CLIENT PROFILE
This is Mrs. Smith’s current care setting while awaiting long-term care placement.
Question: What is a transitional care home?
This chronic condition causes reduced blood flow to Mrs. Smith’s lower extremities.
What is peripheral arterial disease (PAD)?
Mrs. Smith experiences this emotional response related to uncertainty and health decline.
What is anxiety?
This ethical principle supports Mrs. Smith’s right to refuse amputation.
What is autonomy?
Mrs. Smith’s age influences her risk for chronic illness and functional decline
What is age as a social determinant of health?
Mrs. Smith’s age places her in this population group with increased vulnerability to chronic illness.
Question: Who are older adults / seniors?
Occlusion of these arteries contributes to Mrs. Smith’s ischemic pain and non-healing ulcer.
What are the popliteal and posterior tibial arteries?
This factor intensifies her emotional distress by limiting daily interaction and support.
What is social isolation?
The CHN’s respect for Mrs. Smith’s values reflects this ethical nursing approach.
What is client-centred care?
Living alone in transitional care impacts this determinant.
What is living arrangement?
This medical order guides end-of-life decision-making and limits resuscitation efforts.
Question: What is a Do Not Resuscitate (DNR) order?
This symptom results from inadequate oxygenated blood flow to tissues.
What is chronic ischemic pain?
This nursing action involves recognizing and affirming the client’s emotional experiences.
What is validation?
This ethical responsibility involves acting in the client’s best interest while honoring her wishes.
What is beneficence?
This past behavior increases risk for COPD and PAD.
What is a history of smoking?
Mrs. Smith’s family structure includes two adult daughters who live outside the province, contributing to this challenge.
Question: What is limited immediate family support?
Mrs. Smith declined this intervention in order to prioritize quality of life.
What is revascularization or amputation?
A trauma-informed approach focuses on reducing this feeling often experienced during health transitions.
What is loss of control?
Advocating for timely LTC placement demonstrates this ethical nursing role.
What is advocacy?
Delays in LTC placement affect this determinant.
What is access to continuity of care?
This life event significantly contributes to Mrs. Smith’s emotional distress and social isolation.
What is the loss of a spouse (widowhood)?
The presence of COPD, chronic anemia, and PAD together illustrates this nursing concept.
What is multimorbidity / complex chronic illness?
This mental health strategy may be recommended to support Mrs. Smith’s emotional well-being.
What is counseling or psychosocial support?
Supporting quality of life over life-prolonging interventions reflects this care philosophy.
What is palliative-informed care?
The interaction of age, illness, social support, and care transitions demonstrates this concept.
What is intersectionality of social determinants of health?