Jane Vuong Primary Nursing Diagnosis

1. Summary of Jane’s History:

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Jane Vuong is a 24-year-old Vietnamese woman studying cellular biology in the United States on an academic visa. She comes from an affluent Vietnamese family and is a dedicated student, working part-time in a research laboratory. Jane practices Quan Khi Dao, a martial art, but recently experienced severe chest tightness and difficulty breathing during a workout. She was brought to the emergency department by a classmate. Jane is admitted for evaluation and observation due to her symptoms, including wheezing and dusky lips. She admits to a dry cough, allergies, smoking, and past positive hepatitis B diagnosis. She has engaged in risky sexual behavior and visited a Vietnamese medicine man for treatment involving coining and cupping.

2. Analysis of Developmental and Psychosocial Theories:

Erikson’s Adult Growth and Development Theory: Jane is likely in Erikson’s “Intimacy vs. Isolation” stage. She is exploring relationships but avoiding commitment, preferring casual encounters over long-term commitments.

Freud’s Adult Growth and Development Theory: Jane’s behavior may be reflective of Freud’s “Genital Stage.” Her focus on sexual encounters without emotional attachment aligns with this stage’s emphasis on mature sexual relationships.

Maslow’s Needs Theory: Jane’s primary needs are physiological, safety, and love and belonging. While she focuses on her studies, work, and casual relationships, her health and safety needs appear neglected.

3. Adapting Care to Meet Jane’s Cultural Needs:

a. Adaptation: Incorporate traditional Vietnamese diet preferences into her diet while ensuring proper nutrition. Justification: This adaptation respects Jane’s cultural preferences and promotes her nutritional well-being.

4. Nursing Process in Planning Jane’s Care: The nursing process involves assessment, diagnosis, planning, implementation, and evaluation. For instance, using the data gathered, Jane’s primary nursing diagnosis of “impaired gas exchange” can lead to planning interventions like administering oxygen therapy, monitoring respiratory status, and educating Jane about the effects of smoking on her respiratory health.

5. Therapeutic Communication Techniques: Therapeutic communication techniques include active listening, empathy, and open-ended questioning. For example, when discussing her cultural practices, ask open-ended questions like “Could you tell me more about your meditation practices at the Buddhist temple?”

Barrier to Therapeutic Communication: Jane’s cultural beliefs and practices, such as her meditation rituals and reliance on traditional medicine, might pose a barrier to accepting Western medical interventions. Overcoming this barrier requires sensitivity, patience, and cultural competence.

Nursing Diagnoses:

1. Knowledge Deficit:

• Subjective Data: Jane admits to a lack of knowledge about hepatitis B transmission and implications.
• Objective Data: Jane has engaged in risky sexual behavior and was diagnosed with hepatitis B.
• Problem: Knowledge deficit related to hepatitis B transmission and its implications.
• Etiology: Limited understanding of sexually transmitted infections and their consequences.
• Signs and Symptoms: Lack of awareness about the sexual transmission of hepatitis B.
• Short-Term Outcomes: Jane will correctly identify modes of hepatitis B transmission, and she will comprehend the importance of safe sexual practices before discharge.
• Long-Term Outcome: Jane will consistently practice safe sexual behavior six months after discharge.
• Interventions:
  • Provide culturally sensitive educational materials on hepatitis B transmission and prevention.
  • Facilitate one-on-one teaching sessions with a nurse to address Jane’s misconceptions.
• Rationale: Providing accurate information helps Jane make informed decisions about her sexual health.

2. Activity Intolerance:

• Subjective Data: Jane experiences shortness of breath, particularly when engaging in physical activities.
• Objective Data: She avoids cycling and struggles with physical exertion.
• Problem: Activity intolerance related to compromised respiratory function.
• Etiology: Respiratory issues affecting oxygen supply during physical activities.
• Signs and Symptoms: Dyspnea during physical exertion, avoidance of cycling and stairs.
• Short-Term Outcomes: Jane will be able to walk up a flight of stairs without dyspnea before discharge.
• Long-Term Outcome: Jane will participate in her martial arts class without experiencing severe breathing difficulties six months after discharge.
• Interventions:
  • Monitor respiratory status during physical activities and adjust oxygen therapy.
  • Collaborate with respiratory therapy for breathing exercises and techniques.
• Rationale: Improving respiratory efficiency enhances Jane’s ability to engage in physical activities.

Please note that this response is a sample analysis paper based on the given scenario. It provides an overview of how to approach each section of the paper and offers potential content for each aspect. In a real nursing context, it’s important to tailor your analysis to the specific patient’s needs, cultural background, and medical condi