dosage of IV pain medication

1.  Case Study

The hospice nurse sat with Ann’s husband, Ben. Ann was resting
quietly as the increased dosage of IV pain medication gradually reached
its therapeutic level. Ben turned his head and slowly turned, looking
out the room’s only window. As he glanced up, a small flicker of light
caught his breath. It was a shooting star. A tear fell from the corner
of his eye and he turned to Ann. The nurse sensed that something
significant to Ann and Ben was unfolding. Shuffling to Ann’s bedside, he
took her small fragile hand in his. These hands had rocked cradles,
burped babies, and groomed the horses she loved to ride. Gently holding
her hand, he turned to the nurse. “She would ride like the wind was
chasing her.” Looking back to Ann his voice broke; choking back tears
“Ann, Ann I saw Jessie…Jessie is calling.” Ben turned “Jessie was our
daughter. She died having a baby that was too big. When she died it was a
pitch-black night. Cold, so cold, the baby died too, a little boy,
named him Abe, Jr. after Jessie’s husband. I took Ann outside so she
could cry to God above and there in this dark sky we saw two falling
stars…together…just falling. We knew it had to be Jessie and Abe…two
angels to light up the night.” Ben turned back as a deep sigh escaped
from Ann’s lips. A soft smile remained as she joined Jessie and Abe.

• Based on this case study how would the nurse actualize Parse’s theory of Human Becoming?
• What are characteristics of a human becoming nurse? What are strengths and weaknesses to this theory of nursing?
• What challenges exist for healthcare institutions to switch to this nursing approach?
• How might Parse’s understanding of transcendence guide the nurse, as Ann’s death became a reality to Ben?
• From the nursing theories we have discussed, what additional
  theory would you apply to this case study? Develop a plan of care to
  include both nursing theories (be specific and provide reasons)

The APA formatted paper should include 2 outside references and your
book. The essay should be between 1250 and 1500 words in length.

Learning Materials

• Smith, M. C., & Parker, M. E. (2015). Nursing theories and nursing practice (4th ed.).  Philadelphia, PA: F.A. Davis. Chapters 12 & 15

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