Martin Redbird, a 47-year-old Cree man, arrived by ambulance from a supermarket,where he had fallen. On his arrival to the emergency department(ED), his breath smells “fruity.” He appears confused and anxious, saying that “they put a curse on me, they want me to die … they are yelling, they are yelling … no, no, I’m not bad. Oh God, don’t let them get me!” Martin is from a reserve community 700 kilometres north of the city in which he is being treated. When his nephew (closest next of kin)is contacted by the ED by phone, he tells the staff that Martin has diabetes and a diagnosis of paranoid schizophrenia and that this happens when he doesn’t take his medications or eat properly. In a group or in collaboration with a classmate, respond to the following:
a. A number of nursing diagnoses are possible in this scenario. Given the above information, formulate at least two nursing diagnoses (problems); include related to and as evidenced by. b. For each of your nursing diagnoses, write out one longterm outcome (the problem, what should change, etc.). Include a time frame, desired change, and three criteria that will help you evaluate whether the outcome has been met, not met, or partially met. c. What specific needs might you take into account when planning nursing care for Mr. Redbird? d. Formulate an initial nurse’s note for Mr. Redbird.
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