Discussion: Coronary artery bypass graft surgery

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Discussion: Coronary artery bypass graft surgery

Discussion: Coronary artery bypass graft surgery

Assignment Content

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Read the following case study:

You are a staff nurse working in an intensive care unit and assigned to care for a 75-year-old man who had coronary artery bypass graft surgery four days ago. The patient has a history of chronic obstructive pulmonary disease exacerbated by heavy smoking. His postoperative course has been difficult, and he has suffered a number of setbacks. Staff members, despite their diligent efforts, have not been able to wean him off the ventilator since the surgery. He has required frequent suctioning throughout the shift, and he is being evaluated for the development of ventilator-associated pneumonia.

Today, when returning from lunch, you observed that an experienced nurse was suctioning your patient. His secretions were thick, and you observed that the nurse was instilling saline into the patient’s endotracheal tube as she was suctioning him. The patient turned red and began coughing, and it was obvious he was in distress. You asked the nurse why she was instilling saline into his endotracheal tube. She replied that this was being done to loosen the secretions. You told her this was no longer an acceptable practice. She stated that she many years of critical care experience and she didn’t care what anyone said, that the only way you could loosen the patient’s secretions would be to instill saline. She also said that would be the last time she would do something for one of your patients while you were at lunch.

Determine a plan of care for the patient using the nursing process. Use at least two nursing diagnoses and include their associated goals, interventions, and outcomes that you expect to see for each diagnosis.

Define each step of the nursing process and align each step to critical thinking and clinical decision-making processes. This can be accomplished by using bubbl.us and developing multi-directional links in your concept map to demonstrate the interrelationships that exist among the various concepts.

Format your care plan as a concept map using visual presentation software from the College of Education Technology Resource Library (https://ecampus.phoenix.edu/secure/aapd/COE/COEresrc/tech-resources.asp)

Click Web Tools. (I am requesting that you use bubbl.us to develop your concept map)

Click Collaboration & Productivity.

Format your alignment of the nursing process with the critical thinking process and clinical decision-making process in a document, table, or other visual representation approved by your instructor. This can all be done within your bubbl.us concept map. Your concept map image should be copied and pasted into a Microsoft Word document with a title page, concept map image, reference page.

Assignment adapted from Leading and Managing in Nursing (Ch. 21), by Patricia S. Yoder-Wise, 2015, St Louis, MI: Elsevier. Copyright 2015 by Elsevier. Adapted with permission.

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