Patient Scenario Implications for Nursing Advocacy Ms. Samol is a 38-year-old patient in the medical intensive care unit who is dying of AIDS-related complications. Since being diagnosed with AIDS, she has refused to inform her husband and family of her AIDS status. She even has What would you do if you were Ms. Samol's nurse? Talk with your classmates and experienced nurses about the ques- tions that follow. • If you elect to advocate for the Samols, what practical steps can you take to ensure better health outcomes? Are there any legal guidelines for what you can and cannot do? • What is reasonable to expect of a student nurse, a gradu- ate nurse, and an experienced nurse in this situation? • What advocacy skills are needed to effectively respond to this challenge? an advance directive, which forbids the disclosure of her diagnosis when she can no longer advocate for herself. Her husband and mother cannot understand why the doctors and nurses cannot treat her "pneumonia"-–the only diagnosis she gave them. The doctors and nurses caring for Ms. Samol believe that her husband has the right to know his wife's diagnosis so that he can make decisions in his own best interest about being tested, having their children tested, etc.

nancy McFarland, RMA (AMt), is a clinical medical assistant at Inner City Health Care. In the past 3 weeks, nancy has been doing phone screening, primarily because the clinic has been so busy and the providers believe screening calls will help. In fact, nancy discovered that the administrative medical assistant is screening quite well, but that there does not seem to be sufficient appointment slots to meet the patient demand. CAse sTuDy Review 1. What might be done to determine whether there is a better scheduling style to fit the current demands? 2. What happens when professional staff, providers, and patients view this medical facility as “too busy”? 3. What are some solutions that you can identify?

Can you please help me with the next question? Analysis (Prioritizing Hypotheses) What explanations are most likely? What is the most serious explanation? What is the priority order for safe and effective care? In order of priority, identify the top 3 client conditions. A healthy 28-year-old female, Amy, Gravida 2 Parity 1, presents to GP at 34 weeks’ gestation complaining of a 3-day history of severe headaches and blurry vision. She reports good fetal movements with no vaginal loss. GP took vital signs with BP measuring 160/100. Examination revealed a soft non-tender abdomen with hyper-reflexia with 2 beats of clonus. Urinalysis shows proteinuria 2+. Amy’s GP refers her to the delivery ward for further blood tests and assessment. Amy presented to delivery ward for further assessment. Her BP measured 160/95 and had a soft non-tender abdomen and a normal CTG on examination. Blood tests showed moderately elevated transaminase levels, normal platelet count, normal creatinine and…

As a medical assistant and part of the medical team that will treat and care for patients that have been diagnosed with a life-threatening illness you must be sensitive while assisting in the management of care. When specifically dealing with a patient diagnosed with HIV what aspects of care should you and the team consider? Why?

Describe the role advocacy plays in health education/promotion. Please answer .