mrs jones case study
Ms. Jones Discussion: Symptom U
Definition of U: Understanding Patients Perception
In the PQRSTU model for data collection, U denotes ‘Understanding the patients perception of the problem and their health.’ This allows the clinician to find out how Ms. Jones perceives her health and alerts us to any potential needs or concerns she might perceive (Jarvis, 2009, p.73). It is important to learn about Ms. Jones’ perspective regarding her health because we all have different personalities, beliefs, morals and education. This means that how we may interpret Ms. Jones’ symptom, may be interpret differently by her. In order to assess the client in a holistic manner, it is important to include both objective and subjective data, meaning both the clinicians and the client’s perception of their symptoms. The Registered Nurses’ Association of Ontario (RNAO)’s Nursing Best Practice Guideline on Client Centred Care states that “The client’s view of their personal health experiences is central to good nursing practice” (RNAO, 2006, p. 16). It is therefore imperative that we question the client regarding their perception of their health.
Assessing Ms. Jones
1) Understanding her current perception of her illness and how it affects her ‘Activities of daily living’ “What concerns do you have about your cough?”
“Is your cough affecting your day to day activities?
“How has it been having to deal with this cough?”
“What do you think it means?”
Rationale:
These open-ended questions are simple and will allow Ms. Jones to share her understanding of her cough. This will also give her the opportunity to share any concerns she has related to the effect it has on her daily activities, such as walking, sleeping, talking, etc. She will also be able to express any fears she may have related to her knowledge of medical problems and treatments. Gadow (1990) stated that the nurse’s role is not only to support the decisions our clients make but to also guide the clients towards the
Definition of U: Understanding Patients Perception
In the PQRSTU model for data collection, U denotes ‘Understanding the patients perception of the problem and their health.’ This allows the clinician to find out how Ms. Jones perceives her health and alerts us to any potential needs or concerns she might perceive (Jarvis, 2009, p.73). It is important to learn about Ms. Jones’ perspective regarding her health because we all have different personalities, beliefs, morals and education. This means that how we may interpret Ms. Jones’ symptom, may be interpret differently by her. In order to assess the client in a holistic manner, it is important to include both objective and subjective data, meaning both the clinicians and the client’s perception of their symptoms. The Registered Nurses’ Association of Ontario (RNAO)’s Nursing Best Practice Guideline on Client Centred Care states that “The client’s view of their personal health experiences is central to good nursing practice” (RNAO, 2006, p. 16). It is therefore imperative that we question the client regarding their perception of their health.
Assessing Ms. Jones
1) Understanding her current perception of her illness and how it affects her ‘Activities of daily living’ “What concerns do you have about your cough?”
“Is your cough affecting your day to day activities?
“How has it been having to deal with this cough?”
“What do you think it means?”
Rationale:
These open-ended questions are simple and will allow Ms. Jones to share her understanding of her cough. This will also give her the opportunity to share any concerns she has related to the effect it has on her daily activities, such as walking, sleeping, talking, etc. She will also be able to express any fears she may have related to her knowledge of medical problems and treatments. Gadow (1990) stated that the nurse’s role is not only to support the decisions our clients make but to also guide the clients towards the
Citations: Gadow, S. (1990). Existential advocacy: Philosophical foundations of nursing. In T.Pence & J. Cantrall (Eds.), Ethics in Nursing: An Anthology (pp. 41-51). New York: National League for Nursing. Gage, M. (1994). The patient-driven interdisciplinary care plan. Journal of Nursing Administration, 24(4), 26-35. Jarvis, C ( 2009). Physical Examination & health Assessment. Toronto, Elsevier Canada Registered Nurses’ Association of Ontario (2006). Client Centred Care. (rev. suppl.) Toronto, Canada: Registered Nurses’ Association of Ontario.