Discussion is based on the following case: Two women are hospitalized for hysterectomies. They are both 48 years old with attentive husbands and grown children. They each have two sons and one...


Discussion is based on the following case: Two women are hospitalized for hysterectomies. They are both 48 years old with attentive husbands and grown children. They each have two sons and one daughter. After recovering from anesthesia, one of the women is ready to get up, get dressed, and go home. She is on the phone talking to her family to have them come and get her. She is directing the nursing staff that she will be leaving by 11 A.M. and is upset that they have not moved fast enough to meet her needs for discharge. Of course, she requires some assistance and is moving slowly and has requested some medication to help with pain control. The other woman is moaning quietly, does not want to move, and expresses that she has a great deal of pain and that she cannot possibly do her own hygiene care or get up and walk, even with assistance. She has no visitors and has asked her family not to come this morning but, rather, to let her rest. Practicing from a Modeling and Role-Modeling perspective, consider the following:


• What questions would you ask of these women to model their worlds?


• Considering what you know and observe, how do you think they are alike and how do you think they are different in relation to developmental stage, internal and external resources, adaptive potential, and loss and grief?


• How will nursing interventions differ for these two women? How might the nurse intervene if not through role-modeling?


• Can you think of other situations where a nurse could model the client’s world and then role-model nursing interventions?


 • What happens when the nurse understands the model of the client’s world but plans care on the basis of the nurse’s model of the world, which is incongruent with that of the client’s?


May 22, 2022
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