Patient Scenario Case Study

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Patient Scenario
Daring my second semester I met a geriatric patient, The patient was a seventy-eight year old male. His medical diagnosis was dementia, anxiety, congestive heart failure, and benign prostatic hyperplasia (BPH). This gentleman’s BPH resulted in acute urinary retention which has symptoms of inability to urinate, painful urgent need to urinate, pain or discomfort in the lower abdomen, bloating of the lower abdomen.
To access for BPH one asks the patient about difficulty in starting or continuing urination, reduced force or weak stream, sensation of incomplete bladder emptying, straining to begin urination, post void dribbling or leaking (Ignatavicius & Workman, 2013, p. 1630). The nurse I was working with explained that do to the patients underlying health issues he was not a surgical candidate, and that to help the patient void he had an indwelling foley catheter placed long-term.
One of the nursing duties assigned to the nurse I worked with was to change the folly catheter. As part of my head to toe assessment that day I had already validated that the foley catheter was patent and draining. The nurse explained that the catheters were changed on a thirty-day schedule for any patient with a long-term indwelling folly catheter. The nurse explained to me
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Collaboration is a complex process that requires intentional knowledge sharing and joint responsibility for patient care. Sometimes it occurs within long-term relationships between health professionals. Within long-term relationships, collaboration has a developmental trajectory that evolves over time as team members leave or join the group and/or organization structures change. On other occasions, collaboration between nurses and physicians may involve fleeting encounters in patient arenas (Lindeke PhD RN, CNP, & Sieckert, BAN,
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