Discussion Topic
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CASE STUDY:
Mr. Okay is a 43-year-aged male who has been admitted to the coronary care unit after experiencing a myocardial infarction which resulted in a cardiac arrest. Mr. Okay has maintained a healthy and energetic standard of living since his myocardial infarction three years previously. Outdated to his admission, Mr. Okay used to be at dwelling working on his treadmill as fragment of his morning routine. His wife, Mrs. Okay, heard a loud noise and ran downstairs to search out Mr. Okay lying inclined on the treadmill with a head injure and no pulse. Mrs. Okay called 9-1-1. Cardiopulmonary resuscitation (CPR) used to be no longer initiated till paramedics arrived, and it used to be roughly forty five min till Mr. Okay had a return of spontaneous circulation. Mr. Okay used to be intubated at dwelling and then introduced into sanatorium where he used to be considered at as soon as by the cardiac personnel, which incorporated an evolved practice nurse (APN). The APN's role used to be to buy recordsdata about what may well well well need resulted in Mr. Okay's event and to effect in mind the contemporary targets of care. Given the estimated downtime (time without sufficient blood circulation), the APN acknowledges that Mr. Okay may well well suffer from severe anoxic mind injure, and his prognosis would be unhappy.
Though nothing had been confirmed by the doctor, the APN acknowledges that there may well be a sturdy possibility that she will be able to must toughen Mrs. Okay thru the withdrawal of like her husband. After pondering this, the APN turned into overwhelmed with emotion as she thinks about her have accomplice who is the identical age as Mr. Okay. As successfully as, the APN also skilled profound frustration as to why Mrs. Okay didn’t provoke CPR for her husband. As the personnel continues to aggressively work on Mr. Okay, the APN may well well be Mrs. Okay's initial point of contact and will work closely with her to meet the general targets of like Mr. Okay.
Discussion:
a. Decide three kinds of decision-making fashions that can support the APN in offering care to Mr. Okay and Mrs. Okay. Overview and incompatibility the three chosen fashions making obvious to discuss key choices of those fashions and the advantages and barriers of those fashions in addressing the above mission.
b. Record the rationale for deciding on the decision-making fashions to practice to the case check out scenario.
c. What create you feel is the very best decision-making model to use for APNs? Provide a rationale.
Discussion posts must be at least 400 words, and the references must be cited in APA layout Seventh Edition and must consist of at least 5 scholarly resources printed all over the past 5 years.
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