Mr. K is a 43-year-old male who has been admitted to the coronary care unit after experiencing a myocardial infarction which led to a cardiac arrest.
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Case Study week 3 Decision Making
Mr. K is a 43-year-old male who has been admitted to the coronary care unit after experiencing a myocardial infarction which led to a cardiac arrest. Mr. K has maintained a healthy and active lifestyle since his myocardial infarction three years ago. Prior to his admission, Mr. K was at home running on his treadmill as part of his morning routine. His wife, Mrs. K, heard a loud noise and ran downstairs to find Mr. K lying prone on the treadmill with a head injury and no pulse. Mrs. K called 9-1-1. Cardiopulmonary resuscitation (CPR) was not initiated until paramedics arrived, and it was approximately 45 min until Mr. K had a return of spontaneous circulation. Mr. K was intubated at home and then brought into hospital where he was seen immediately by the cardiac team, which included an advanced practice nurse (APN). The APN’s role was to gather information about what might have led to Mr. K’s event and to consider the current goals of care. Given the estimated downtime (time without adequate blood circulation), the APN acknowledges that Mr. K would most likely suffer from severe anoxic brain injury, and his prognosis would be poor.
Although nothing had been confirmed by the physician, the APN recognized that there was a possibility that she would have needed to support Mrs. K through the withdrawal of care of her husband. After considering this, the APN became overwhelmed with emotion as she thinks about her spouse who is the same age as Mr. K. In addition, the APN also experienced profound frustration as to why the Mrs. K did not initiate CPR for her husband. As the team continues to aggressively work on Mr. K, the APN will be Mrs. K’s initial point of contact and will work closely with her to meet the overall goals of care for Mr. K.
Discussion:
A. Using the above case study think about how to apply the concept of emotional intelligence to understanding how the APN (as yourself) addresses her own emotions in order to understand how they may influence her ability to provide direct clinical care to Mr. K and his wife, how it may impact collaboration, and how emotions will impact her ability to demonstrate leadership. The consideration of emotions is as an essential component of critical decisions and is a key component of quality of clinical decision making.
Choose two types of decision-making models to address the above situation. One of these needs to emotional intelligence and you can choose from among the various decision-making models that are presented in the overview of decision-making theories in Week 1 & 2. See chapter readings review of literature.
The discussion should include key aspects of the decision-making models that you have chosen,
Describe the rationale for choosing the decision-making models to apply to the case study scenario.
Apply the models to the above decision; explaining how you would utilize these models to provide and make decisions regarding the care of the patient as an advanced practice nurse.
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