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Nursing Reflection on UTI in Young Pregnancy

A 13-year-old girl presented to the clinic with her mother complaining of frequent urination and burning with urination. Urinalysis showed she had a UTI. She was also found to be pregnant based on test results, though it is unclear if the patient and her mother are aware. As a nurse practitioner, one must consider ethical knowing in how to discuss sensitive issues like sexual activity with a minor patient and their parent present. Reflective practice using Carper's patterns of knowing can help gain insights into how to best address the nursing issues inherent in this complex situation, such as early pregnancy care, and apply this learning to future patients.

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MEHATHI SUBASH
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0% found this document useful (0 votes)
16 views4 pages

Nursing Reflection on UTI in Young Pregnancy

A 13-year-old girl presented to the clinic with her mother complaining of frequent urination and burning with urination. Urinalysis showed she had a UTI. She was also found to be pregnant based on test results, though it is unclear if the patient and her mother are aware. As a nurse practitioner, one must consider ethical knowing in how to discuss sensitive issues like sexual activity with a minor patient and their parent present. Reflective practice using Carper's patterns of knowing can help gain insights into how to best address the nursing issues inherent in this complex situation, such as early pregnancy care, and apply this learning to future patients.

Uploaded by

MEHATHI SUBASH
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

1

Think of a surprising or challenging practice situation in which you felt underprepared,

unprepared, or uncomfortable.

Practice circumstance in which you felt underprepared, ill-equipped, or awkward.

The circumstance was a 13-year-old young lady carried by her mom to the medical clinic

with Urinary lot contamination and she is pregnant. This present circumstance was awkward.

Select an important nursing issue/topic that was inherent to the identified situation.

Select a significant nursing issue/point that was innate to the distinguished circumstance.

Young pregnancy and treatment of UTIs in pregnant ladies

Briefly explain the situation

Momentarily make sense of the circumstance

The circumstance was that a 13-year-old young lady came to the clinic joined by her

mom with protests of continuous pee and a consuming sensation while peeing in the wake of

doing urinalysis the outcomes show that the young lady had UTI, The young lady is likewise

pregnant from the experimental outcomes yet you don't know whether her mom and the young

lady know about it

Identify the nursing issue inherent in the identified situation

Distinguish the nursing issue innate in the recognized circumstance early pregnancy care

and sexual way of behaving


2

As a method of refection, use Carper's Patterns of knowing to analyze the situation. In

your discussion, address ONE of the following Patterns of Knowing:

As a technique for reflection, utilize Carper's Patterns of Knowing to investigate what is

happening. In your conversation, address ONE of the accompanying Patterns of Knowing:

What do you think was the underlying reason for the situation? (Esthetics)

Stylish knowing helps the medical caretaker in understanding the situation completely

from an evaluative viewpoint and imagining the result of the imaginative activities picked for a

particular circumstance. The arrangement was to acquire the trust of the young lady before

proposing the topic of her sexual way of behaving or conceivable sexual maltreatment.

Guaranteeing what is happening is taken care of with alert until the young lady and the mother

finds a sense of contentment with the circumstance before they return home

What were your thoughts and feeling in the situation? (Personal)

Individual information includes familiarity with self and others in a relationship that is

emotional, concrete, and existential and doesn't need intercession through language.

The young lady's approach to dressing is extremely provocative and with my insight, I

accept that there is a relationship between this provocative dressing and pregnancy. With her

circumstance within reach, I have profound sympathy for the young lady on account of her

present status.
3

What was one personal belief that impacted your actions? (Ethics)

Morals of scrutinizing the young lady concerning her sexual movement given her young

age and the presence of her mom, in this present circumstance, I sent the mother to one more

space to upgrade moral issues

What evidence in nursing literature supports the nursing importance of the identified

issue? (Empirical)

In this present circumstance, you will consider the observational information which is the

urinary dipstick results, the pregnancy test, the announced side effects, and the shown medicines.

What new insights did you gain through this reflective practice opportunity? How will this

apply to your practice as a nurse practitioner? Be sure to use scholarly literature to

support your position.

From this, I had the option to coordinate the knowing examples, regardless of whether

they were all perceived, and it thought about what appeared to be sensible for this present

circumstance.

How might this apply to your training as a medical caretaker specialist? Make certain to utilize

insightful writing to help your situation.

The approaches to realizing in nursing seem clear when originally experienced, however

when fundamentally analyzed, they are as mind-boggling as the discipline of nursing itself.

