Question

An African-American woman, Mary, brought her infant son to the hospital with a high fever accompanied by her grandmother, Mrs. Washington. You are the nurse assigned to care for Mary’s infant son. After admitting the child to the hospital unit, you explain to Mary and Mrs. Washington the plan of care. You explain the undressed infant will be place in a cool mist tent and given a bath in cold water to reduce his temperature. The child’s mother, Mary, is agreeable to the plan of care.

The grandmother, Mrs. Washington, upon seeing the child in the cold mist tent, says, “You forgot to give him a blanket. That thing is real cold inside.” You repeat your explanation that this is keeping him cool because of his high fever. Despite Mary trying to calm her grandmother, she becomes hostile. Mrs. Washington responds, “What you talkin’ bout? They got you believing in the foolishness too. I’m gonna put his blanket on him ‘cause he cold. I raised all my nine children and I never put one in no icebox. You know to wrap him so he can sweat the fever out. Hot chamomile tea would bring that fever down.”

Consider the role of the nurse at the bedside in this situation. How would you handle interacting with the grandmother?

Answer 1

As a nursing proficient, you've likely discovered approaches to focus yourself after an untoward occasion or other experience. Maybe you converse with your partners or even question as a unit. However making strides at the principal stewing indications of strain or an issue can go far in helping you advocate for the infant and the families. By building up compatibility, defining limits, and knowing your cutoff points, you can quiet upset nerves both theirs and yours

Despite the fact that you'll likely have a conceding finding and impressions from associates amid report, you presumably won't get a genuine feeling of what's new with the patient and family until your first appraisal. That is the reason it's essential to build up shared opinion when you go into the room: Acknowledge the players, clarify what you're doing, and request any inquiries or concerns. Starting now and into the foreseeable future, you will probably keep individuals on the up and up by conveying data in ways that either engage or mitigate. Likewise, recall forget that being a patient or the group of the patient is a troublesome place to be under any conditions.

This concedes that while contradicting the guardians about their decisions can make her vibe pitiful or even powerless, she remains concentrated on her central goal to teach and engage them so they're alright with the choice. More often than not when you have struggle this is on the grounds that there's such a great amount of going on that individuals miss critical data. So I need to promise them that I'm here for them, that I need to recognize what's disturbing them, and that I'm giving them the greater part of the points of view to go to an understanding.