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Analysis of Synergy Model in Obstetric Nursing Practice Essay

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The purpose of this paper is to analyze a specific case study in this Troy University School of Nursing student’s clinical experience with the application of the Synergy Model. Both patient characteristics exhibited and nursing characteristics necessary for optimal care and synergy to occur in this specific case study will be discussed. This particular case study involves a 29 year old obstetric patient who presented to the labor and delivery unit at 33 weeks gestation with complaints of abdominal pain for the past three days that had become more severe and absence of fetal movement noted since the previous evening. Her obstetric history revealed she has one living child and has had one previous miscarriage at ten weeks …show more content…

Intravenous (IV) fluids were bolusing; however, when blood pressure was only obtainable manually and revealed that her blood pressure was 74/34, the decision was made to send the patient to the intensive care unit (ICU). There, coagulation studies revealed an elevated PT, PTT, D-dimer, and a decreased fibrinogen count. She received a peripherally inserted central catheter (PICC), a transfusion of two units of packed red blood cells (PRBCs), as well as cryoprecipitate therapy during her treatment in the ICU. Patient Characteristics The Synergy Model defines eight patient characteristics that nurses must understand in order to facilitate optimal clinical outcomes. All eight patient characteristics will be discussed as they relate to this particular case study. Resiliency Resiliency describes a patient’s ability to return to base-line level of functioning after an illness or injury through use of compensatory and coping mechanisms (Lindell, Reimer, Swickard, Swickard, and Winkelman, 2014). This patient suffered the psychological trauma of losing her unborn baby as well as the physical threat to her own life all at the same time. She demonstrated admirable resiliency as she faced such unfathomable events. After two days of care and observation in the ICU, she was able to be discharged to home. It would certainly take time to experience the different stages of grief; however, she possessed an admirable faith that she, her husband, and their

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