I would be sure the patient felt comfortable by ensuring privacy and by keeping the exam room quiet. I would have pictures of peaceful scenery on the walls. I would ask if he/she were hungry and if I could provide a nutritious snack during the visit in concordance with her/his prescribed die; I would be continually vigilant to watch for signs that the patient may be uncomfortable or uneasy and would adapt the clinical environment as needed. After establishing a nursing diagnosis, I would provide care, as needed, but also help the patient to obtain resources needed for support. Time would be spent discussing home life and resources currently being accessed. Determinants of health such as education, housing, nutrition, finances, and family dynamics would be assessed. As stated by Nightingale, “chattering hopes” (Nightingale, 1860) of promised recovery would be avoided, and instead an attempt made to empower the patient. When discharged, the patient would have a plan in place with resources to access their essential needs. If a safe house were required, he/she will collaborate with a social worker to find an appropriate space and provide a means of transportation. If nutritious food was needed, I would arrange for Meals on Wheels or provide contact with the local food bank. Resources for education or employment as required may be explored. By teaching the patient to manage their own environment by use of these resources, and with continued support, he/she would then have more control over his/her own optimal
I would be sure the patient felt comfortable by ensuring privacy and by keeping the exam room quiet. I would have pictures of peaceful scenery on the walls. I would ask if he/she were hungry and if I could provide a nutritious snack during the visit in concordance with her/his prescribed die; I would be continually vigilant to watch for signs that the patient may be uncomfortable or uneasy and would adapt the clinical environment as needed. After establishing a nursing diagnosis, I would provide care, as needed, but also help the patient to obtain resources needed for support. Time would be spent discussing home life and resources currently being accessed. Determinants of health such as education, housing, nutrition, finances, and family dynamics would be assessed. As stated by Nightingale, “chattering hopes” (Nightingale, 1860) of promised recovery would be avoided, and instead an attempt made to empower the patient. When discharged, the patient would have a plan in place with resources to access their essential needs. If a safe house were required, he/she will collaborate with a social worker to find an appropriate space and provide a means of transportation. If nutritious food was needed, I would arrange for Meals on Wheels or provide contact with the local food bank. Resources for education or employment as required may be explored. By teaching the patient to manage their own environment by use of these resources, and with continued support, he/she would then have more control over his/her own optimal