Jane Stubbert 04/08/2017

Week 5: Evaluate and apply the facts and principles of biological,

psychological, sociological, cultural and spiritual functioning
while providing nursing care to clients with needs resulting from
altered state of wellness throughout the lifespan.

Client Centered Care

Did I keep in mind the original concern as I solved the problem?

(Describe).

During assessment, I was concerned when patient reported

decreased sensation to left foot. Patient denied sensation to left foot

when I touched it. Patient had a wound vac to left ankle secured

with ace wrap dressing. I was worried and surprised. It was the first

time a patient reported decreased sensation to me. I was glad that

the nurse was with me at that time. It was hard to assess when

decreased sensation started because she was deaf. It sounded like I

was yelling at her.

Surgeon was notified immediately, and wound vac was

removed. When I reassessed patient after removal of wound vac, I

remembered my original concern which was decreased sensation. I

was hoping that this time she would tell me she can feel my touch,

and I was right. Patient admitted she could feel sensation when I

was touching her toes. When I applied wet to dry dressing to her left

leg, I documented the small amount of sanguineous drainage and

that patient was able to feel sensation when I touched her feet even

after wrapping her ankle with ace dressing.

Jane Stubbert 04/08/2017

As a registered nurse in the future, I can apply this great

experience when assessing my patients especially post op from

surgery who are at risk for DVT and decreased perfusion.