Reference no: EM133918627
PART I.
Read the case history of Baby Macky and list the factors that affect each of the system. Relate your answers to Imogene King's Conceptual System and Middle-Range Theory of Goal Attainment.
Case History of Baby Macky
Baby Macky, a 36 weeks AOG was born by an emergency cesarian section because of the signs of fetal distress (heart rate was very low) and PROM. This was his mother's second pregnancy. She had regular prenatal check-up and both pregnancy was eventful.
Baby Macky's mother is 36 years old and his father is 38 years old. Their first child,Xander is 13-year old who is diagnosed by autism. He requires constant care and in special program during daytime hours.
At birth, baby Xandra has a good condition. However he developed respiratory distress several hours after birth. He was transferred to neonatal ICU (NICU) and placed on ventilator. After few days he developed sepsis and seizures. Both parents visited daily and participated in his care.
After 8 days, baby Xandra's condition improved but still requires ventilator support. He was stable for two days, then began to experience respiratory distress again. And his survival becomes questionable. His condition becomes very unstable and experienced many "ups and downs".
The family including the grandparents talked to the physicians about baby Xandra's chance for survival, the quality of his life if he survives, and any pain or discomfort he might be experiencing at the time.
His condition deteriorated further and developed renal failure; he was not expected to survive for few more days. The family asked for a priest to visit and perform an emergency baptism.
In spite of such critical condition, Baby Xandra showed signs of improvement over the next few days, although he remained on ventilator.
One week later, he was tolerating nasogastric feedings. Breathing continued to improve and he was eventually removed from the ventilator,
His condition stabilized and he began steady progress. The family is looking forward that baby Xandra will soon be discharged as his physiological problems are resolving.
Interacting Systems What are the FACTORS affecting the systems?
Personal 1. ___________________________
2. ___________________________
3. ___________________________
4. ___________________________
5. ___________________________
6. ___________________________
7. ___________________________
8. ___________________________
Interpersonal 1. ___________________________
2. ___________________________
3. ___________________________
4. ___________________________
5. ___________________________
6. ___________________________
Social 1. ___________________________
2. ___________________________
3. ___________________________
4. ___________________________
5. ___________________________
PART II. Case Analysis: An 80-years old client came to the clinic claiming that he is not feeling well. He had severe cough and experiencing shortness of breath occasionally. He had on and off fever and pain in the chest. As a nurse, you should learn to identify the following stressors that may affect the client's condition. Limit your answer to a maximum of two sentences.
Physiological/Physical Stressors:
______________________________________________________________________
Psychological Stressors:
______________________________________________________________________
Sociocultural/Environmental Stressors:
______________________________________________________________________
Spiritual Stressors:
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