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Rico Sandoval, a 39-year old truck driver is admitted to the hospitalfollowing an accident which caused the front of his truck to catchfire. He suffered from burns and was rushed to the ER, diagnosedwith deep split- thickness and full thickness burns of the anteriorchest, arms and hands. His vital signs are as follows: T: 96.2ºF;PR=140/min; BP=98/60. A rapid infusion of lactated ringers wasstarted and he was also receiving 40% humidified oxygen via facialmask. Lung sounds indicate inspiratory and expiratory wheezingand a persistent cough reveals sooty sputum production. A foleycatheter is inserted and initially drains a moderate amount of dark concentrated urine. He is alert and oriented but complains of severepain associated with the burn injuries.
Analysis:1.How the client assessment structured?
Watson points out that nursing process contains the same steps as the scientific research process. They both try to solve a problem. Both provide a framework for decisionmaking.
Assessment phase is a opportunity for Formation of a Humanistic-altruistic system of values, Instillation of faith-hope, Cultivation of sensitivity to one's self and to others andDevelopment of a helping-trusting, human caring relationship
Watson’s theory of caring insists that a holistic approach, assessment may include thesocial history of the patient, as it allows the interviewer to understand a more completeapproach to the patient’s care. The environment in which patient lives as well as hishabits within that environment, help to provide a more complete and potentially moresuccessful plan of care.
Watson elaborates assessment as for him, it involves observation, identification andreview of the problem; use of applicable knowledge in literature.
2.How the client data is analyzed?
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Watson’s theory analyze data by the formulation of hypothesis; defining variables thatwill be examined in solving the problem. •
Formulation of Nursing Diagnosis