Related to my work as an intensive care nurse. Given a scenario a female morbid obese patient on her critical days in the hospital intubated and unconscious due to sedation drip flowing who has a responsible party who signed Medical order life sustaining for of full code. Key concepts of Marilyn Anne Ray’s theory is always in use. Such as Caring for critically ill patients requires patience and honesty. For example in assessing the patient on a specific time needed such as checking blood sugar of a patient every fifteen minutes with relation to giving insulin drip to a patient and at the same time checking patients vital signs to a patient who requires checking for appropriate intervention. Spiritual ethical nursing and legal, Since the patients wish is full code then as a nurse I need to abide with the patients wish of resuscitation for it is ethically right to give what the patients wish. When it comes to key concept of education, as a nurse of the patient I educated and update the family members responsible for the patient on the status of the patient with regards to plan of care and medication being given to the patient. Physical, It is my goal for the patient who is sedated and bedridden not to have any bed sores so as a nurse it is my duty to reposition the patient every two hours and make sure that the patient is not lying on a wet mattress to avoid any skin issues. Socio Culturally as an Asian nurse communicating with Caucasian of African American it is my responsibility to give respect and privacy to the patient as needed. With regards to Technological. It is my responsibility to be aware of the machines being used such as ventilator machine of my patient who is intubated, Tele monitor to alarm me of any ischemia, vital signs equipment placement and positioning, use of hoyer lift if needed and setting of bed and also the Intravenous pump for giving medications. And when it comes to economics. Money is needed for hospitalization. To financially fuel the expenses of medications and hospital stay. And politically no matter what the financial background of the patient we have this EMTALA law where in care needs to be given no matter what the patients financial or socio economic status is. So to sum it all up I can say that we have been practing what Marilyn ANNE Ray’s theory as a whole for the patients optimal well being.
– Jinus Jose J. Miranda, RN
.jpg)
