Question

How would Virginia Henderson guide nursing care rendered to the client?.

Make sure there is a clear articulation as to why that theory or model fits with the scenario

The Nursing plan of care should be comprehensive and includes all aspects described essential to the chosen theoretical framework

Case study:

•Mr. Smith is a 65-year-old man who developed shortness of breath while on a family vacation in the mountains. When he returned home from vacation he presented to the emergency department alert and feeling ill with an elevated temperature of 101.5 F and chills.

•Mr. Smith has a 1-pack per week history of smoking and no history of alcohol or illicit drug abuse. Recent history includes dry hacking cough, low-grade fever, fatigue, loss of appetite, and feeling terrible.

•BP 110/70 mm Hg

•HR 102 beats/min

•Temp 101.5

•RR 36 breaths/min

•Breath sounds: Expiratory wheezing, crackles and diminished breath sounds over the right lower lobe are audible.

•O2 Sats at 89% with O2 per NC at 2L/NC

•Sputum is thick and discolored (yellow-green).

•Wt 190 lbs

Answer 1

Virginia Henderson theory comprises of 14 components. They are:

1. He should be able to breathe normally. Oxygen therapy should be provided.
2. He should be able to eliminate all the body wastes
3. He should be able to move freely
4. Ease him from cough so that he will get adequate rest
5. He selects suitable dresses and undresses
6. As he is having low grade fever, provide measures to maintain normal temperature
7. Assist him to clean and groom himself
8. Avoid danger to him and others
9. Vent his feelings
10. Help him to workship
11. Include him in the care
12. Provide him recreation
13. Satisfy his needs
14. Communicate with the patient