motorcycle club and enjoys riding whenever his work schedule allows. When asked how he would rate his overall health, he reports, “I may not have much money, but I’ve got my health!” What strategies could you propose to the patient to promote health and prevent illness? What factors can be useful in predicting a patient’s use of health-related behaviors?4) You are a nurse caring for a 72-year-old retired chiropractor who has a history of dementia, secondary to fractured femur repair. He was transferred to your rehabilitation unit for postoperative physical therapy and further assessment to address his return home upon physical therapy completion. Upon admission, he adamantly insists on remaining in his room, even when invited to attend social events by hospital friends who now reside in the adjoining long-term care unit. He refuses help with his activities of daily living and is only friendly to his daughter (whom he recognizes). She visits several times per week. How should you assist the patient in facilitating maximal health and quality of life?5) Your patient, an elderly woman who rarely has visitors, has put on her call light so that she might introduce you to her daughter. After introductions, the patient indicates that her daughter visits whenever possible, as she is frequently traveling. Out of the patient’s hearing, the daughter indicates that she intends on meeting with your director of nursing to discuss her mother’s care. During the meeting, she indicates that her mother is the most important thing in her life, then begins to describe her extensive recreational travel and many valuable real estate holdings. She is quite critical of her mother’s care and outlines a long list of nursing care that she expects to be performed by your staff, frequently emphasizing that she expects all expenses to be covered by her mother’s Medicare insurance. At the end of the meeting, she leaves her housekeeper’s phone number for staff to contact if there are questions regarding her mother’s care. How would you advocate on behalf of your patient in this situation?6) You are a nurse caring for a patient who has an extensive history of peripheral vascular disease, resulting in numerous surgeries for revascularizing her lower extremities with the intent of avoiding amputations, if possible. This is your patient’s third surgery this year; she has been brought to your step-down unit for postoperative recovery. While implementing the surgeon’s orders, you note several conditions that require the surgeon’s immediate attention. Upon calling the surgeon, he indicates that he will address these issues tomorrow. As a nurse advocate, how would you represent your patient?