Additionally, a few parts of nursing care are implicit and not handily conveyed, yet nurture and

integrate Carper's four different ways of knowing as they give care assisting individuals of any

age with accomplishing, keeping up with, or recovering wellbeing.


4

References:

Themes, U. (2021). Aesthetic knowledge development. Nurse Key. Retrieved 5 January 2021,

from [Link]

Staff, N. (2021). Nursing Knowledge: The Ways of Knowing - How Nurses Learn. Excelsior

College. Retrieved 5 January 2021, from [Link]

knowing/.

Zander, P. E. (2007). Ways of knowing in nursing: The historical evolution of a concept. Journal

of Theory Construction & Testing, 11(1), 7.

Common questions

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Carper's Aesthetic Pattern of Knowing involves understanding the situation creatively for holistic care, while the Personal Pattern involves empathizing and forming genuine connections. In assessing a young pregnant patient's needs, these patterns intersect as creative problem-solving based on the aesthetic pattern is enriched by personal empathy. Both work together to inform care that is not only evidence-based but also deeply resonant with the patient's individual experiences and emotional needs .

Carper's Patterns of Knowing can be utilized by applying empirical, ethical, personal, and aesthetic knowledge to understand the patient's condition comprehensively. Empirical knowledge involves using clinical data, such as test results, to diagnose and treat the condition. Ethical knowledge guides decision-making about patient rights and informed consent. Personal knowledge helps in developing a trusting relationship, understanding personal biases, and showing empathy towards the patient. Aesthetic knowledge involves evaluating the situation creatively to provide holistic care and addressing sensitive issues delicately .

Addressing a young patient's dressing style in the context of pregnancy can be important for understanding factors that may contribute to their current situation. It's an opportunity to discuss personal safety, self-expression, and potential influences on their sexual behavior. However, it's crucial to approach the subject sensitively, respecting the patient's autonomy and cultural norms, and ensuring it does not lead to victim-blaming or discomfort .

The key ethical considerations involve respecting patient confidentiality, ensuring informed consent, being sensitive to the patient's age, and addressing potential issues of sexual abuse or coercion. It is crucial to manage such situations with discretion and seek to gain the trust of both the patient and her guardian. Separating the patient and her mother can help to maintain privacy and address sensitive questions, while minimizing discomfort and maintaining ethical boundaries .

Effectively conveying sensitive health information requires clear, empathetic communication strategies. The nurse should ensure privacy, use age-appropriate language, and gradually introduce information to avoid overwhelming the patient. It's important to confirm understanding at each stage and be open to questions. For the guardian, empowering them with clear information while respecting the patient’s privacy, possibly by having separate conversations if needed, ensures ethical and effective communication .

Understanding personal biases is crucial as biases can influence a nurse’s judgment and interaction with patients. For young pregnant women, nurses need to be aware of preconceptions about teenage pregnancy, which may affect how they communicate and the type of care they provide. Recognizing these biases helps ensure that care is delivered with empathy and professionalism, without judgment, and in a manner that supports the patient's emotional and psychological needs .

Reflective practice allows nurses to critically assess their own experiences and knowledge for deeper understanding and improvement in patient care. By reflecting on past experiences, nurses can integrate Carper's four ways of knowing to tailor care more effectively, develop empathy, and address ethical dilemmas. It fosters personal and professional growth, helping nurses better navigate complex patient care situations through enhanced critical thinking and decision-making skills .

A nurse can balance empirical knowledge with personal intuition by firstly relying on empirical data, such as lab results and symptom reports, to establish a clinical baseline for diagnosis and treatment. Personal intuition can be used to interpret these results in the context of the patient's unique situation and needs, especially when interacting with young or vulnerable populations. This helps in creating a rapport with the patient, understanding their concerns more deeply and identifying any underlying issues they may be hesitant to express .

Ethical knowledge is pivotal in such cases, as it guides nurses to act as patient advocates while respecting confidentiality and legal obligations. It involves recognizing signs of abuse, initiating appropriate safeguarding protocols, and ensuring that the patient receives the necessary psychological and social support. Nurses must navigate these complexities ethically, ensuring that all actions prioritize the health, safety, and well-being of the patient .

Integrating scholarly literature into nursing practice ensures that patient care is informed by the latest evidence and best practices. It empowers nurses to address complex needs with scientifically backed interventions, understand broader trends in health issues like adolescent pregnancy, and apply theories like Carper’s Patterns of Knowing effectively. This evidence-based approach enhances patient outcomes by aligning clinical practices with the most current and comprehensive data available .

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