Susan Case Study

BCIT BSNC 3020 – Written Assignment Case Study & Questions The focus of this written assignment is to provide learners with an opportunity to discuss and apply key course concepts and knowledge to an illustrative case study. Assignment Requirements: Maximum length of assignment is 7 pages (this does not include title & references pages). Instructors will stop reading at the end of seven pages. Assignment must follow APA 7th Edition formatting: • Follow APA 7th edition style. • Use headings to assist with transitioning of content. • Cite any ideas that are not your own (i.e., concepts, articles, videos etc.) Include AI or ChatGPT references if used. • A minimum of six different academic reference sources must be used to support your ideas presented throughout the assignment. Academic sources include journal articles, textbooks, professional and/or Governmental organizations documents/reports. • Assignment to be submitted on the due date as per the date set by the Instructor. Late submissions will receive a 10% deduction per day. Weekends and Stat holidays count the same as weekdays. Case Study Questions: Below is a case study about a patient with 5 questions throughout. Ensure that your paper addresses/ answers all the questions with detail, including specific examples. Case Study: You are the nurse caring for Susan a 52-year-old single Indigenous woman from Bella Bella. She is a member of Heiltsuk Nation, and a mother to 4 adult children and grandmother to 10 grandchildren. Susan’s extended family (brothers and sisters, nieces and nephews) also live in her community. She is a well-respected healer in her community as well as a band council member. Susan has suffered with ulcerative colitis for more than 30 years. Over the past year and a half her symptoms have worsened limiting her activity, energy and overall health significantly and she has been referred to a surgeon who offered surgery. Initially Susan delayed travelling to North Vancouver for an appointment with the surgeon for many months however, her symptoms have worsened and are limiting her daily activities. With support from her daughter, she made the trip, met the surgeon, and consented to surgery. - What factors might have inhibited Susan's access to healthcare for treatment of her ulcerative colitis throughout her illness and related to surgical treatment? Susan travels to North Vancouver alone and she is admitted to Lions Gate Hospital where she undergoes a proctocolectomy and ileostomy. You are assigned as Susan’s primary nurse starting on post-operative day two. - Explain why the concept of identity is important in these circumstances with Susan. Consider historical and contemporary contexts impacting Susan’s health and wellness. When you meet Susan, she is very quiet and stoic. She only makes minimal eye contact with you and answers your questions with short sentences. Susan is very slow to mobilize, and you notice grimacing and retching. When you offer Susan analgesia and antiemetics she states, “no it’s OK, I don’t want any of that, I’ve seen people get hooked on that stuff”. - Considering your observations of Susan and her response, describe your approach to building rapport and establishing a plan of care for successful recovery. Include the resources you could draw on. At the end of your shift, you give report to the night nurse and tell them about Susan’s family and support system in Bella Bella. Their response is: “well I am not going to talk to all those people, they need to assign one person as the contact.” - Describe your response to the statement of this colleague. What concepts from class could you draw from in your response? Provide 3 specific nursing actions that draw on the BCCNM Indigenous Cultural Safety, Cultural Humility, and Anti-Racism Practice Standard of how you can incorporate this practice standard’s core principles into your daily nursing practice for Indigenous patients. • Examples are to be specific, realistic, relevant, and something a nurse can address. *Include at least one example that can be done immediately. • Provide specific examples using “I” statements. Avoid use of broad strategies such as advocate for, I will take additional courses, etc. (which courses?) •Describe how these strategies impact the care of Indigenous patients. - Assignment Grade: Refer to the grading rubric Assignment Grade: This written assignment is weighted at 40% of the overall course grade. Grading rubric: 1. Introduction and Conclusion: - The introduction includes the aim of the paper and clearly outlines the major topics included in the paper Introduction is engaging and incorporates interesting ideas about the main theme of the paper Conclusion is engaging and thoughtful and provides a clear and concise wrap-up of the paper. 2. What factors might have inhibited Susan's access to healthcare for treatment of her ulcerative colitis throughout her illness and related to surgical treatment? - Articulates multiple connections to important ideas, concepts and larger issues relating to historical and contemporary realities. 3. Explain why the concept of identity is important in these circumstances with Susan. Consider historical and contemporary contexts impacting Susan’s health and wellness. - Articulates multiple connections to important ideas, concepts and larger issues relating to historical and contemporary realities. 4. Considering your observations of Susan and her response, describe your approach to building rapport and establishing a plan of care for successful recovery. Include the resources you could draw on. - Information is appropriately & adequately interpreted as it relates to the case study. Ideas and resources are well-developed and supported throughout. 5. Describe your response to the statement of this colleague. What concepts from class could you draw from in your response? - Information is appropriately & adequately interpreted as it relates to the case study. Ideas and resources are well-developed and supported throughout. 6. Discuss and Apply the BCCNM Indigenous Cultural Safety, Cultural Humility, and Anti-Racism Practice Standard - 3 of BCCNM’s Indigenous Cultural Safety (ICS) core principles (Cultural Humility, Cultural Safety, Anti-Racism) are discussed and applied to student nurse’s practice, with current and future implications (Use of “I” statements) Examples are specific, realistic and relevant. Comprehensive, critical and thoughtful analyses are evident in the application of Indigenous-specific strategies as they relate to BCCNM’s ICS Practice Standard 7. Writing Mechanics, Organization & Structure - Writing is clear, concise and well-organized - With excellent sentence/paragraph construction. Thoughts are expressed in a coherent, logical manner with good closure. - APA documentation style is accurate & used consistently throughout all of the paper. (1-3 errors). Provides an appropriate reference for the Information presented. Gathers information from a variety of valid and reliable sources (minimum of six academic sources). - Sources are clearly integrated through the use of summary and paraphrasing. (Sources are correctly cited)