Keperawatan paliatif penyampaian berita buruk

Summary

In this dialogue, a nurse discusses a patient's condition with the patient's mother. The nurse explains that the patient's urine test shows signs of a positive pregnancy, although the mother initially rejects this conclusion. The nurse reassures her, suggesting further consultation with a pediatrician and an obstetrician to confirm the diagnosis through an ultrasound. The mother is shocked and uncertain but is advised to stay patient and follow through with further tests. The scene emphasizes the uncertainty and emotional response a mother might experience upon hearing unexpected news about her child's health.

Takeaways

• 😀 A nurse named Sister Fitri is on duty and communicates with a patient's mother about her child's health condition.
• 😀 The patient's brother, who is 16 years old, has been experiencing stomach aches, vomiting, and nausea for the past two days.
• 😀 The mother believes the symptoms are due to a cold caused by a lack of food intake and a poor appetite.
• 😀 The nurse mentions that the child's urine test showed a positive result for pregnancy.
• 😀 The mother is initially shocked and dismisses the pregnancy result, thinking the urine test was confused with someone else's sample.
• 😀 The nurse confirms that the urine test results for pregnancy were positive on both occasions when the child was admitted and during the follow-up test.
• 😀 The nurse suggests further confirmation through a visit to an obstetrician (SPOG) and an ultrasound to determine the pregnancy's specifics.
• 😀 The mother is still in disbelief about her child being pregnant and is unsure how to discuss this with her husband.
• 😀 The nurse reassures the mother to remain patient and confirms that further consultations with specialists will provide more clarity.
• 😀 The nurse advises that the mother should not confront her child in front of others and to approach the issue gently to gather more information.
• 😀 The nurse concludes the conversation by ensuring the mother knows that further medical steps will be taken, including a follow-up ultrasound for accurate results.

Q & A

What is the relationship between the nurse and the patient?

The nurse is responsible for the care of the patient, who is a 16-year-old boy. The nurse communicates with the patient's family, explaining his medical condition and providing care instructions.

What symptoms is the patient experiencing?

The patient is experiencing a stomach ache, vomiting twice, and nausea. Additionally, he has not been eating properly and has had a cold.

How does the nurse explain the patient's condition to the mother?

The nurse explains that the patient may be suffering from a cold due to lack of food intake, but also informs the mother that the patient's urine test showed a positive pregnancy result, which requires further investigation.

What is the significance of the urine test results?

The urine test shows a positive pregnancy result, which is concerning and leads the nurse to recommend further testing and consultation with an obstetrician to confirm the diagnosis.

What action does the nurse suggest for confirming the diagnosis?

The nurse suggests that the mother consult with an obstetrician (SPOG) and have an ultrasound done to confirm the pregnancy diagnosis and determine the stage of pregnancy.

Why is the mother in doubt about the urine test results?

The mother is in doubt because she believes her child is fine and may think the urine test was mistakenly done with someone else's sample, as she does not expect her child to be pregnant.

What is the nurse's response to the mother's concern about the accuracy of the pregnancy test?

The nurse reassures the mother that the urine test results were accurate, as the test showed a positive result twice, on both the first and second days of admission. However, the nurse emphasizes that further confirmation through an ultrasound is necessary.

What does the nurse suggest the mother do next?

The nurse suggests that the mother meet with the treating doctor, as the pediatrician is unavailable. The nurse also recommends the mother discuss further steps with an obstetrician and have an ultrasound for more certainty.

How does the nurse handle the emotional state of the mother?

The nurse is supportive and empathetic, encouraging the mother to be patient and assuring her that further tests will provide clarity. The nurse also advises not to interrogate the child in front of others and to approach the situation delicately.

What additional step does the nurse suggest for investigating the patient's situation?

The nurse suggests that the mother inquire further about the patient's behavior outside of school, as this may provide additional context about the patient's condition and social life.