Demonstrate an awareness of the role of the nurse within organizational systems.

 

Demonstrate an awareness of the role of the nurse within organizational systems.

 

This assignment is designed to meet the following program and course outcomes:

PSLO #2- Apply leadership skills to enhance quality nursing care and improve health outcomes.

PSLO #4- Collaborate with inter-professional teams to provide holistic nursing care.

CO #2C- Demonstrate an awareness of the role of the nurse within organizational systems.

CO #4C- Identify the unique nursing perspective that contribute to inter-professional teams.

CSLO #4- Discuss the unique nursing perspective in inter-professional teams to optimize client nutritional health.

CSLO # 7- Identify integrative modalities and their role in nutritional health.

 

Scenario:

Jason is a high school junior this year. He wrestles on the Varsity squad and has a chance to go to the State competition this year. He hit a growth spurt over the summer and weight trained, so he is competing in a heavier weight class this season. He is 5™ 8 tall and currently 154 lbs. It™s a Monday, and he ate a lot of pizza, pop, and junk food at a party this weekend.  He and his coach discussed his options at the start of the season: he should wrestle for the 152 and under class, otherwise he has to wrestle in the 160 lb. class. The match is on Wednesday. Jason knows he has to drop weight.

He™s learned from the older kids over the years how to do it: he wears layers of clothes to sweat, especially when he exercises. He can™t eat much, and really has to watch how much he drinks. He knows some of the kids even use laxatives, but he doesn™t think he™ll go that far.

Tuesday: Jason is tired today. He brought Jolly Ranchers to school to suck on because his mouth is dry, and it helps him make saliva.  He spits in the water fountain or a pop can to keep his water weight down. His scale at home says 152, but he knows the school scale is the official scale¦

Wednesday: The big day! Jason is excited about the meet but feeling some leg cramps and a little light headed. He weighed himself in the locker room this morning at school¦151.2 lbs. During third hour, he bent over to pick up a pencil he had dropped, and when he sat up, he saw stars, blacked out, and fell off his desk, hitting his head on the next desk.  Classmates helped him sit up on the floor, and the teacher called you, the school nurse. His assessment reveals BP 88/50, HR 98, R 14, T 99.0. He has a small, raised blue lump on his temple. Jason™s hands are clammy and have a slight tremor.

Scenario (continued): In the health office: Jason states, œI™m fine- I just sat up too fast. The bump on his head is minor, and he is holding an ice pack on it.  You call Jason™s mom at work and report what has happened.  Jason™s mom is alarmed and agrees to come to school to pick him up. Jason does not want to be picked up because then he won™t be able to participate in the match this afternoon.  The wrestling coach heard what had happened and appears in the doorway of your office. He says, œHey, champ! Glad to see you™re fine! I got worried for a minute we™d be competing without you today!

  1. What symptoms (objective and subjective) is Jason having, and what might be the causes of these symptoms (etiology)?
  2. For the best health outcome, what would your recommendations be to Jason, the mom, and the coach regarding the wrestling match this afternoon, and why (rationale)?
  3. What other inter-disciplinary team members (besides coach and parents) may be helpful in Jason™s health care (referrals), and why?

Scenario (continued): In your discussion with Jason privately, you learn what he has been doing to maintain or lose weight as part of his life as a wrestler, and how many other boys in the school are uninformed about the dangers of their behavior. As the school nurse, you decide to teach a class for the wrestlers, parents, and coaching staff to help prevent further incidents related to nutrition, hydration, and weight management of athletes. You will enlist the help of the athletic director and trainer in planning your teaching.

  1. List 5 topics would you include in your teaching time with these athletes.Include 1 integrative modality that might be helpful to an athlete.
  2. For Jason, what would be your recommendation for four low calorie foods that would help him maintain his lean body mass, and stay adequately nourished in the days prior to a wrestling match? List the portion, kcal and protein totals for each food listed, and your rationale. (see chart below)

 

Assignment:For the Case Study questions, use the template below and enter your answers. For the questions that ask for rationale, please include an in-text reference/citation from your reading that justifies your answer. Add a reference page and a title page to the completed assignment in APA format. See Case Study Rubric for Grading Criteria.

 

 

Case Study #2 Template

 

  1. What symptoms (objective and subjective) is Jason having, and what might be the causes (etiology) of these symptoms (rationale)?
  2. For the best health outcome, what would your recommendations be to Jason, the mom, and the coach regarding the wrestling match this afternoon, and why (rationale)?
  3. What other inter-disciplinary team members (besides coach and parents) may be helpful in Jason™s health care (referrals), and why (rationale)?
  4. List 5 topics would you include in your teaching time with these athletes. Include 1 integrative modality that might be helpful to an athlete and why (rationale).
  5. For Jason, what would be your recommendation for four low calorie foods that would help him maintain his lean body mass, and stay adequately nourished in the days prior to a wrestling match? List the portion, kcal and protein totals for each food listed, and your rationale.

 

Food Portion Kcal Protein Rationale
         
         
         
     

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