Using this case scenario how will you apply the 4 concept of metaparadigm of Lydia halls and the nursing process:

Question Answered step-by-step Using this case scenario how will you apply the 4 concept of metaparadigm of Lydia halls and the nursing process: CASE SCENARIO:Xandra is 80 years old. She has been in a residential home for four months following time in hospital with a fractured femur after a fall. She is a widow and her only visitor has been her younger brother, who suffered a stroke six weeks ago and has not been able to visit her since. Xandra has become increasingly quiet and withdrawn. The care staff report that she is not eating and is staying in her room much of the time. The GP is asked to visit Xandra because her weight has dropped by 4 lb in 1 month.Xandra has Type 2 diabetes and hypertension which have been reasonably well controlled. She is partially sighted because of macular degeneration and has widespread joint pains from osteoarthritis.The GP finds Xandra to be alert and oriented. She looks sad and gets tearful when discussing her feelings with the GP. She admits she is very lonely since her brother stopped coming to see her and is worried that he may never be fit enough to come again. She says that she is sleeping poorly, has lost her appetite and ‘can’t be bothered’ to sit with other people in the care home – she says ‘they all get on my nerves’. She denies being anxious or panicky and says she has never drank alcohol. Importantly, Xandra says she does not feel like harming herself, but that she does wish that she will “just not wake up one morning”. The GP conducts a PHQ-9 with Xandra, and her score is 20. A physical examination (including chest and abdomen) is normal, her BP is 146/82 and a dipstick urine test is negative. PERSONHEALTHENVIRONMENTNURSING     THE NURSING PROCESS ASSESSMENT  DIAGNOSIS  PLANNING & IMPLEMENTATION  EVALUATION   Health Science Science Nursing NURSING 107 Share QuestionEmailCopy link Comments (0)