Question

Mark Stephenson Mark Stephenson is a 60-year-old electrical engineer who has recently been laid off from...

Mark Stephenson

Mark Stephenson is a 60-year-old electrical engineer who has recently been laid off from his job. Since then, he has experienced several medical problems, starting with an acute myocardial infarction, which required a coronary artery bypass graft with triple-vessel repair. He also had a mild cerebrovascular accident (stroke) during his hospitalization. You are seeing Mr. Stephenson at the cardiac rehabilitation clinic today. During his visit, you ask him about his feelings surrounding his unemployment and health problems. Mr. Stephenson comments that he must have really made the gods angry to have so many things go wrong at once.

Critical Thinking Questions

1.      What other assessment questions would you want to ask at this time?

2.      Based on what you have learned about spirituality, how do you think Mr. Stephenson is coping with the changes in his life and health?

3.      What implications does this have for your nursing care?

4.      Identify two interventions you could implement to address this patient’s spiritual needs.

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Answer #1

1.The other assessment question which can be asked at this time are

Use the HOPE tool

  • What is your strength,Do you feel spiritual life can enhance it?
  • What role does spirituality played in your career?
  • Patient coping mechanism
  • How do you practice spirituality in case of illness  

2.Mr.Stephensons coping mechanism is in a negative aspect because for a patient to heal by self a basic form of spiritual life can be helpful.Thus is because people are grown in a spiritual environment directly or indirectly out of their birth, culture, society, etc., He is trying to cope by blaming himself .The wrong deeds and acts as made him ill by the almighty. God is a spiritual belief and he cannot be held responsible for a man's illness.

3.The following implications it have on nursing care

  • Decrease in the quality of care delivered
  • Miscommunication or misunderstanding of the medical procedures
  • The patient may fail to accept the treatment whole heartedly

4.Some of the intervention which can be done are

  • Health educate about the nature of diseases in relation to his age , lifestyle, practices .This can enable him to differentiate the actual cause and get treated .In simple the cause cannot be due to God or any spiritual wrong doings.
  • Encourage to follow adjuvant therapy (prayer,yoga,meditation)
  • Accept and respect patient comments to provide psychological support 1
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