What data can you gather based on available client information?
I firmly believe that the available client information would allow me to gather a broad range of useful data necessary for the treatment and recovery processes. Broadly speaking can collect data about the client’s social and economic status (SES) in her society, racial, as well as racial background, any symptoms and signs of malnutrition, mental illness, depression, and coronary artery disease. According to Clare et al. (2014), overconsumption of cigarette and other tobacco products plays a pivotal role in causing the diseases and conditions identified above. In essence, the data provided by the visiting client would enhance my ability to gather data regarding her socio-economic, psychological, political, physical, and emotional life.
What questions should you ask yourself while interviewing this client?
I would ask myself three major questions with the sole purpose of tracing and establishing the root causes of the client’s tribulations, including physical and emotional health issues. In particular, the first question would seek to identify which economic, as well as social problems that play a leading role in her chain-smoking behavior. This question would also help me understand why she rations meals to survive. Referring to Black (2010), my second question would ask whether the client has since reached the addiction stage because she not only consumes nicotine but also other addictive substances, such as illicit street drugs, cocaine, and opiates. Finally, I would ask myself whether she has ever sought counseling help from elsewhere regarding her social, economic, and health problems. With these questions, I would be well positioned to identify and integrate the most effective therapeutic and other clinical remedies to alleviate her suffering. Concisely, each of these questions would allow me improve her well-being.
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During planning, how can you, as the nurse, best assist this client?
According to Cárdenas-Valladolid et al. (2012), a nursing care plan (NCP) helps in directing health care providers to prioritize patient-centered care and evidence-based practice (EBP). In other words, an NCP serves as a unique tool tasked with the responsibility of promoting holistic care. During planning, therefore, I would utilize my nursing skills, knowledge, and experience to assist the client in a variety of result-driven ways best. First, I would employ my compassionate listening skills to encouraging the client to reveal any useful information to ensure that I implement appropriate treatment methods. Second, I would ask the client to state or specify each of her needs indiscriminately. Third, I would use available resources to help the client understand, acknowledge, and appreciate a variety of smoking cessation strategies. Accordingly, my emphasis would be on helping her identify potential obstacles to quitting cigarette smoking.
What are the potential strategies that would assist the client in a better life?
I would utilize two change-driven strategies to ensure the client attain and maintain a better life: counseling and smoking cessation program. Besides pharmacology, which remains a common treatment option for treating the client’s physical illness, I would address her socioeconomic and emotional problems through comprehensive and patient-centered counseling sessions. Clare et al. (2014) corroborate that counseling plays a critical role in helping patients gain a proper understanding of the dangers associated with their unhealthy behaviors, such as chain-smoking. Equally important, the cessation program that I intend to use would comprise a result-driven follow-up plan through which I would collaborate with her family members and other caregivers to ensure she doesn’t undergo the relapse stage.
References
Black, J. (2010). Evidence base and strategies for successful smoking cessation. Journal of Vascular Surgery, 51 (6): 1529-1537.
Cárdenas-Valladolid, J., et al. (2012). Effectiveness of Standardized Nursing Care Plans in Health Outcomes in Patients with Type 2 Diabetes Mellitus: A Two-Year Prospective Follow-Up Study. PLoS ONE, 7 (8): e43870.
Clare, P., et al. (2014). The relationship between socioeconomic status and ‘hardcore’ smoking over time – greater accumulation of hardened smokers in low-SES than high-SES smokers. British Medical Journal, 23 (2).
