Stage I Unfolding Case Study

By Published on October 3, 2025
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    1. QUESTION

    Stage I Unfolding Case Study:

    Jean is an 88-year-old widow with four grown sons and numerous grandchildren. She was living alone, caring for her own home for the past 35 years since her husband died. At home, Jean could make meals, take care of her hygiene, pay her bills, and use the bathroom on her own. She had enjoyed being at home and continued to take care of herself and her home. One day she developed mild abdominal pain. She thought it was related to something she ate, but it persisted, so she decided to go to her family doctor. She was not concerned about the cost of seeing a doctor as she had excellent health care coverage under her deceased husband’s insurance. Jean was taken to the clinic and underwent lab tests and a CT scan, for which her doctor concluded she had ovarian cancer. Since the treatment would not provide a cure, she opted to let cancer take its course. The clinic nurse told Jean to call if she needed anything. Jean was a strong independent woman, as she had to be after becoming a widow at such a young age. But now, she was facing an unexpected diagnosis of cancer

     

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Subject Nursing Pages 3 Style APA
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Answer

 

Stage I Unfolding Case Study          

Patient-centered care is an exercise of care delivery that is responsive and reverential to a patient’s preferences, and values, and guaranteeing that an individual ideals guide all medical verdicts. This exercise takes care of the patient as well as their families in ways that are important and valuable to the patient. It entails attending to, notifying and engaging individual patients in their concern. This paper unfolds a case study involving an 88 year old widow, Jean.

The following are the words in the case study that stands out as important:

  • Health care insurance
  • Ovarian Cancer
  • 88 years

The principle behind these important words is that with the health insurance Jean will handle the medical expenses and provide several other important benefits. Health insurance has protected her from unanticipated, high therapeutic expenses. Secondly, Jean did a lab tests and a CT scan and found out that she has ovarian Cancer. This has enabled the nurses to communicate information on the disease, processes of care and relevant information to facilitate self-care. According to the principles of patient-centered care, as people age, or if they live with a sickness that inhibits movement or thought, they need assistance in the simple self-care actions. Evaluating one's capacity to achieve one or numerous services will define their physical limits and the treatments they require. Ongoing valuations of one's requirements, evaluates the development or worsening of their well-being. For instance, brushing teeth needs eye-hand direction and good motoring abilities. Age can play confusion with undertakings of daily living.

 

The first aspects of health include respect for Jean’s preferences. The medical practitioners have informed and supported her by giving her the chance to decide the course of action to take depending on her decision (Kuipers, Cramm, & Nieboer, 2019). The nurse have explained to Jean the procedures and management process she will undergo. Another aspect of health is coordination and integration of care. This comprises of respecting her privacy and the confidentiality of her health information. They are waiting for her to inform her family member and later on make the right decision under the doctor’s counselling. The third aspect is that she was not discriminated based on age, gender identity, disability, status or her background, even though she is a widow and live alone (Azimzadeh, Valizadeh, Zamanzadeh, & Rahmani, 2013). The practitioners also talked through the options with Jean and sought her input, permitted flexibility to accommodate her needs and desires, and agreed to assist her meet them, which will make her feel cared for both psychologically and physically. Lastly, the nurses gave respect for Jean’s values, preferences and expressed needs. The patient was involved in decision-making, knowing she is a person with her exclusive ideals and preferences (Berghout, van Exel, Leensvaart, & Cramm, 2015).  

The activities of daily living that are a part of Jean’s functional ability in the home setting are that she takes care of her personal hygiene such as bathing, and washing her clothes. Jean cooks and feeds herself at her old. Other activities include taking care of the oral hygiene as she moves around the house to do more chores.

 

References

Azimzadeh, R., Valizadeh, L., Zamanzadeh, V., & Rahmani, A. (2013). What are important for patient centered care? A quantitative study based on perception of patients' with cancer. Journal of caring sciences, 2(4), 321–327. https://doi.org/10.5681/jcs.2013.038

Berghout, M., van Exel, J., Leensvaart, L.  & Cramm, J. M.  (2015). Healthcare professionals’ views on patient-centered care in hospitals. BMC Health Serv Res15, 385. https://doi.org/10.1186/s12913-015-1049-z

Kuipers, S.J., Cramm, J.M. & Nieboer, A.P. (2019). The importance of patient-centered care and co-creation of care for satisfaction with care and physical and social well-being of patients with multi-morbidity in the primary care setting. BMC Health Serv Res19, 13. https://doi.org/10.1186/s12913-018-3818-y

 

 

 

 

 

 

 

 

 

Appendix

Appendix A:

Communication Plan for an Inpatient Unit to Evaluate the Impact of Transformational Leadership Style Compared to Other Leader Styles such as Bureaucratic and Laissez-Faire Leadership in Nurse Engagement, Retention, and Team Member Satisfaction Over the Course of One Year

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