
Kozier & Erb's Fundamentals of Nursing 10th Edition by Shirlee Snyder,Audrey Berman,Geralyn Frandsen
Edition 10ISBN: 978-0134162751
Kozier & Erb's Fundamentals of Nursing 10th Edition by Shirlee Snyder,Audrey Berman,Geralyn Frandsen
Edition 10ISBN: 978-0134162751 Exercise 3
Critical Thinking Checkpoint
Tony is a 32-year-old man with HIV. His first AIDS-defining illness caused his weight to drop from 175 to 116 pounds due to intractable diarrhea. The physician thought caloric intake was of primary importance and urged Tony to eat whatever he wanted. The physician also prescribed tincture of opium for the diarrhea, but Tony hated the tincture of opium because it made him feel out of control. Because Tony was getting worse, his nurse argued that he needed intravenous nutrition and should eat only bananas, rice, applesauce, and weak tea until the diarrhea stopped. The nurse suggested adding other foods one at a time and only as tolerated. Tony's family and friends offered to take control of Tony's food preparation.
The physician compared AIDS to advanced cancer and argued he would not prescribe intravenous nutrition for advanced cancer.
The nurse argued that this was Tony's first AIDS infection and that his prognosis was better than someone with advanced cancer. The nurse's primary focus was on stopping the diarrhea, and supplementing nutrition with IVs. Tony's friends preferred the nurse's approach, but Tony was not as easily convinced.
How might Florence Nightingale analyze this situation?
Tony is a 32-year-old man with HIV. His first AIDS-defining illness caused his weight to drop from 175 to 116 pounds due to intractable diarrhea. The physician thought caloric intake was of primary importance and urged Tony to eat whatever he wanted. The physician also prescribed tincture of opium for the diarrhea, but Tony hated the tincture of opium because it made him feel out of control. Because Tony was getting worse, his nurse argued that he needed intravenous nutrition and should eat only bananas, rice, applesauce, and weak tea until the diarrhea stopped. The nurse suggested adding other foods one at a time and only as tolerated. Tony's family and friends offered to take control of Tony's food preparation.
The physician compared AIDS to advanced cancer and argued he would not prescribe intravenous nutrition for advanced cancer.
The nurse argued that this was Tony's first AIDS infection and that his prognosis was better than someone with advanced cancer. The nurse's primary focus was on stopping the diarrhea, and supplementing nutrition with IVs. Tony's friends preferred the nurse's approach, but Tony was not as easily convinced.
How might Florence Nightingale analyze this situation?
Explanation
The HIV or human immunodeficiency virus ...
Kozier & Erb's Fundamentals of Nursing 10th Edition by Shirlee Snyder,Audrey Berman,Geralyn Frandsen
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