Read the following case study:
You are a staff nurse working in an intensive care unit and assigned to care for a 75-year-old man who had
coronary artery bypass graft surgery four days ago. The patient has a history of chronic obstructive pulmonary
disease exacerbated by heavy smoking. His postoperative course has been difficult, and he has suffered a
number of setbacks. Staff members, despite their diligent efforts, have not been able to wean him off the
ventilator since the surgery. He has required frequent suctioning throughout the shift, and he is being evaluated
for the development of ventilator-associated pneumonia.
Today, when returning from lunch, you observed an experienced nurse was suctioning your patient. His
secretions were thick, and you observed that the nurse was instilling saline into the patient’s endotracheal tube
as she was suctioning him. The patient turned red and began coughing, and it was obvious he was in distress.
You asked the nurse why she was instilling saline into his endotracheal tube. She replied this was being done
to loosen the secretions. You told her this was no longer an acceptable practice. She stated that she has many
years of critical care experience and she did not care what anyone said, that the only way you could loosen the
patient’s secretions would be to instill saline. She also said that would be the last time she would do something
for one of your patients while you were at lunch.
Determine a plan of care for the patient using the nursing process.
Define each step of the nursing process, and align each step to critical thinking and clinical decision-making
The Right Way to Go Is Equal The issue of disparity has been around since the get-go, regardless of whether it is in regards to race, sex, or something different. For ladies everything has consistently come later. Men had consistently had the principal opportunity at such huge numbers of things like in democratic, the military, and for some, higher position employments. With the majority of this, today we see the issue of the pay hole, people are not getting paid similarly with a similar activity or measure of instruction. There is as yet the generalization that since men are the fundamental "providers" that in this manner they ought to get paid more. On the off chance that the two people have a similar measure of training and ability, employment, and families to nourish then they ought to be paid a similar sum, yet very few individuals feel that way. In spite of the fact that the two people ought to get equivalent compensation there are a few people who can't help contradicting that. Phillips (2017) enlightens us concerning one republican who imagines that the manner in which people get paid currently is the conventional way, men have consistently gotten more, and that because of this, things shouldn't change (p.1). This still is by all accounts the view numerous individuals have today, that we ought to just adhere to what we know or have been doing since we could recollect; it is simply "straightforward financial matters". Since it has consistently been said that men are the "'essential providers' of their families… paying ladies similarly would by one way or another ruin the cosmetics of a conventional family where 'the Mother' stays at home bringing up youngsters" (Phillips, 2017, p.1). In spite of the fact that they may have the training or aptitude, when moms remain at home to deal with their kids relying upon to what extent they've been away, as indicated by Sherwood (2011): "When they come back to the working environment, they unavoidably have less understanding than partners who remained. To close the hole we'd need to prevent organizations from taking a gander at experience when they decide compensation, or we'd need to get more fathers to remain at home and more mothers to continue working when children are youthful". (p.2) It doesn't end there; there are still a few reasons why individuals feel that people still shouldn't be paid the equivalent. Those for the most part influenced and against this compensation hole are men. With the end goal for ladies to get equivalent compensation, they will get more cash. For this to happen the cash needs to originate from some place, well that some place originates from the men. For each activity there is an equivalent and inverse response, "If organizations are compelled to pay ladies equivalent to male profit, that implies they should diminish the compensation for the men they utilize, basic financial aspects" (Phillips, 2017, p.1). At the point when men make less as the "essential providers" they then "have a significantly progressively troublesome time procuring enough to help their families, which will mean more Mothers will be driven away from the home (where they may want to be) to join the workforce to have the effect" (Phillips, 2017, p.1). At the point when more people secure new positions it, as indicated by Phillips (2017)," will in general prompt extraordinary challenge inside employments, and in this way making the compensation for everybody considerably progressively low (p.1). How would we know whether these reasons are genuine verifiable or just conclusions? Despite the fact that these may appear as though some consistent reasons about why people ought not get equivalent compensation, the reasons why people ought to get paid similarly exceed those. With regards to ladies being paid not as much as men, there is an enormous distinction. As indicated by Reuters (2018), with the time that ladies take off to deal with their family or youngsters, they gain somewhat just around half of men, and this is simply inside a 15-year length (p.2). Just between. "2001 to 2015, the Washington-based Institute for Women's Policy Research found that ladies' salary was 51 percent not as much as men's profit, which incorporates time with no pay," (Reuters, 2016, p.3). For ladies who are single parents this is a main problem. During the time there have been numerous lawful cases that will in general demonstrate that by basically being a mother it brings down a ladies' opportunity to progress in a working environment, while then again being a dad demonstrates to be an advantage for men. (Chirillo, Clark, Gault, Hartmann, and Hegewisch, 2016. p.3). Having a similar measure of instruction and experience doesn't appear to be considered either in light of the fact that, "ladies' human capital (for the most part estimated as long stretches of training in addition to years at work and in the activity advertise) are progressively equivalent for ladies and men," (Chirillo et al's, 2016, p.3). This equitable demonstrates that training and experience has nothing to do with it, however everything comes down to sex. The generalization that numerous individuals today still have ought not prevent ladies from getting the compensation that they merit. If men somehow happened to switch places with ladies they would without a doubt need to get paid similarly as well. The issue of the pay hole among people is still here today and appears as though regardless of how wrong it might be, it doesn't appear as though it will come an end at any point in the near future. In spite of the few demonstrations/laws they've passed with respect to this issue it doesn't appear as though anything is being done about it. We see the issues of why individuals are against the change since it's what we've been utilized to so why change. Moms should remain at home with the children while fathers go work, accordingly getting more pay. We likewise observe the side that supports this change, sexual orientation ought not come in the method for how you ought to get paid however whether you take care of business the correct way. Toward the day's end we should keep on pushing for equivalent compensation since it is something that should be finished.>GET ANSWER