NURS 1020H Lecture Notes - Lecture 2: Hemiparesis, Quality Assurance

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Relational: complex interplay of human life, world, and nursing practice. Relational inquiry: highly reasoned, skilled action: requires thorough and sound knowledge, sopishcoated injury and observational and analytical skills, strong clinical judgement, decision-making skills and clinical competencies, relational conciusness: particular ways of being. Look for ways in which people, situations, contexts, environments, and practices are integrally connected and shaping each other. A 87 year old former farmer has been a resident of a ltc facility in the city where his daughter lives for 6 months following a stroke that left him with left hemi-paresis. He requires assistance for all transfers, eats less than half of most meals which are pureed to reduce the risk of choking, responds to most questions in monosyllables, and declines to participates in most activities. Recognizing these findings as typical manifestations of depression, the rn suggests to his daughter that she should request a prescription for anti-depressants.

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