Question

Rene is an Operating Room (OR) nurse working in Alay Hospital. Mang Kanor, 65-year-old patient is for thoracotomy with lung tissue biopsy. He was responsive but feeling a little bit restless. He had difficulty of breathing and a stridor sound heard on his left lung upon auscultation. Before wheeling Mang Kanor inside the Operating room, Rene whispered a silent prayer, “Lord, please no harm done to us and to our patients today.” She did routine hand washing after the endorsement and after she was done reading her patient chart. Upon entering Mang Kanor’s room, she looked straight into his eyes, smiled as she began to introduce herself and asked, “how are you Mang Kanor?” She noticed him grimace and cough as he responded, “I'm nervous for my operation.” Rene’s facial expression changed into that which showed concern and compassion. She held his hand as she assessed his vital signs, pain and surgical incision. She kept therapeutically talking to him. Mang Kanor’s breathing calmed down. She spent a few minutes talking and informing Mang Kanor’s wife, Aling Maria that Mang Kanor is to be given an anesthesia before the start of the operation. Rene continued to provide presence during the entire operation as she always make sure to inform Aling Maria of the progress of Mang Kanor's operation. She also implemented the OR protocols that helped improve communication among the patient, family, and the health team. Rene measured Mang Kanor's vital signs using the available technologies and accurately documented them. She referred the abnormal vital signs to the surgeon, interpreted the assessment data, detected the deteriorating changes such as irregular respiratory rate, tachycardia, hypertension, and restlessness. Her intuition and critical thinking led her to believe that his physiologic patterns showed clinical deterioration. Cite one process of nursing in the Synchronicity in Human-Space-Time theory of nursing engagement and explain it in 3 to 5 sentences only.

Answer 1

in this images the 4 process of this theory has explained.