NRS434VN Health Assessment

NRS434VN Health Assessment

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NRS434VN Health Assessment

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NRS434VN Health Assessment

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Course Code: NRS434VN
University: Grand Canyon University is not sponsored or endorsed by this college or university

Country: United States

Discuss About the:-

Health Perception/Health Management
Pattern of Elimination
Pattern of Activity/Exercise
Conceptual/Perceptual Pattern
Pattern of Sleep and Rest
Pattern of Self Perception and Self Concept
Role/Relationship Patterns
Sexuality/Reproductive Patterns
Pattern of Coping and Stress Tolerance
Pattern of Values and Beliefs
Normal assessment findings
Abnormal or risk-based findings


Overview Of Presentation
Stepmom is a movie about a divorced couple with two kids, Ana 12 and Ben 6. Jackie, the mother of the kids is diagnosed with terminal lymphoma.
This presentation focuses on Jackie’s character and her health issue.
It contains a detailed functional assessment of Jackie’s illness.
Nursing diagnosis is discussed.
Some additional observations are stated.
Background Of Movie And Character
About the movie
The five central characters comprises of a divorced couple with two kids and a woman (Isabel) who is in a relationship with the father (Luke) of the kids. The biological mother, Jackie tries to cope up with terminal Lymphoma and the issues with Isabel along with fulfilling all the motherly duties.
The Character
Jackie is a former publisher before motherhood.
She is a dutiful mother.
She dislikes and distrusts Luke’s girlfriend, Isabel.
Functional Assessments
Health Perception/Health Management
Jackie has knowledge about her lymphoma.
She is under regular medical attention, receives Chemotherapy and gets protein injections (Van Nimwegen et al., 2017)
Jackie has maintained a healthy lifestyle and a balanced weight till the first half of the film.
However, she loses weight in the second half with the on-going chemotherapy (del Palacio-González and Clark, 2014) .
Pattern of Elimination
Although not shown in the film, lymphoma patients encounter frequent nausea, diarrhea, vomiting and constipation in later stages.
Assessment Continued
Pattern of Activity/Exercise
Jackie is proactive. She takes care of her children’s daily schedule.
She is always into doing some kind of projects for her kids.
Cognitive/Perceptual Pattern
Jackie does not show any sensory deficits (Marroquín, 2016)
Experiences weakness and fever sometimes (Drukarczyk et al., 2014)
Pattern of Sleep and Rest
Jackie takes adequate rest and sleeps to be fit for taking care of her children.
Pattern of Self Perception and Self Concept
Jackie accepts her illness
She was skeptical about Isabel initially. However she starts liking and trusting her later.
Role/Relationship Patterns
She is the best mother to her kids.
Even though she is divorced, her ex-husband Luke counts on her for any matter regarding the kids.
Sexuality/Reproductive Patterns
Jackie is not seen to indulge in a relationship since her divorce.
Pattern of Coping and Stress Tolerance
Jackie understand that her illness is fatal yet she does not fall into despair.
She encounters weakness and flu from time to time but does not let them come between her care for her children.
She starts to smoke cigarettes implying that nothing else can kill her anymore.
Mentally, she stresses about Isabel.
She takes the initiative to discuss about the future of her kids with Isabel saying that she will be her children’s past and Isabel would be their present.
Pattern of Values and Beliefs
Later in the film, she still tries to create a bond between Isabel and the kids as she believes that the kids should love their new mother.
She tries her best to instill good moral value in her children.
Analysis Of Health Assessment
Normal assessment findings
Jackie’s health is deteriorating time.
She is encountering severe weakness with the advancement of stages of lymphoma.
Abnormal or risk-based findings
Nothing as such, however her newly started smoking habit might have some effect on the progression of the cancer.
Additional Observations
 Jackie belongs from the Topical culture of the USA. Takes part in celebrating major national holidays.
she lives in the suburbs of New York.
she is a believer of God, however does not visits church frequently.
she is an American Caucasian
Jackie believes that there is a life after demise. So she tells her kids that her spirit will always be around them after she passes away.
Nursing Considerations
Nursing Diagnosis
Weakness due to chemotherapy
Nausea and vomiting
Fear and anxiety of death
Health promotion: Jackie should avoid high dose of radiation and tobacco consumption.
Health prevention: she should keep an eye on her fluid intake and output. Dermatological care is needed.
Health Maintenance: administration of prescribed drug for anxiety management. (Raga?Chardi, 2016)
The movie, Stepmom, has the strength to provide emotional support to it viewers for dealing with an ailment and a broken home altogether. This film portrays the power of love to fix unspeakable pain and live through the tragedies of life.  
Del Palacio-González, A., & Clark, D. A. (2014). Cognitive specificity in fear and sad affect: An investigation of emotional reactivity and recovery from experimental mood induction. Cognitive therapy and research, 38(3), 270-279.
Drukarczyk, L., Klein, C., Ostgathe, C., & Stiel, S. (2014). Life threatening illness in popular movies-a first descriptive analysis. SpringerPlus, 3(1), 411.
Greenwood, D., & Long, C. R. (2015). When movies matter: Emerging adults recall memorable movies. Journal of Adolescent Research, 30(5), 625-650.
Marroquín, B., Boyle, C. C., Nolen-Hoeksema, S., & Stanton, A. L. (2016). Using emotion as information in future-oriented cognition: Individual differences in the context of state negative affect. Personality and individual differences, 95, 121-126.
Raga?Chardi, R., Iglesias?Parra, M. R., García?Mayor, S., Kaknani, S., García?Guerrero, A., & Morales?Asencio, J. M. (2016). Acquiring Competence in Oncology Nursing Skills Through the Use of Film: A Study Protocol. International journal of nursing knowledge, 27(1), 5-9.
Van Nimwegen, F. A., Schaapveld, M., Janus, C. P., Krol, A. D., Petersen, E. J., Raemaekers, J. M., … & van Leeuwen, F. E. (2015). Cardiovascular disease after Hodgkin lymphoma treatment: 40-year disease risk. JAMA internal medicine, 175(6), 1007-1017.

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