During one episode of severe uncontrolled pain which required that Mia be transferred by ambulance to the emergency department, she noticed all of the nurses except for one being attentive and kind. Mia overheard the nurse saying:
“I don’t know why her parents bring her here… We can’t meet her needs and we are short-staffed…”
The conversation Mia overheard was incomplete, which left her to draw her own conclusions. The whispering nurse was actually the charge nurse who was in the midst of planning staffing for a pending snowstorm. Her complete statement is as follows:
“I don’t know why her parents bring her here. The home care nurses should be addressing pain management issues with her oncologist in a more timely manner so that Mia can remain in her home for treatment. If we had available resources to address Mia’s pain, we could plan to make her stays in the emergency room more comfortable. I wish that we could meet her needs better and in a timelier manner. I feel frustrated that once again we can’t meet her needs more effectively. We are short-staffed, and that shortchanges Mia.”
Upon Mia’s mother’s return to the bedside, Mia begs her to take her home, even though the pain medication has had little effect in relieving her pain. Throughout the ride home, Mia becomes increasingly sullen and tells her mother she doesn’t ever want to go back to the emergency room for care.
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Using the Ladder of Inference Worksheet (Nelson text, page 300), fill in the information on Mia’s Ladder of Inference.
This week is dedicated to completing and submitting your term paper and also the case study on The Ladder of Influence (chapter 9 Nelson). There are two steps for this case study. Recreating the actual ladder with a short discussion. Be sure to include a statement somewhere that reflects this and cites the book. Something like…
According to Nelson (2011) the Ladder of Influence…..
OR some people have been creative and included the discussion within the actual ladder. Now if you can’t make a ladder use bullet points, label each step and then define the relationship have a BRIEF discussion. Nelson, page 301 has the best summary and focus for the brief discussion. For example:
- Observable date- what is observed? How can this add to drawing our own conclusions?