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Collaborative Questions to Discuss for Sarah and Theo Smith
Q1: Sarah asks you if she can see her baby again. You kindly arranged a video call an hour ago as Baby Theo is still in another hospital.
What would you do?
- Make a phone call to the other hospital to see if this is possible, as you know this is a difficult situation and must be hard for Sarah.
- You decide to have a discussion with Sarah with the curtains closed around the bed. You explain to her that you have already organised a video call today and that she needs to rest and stop worrying. Her baby is being looked after and the nurses need to be allowed to do their jobs without being interrupted all the time. You will ask the nurse on shift tomorrow to organise a video call.
- Let Sarah know that you have heard her request and you will get back to her once you have
finished helping all the other patients.
Q2: Sarah is still on the ward away from her new-born baby. As you walk past you can see
that the curtains are around the bed space are closed and you can hear crying. No other staff are around.
What would you do?
- Keep walking as the curtains are obviously around for a reason and she is upset. She must want time on her own.
- Ask Sarah if you can come into the bed space and offer to support her. Listen to her concerns and put a plan of action in place for how her concerns can be better managed.
- Open the curtains and ask Sarah to explain what her concerns are.
Q3: Sarah calls you over and informs you that she is going to self discharge and go to see her baby at the local hospital.
What would you do?
- Tell Sarah that this will not be happening and that she is not ready to be discharged yet
and needs to stay where she is. - Explain to Sarah that it would not be in her best interests to leave the hospital at the moment due to her current medication, post operative condition and health. Agree to have a chat with her and the ward manager about how you can facilitate more contact with Baby Theo to ensure they are bonding as much as possible.
- Ring security and tell Sarah that they are on their way.
Q1. I would choose option 1- as it would be important to show care and compassion to Sarah and empathise with her situation of being apart from her baby. I would however look to manage expectations, and say that due to the busy nature of the two separate hospitals, that it may not be possible, but if not then a call would be arranged as soon as feasibly possible. If I was exceptionally busy, I may opt for option 3 however, it depends on whether spending the time facilitating the call would impact the safety of my other patients.
Q2. I would choose option 2- gain consent and announce myself when I enter to ensure on the wellbeing of both Theo and Sarah. It would be important to understand why Sarah was crying- it may just be the stress of the situation, or she may have concerns about her own or Theo’s wellbeing. I would look to reassure and comfort Sarah where possible, and address her worries.
Q3. I would choose option 2- It is not possible to force Sarah to stay if she wanted to leave, but I would explain the situation as best I could and the reasons why she should stay (so that she can recover), and look to see if there is anything that can be done to make things easier for Sarah, such as additional contact time with Theo. It would be important to be sympathetic to Sarah and understanding of her situation so she doesn’t feel unsupported. I would discuss Sarah’s concerns in a calm manner, using sympathetic language and ensure positive non-verbal communication too, such as by ensuring I was at Sarah’s eye level (not standing over her), maintaining eye contact, etc.
Q1: Sarah asks you if she can see her baby again. You kindly arranged a video call an hour ago as Baby Theo is still in another hospital.
What would you do? I would personally make a phone call to the other hospital to see if it is possible for her to be able to see baby theo, as the situation she is in must be so difficult as a mother to have your baby taken away from you as soon as you have given birth. She will be really upset and distraught and probably suffering from separation anxiety and I would do what I could in that situation to put the patient first and look into the options that were available.
Q2: Sarah is still on the ward away from her new-born baby. As you walk past you can see that the curtains are around the bed space are closed and you can hear crying. No other staff are around.
What would you do? In this situation I would ask Sarah if you can come into the bed space and offer to support her. Listen to her concerns and put a plan of action in place for how her concerns can be better managed. She is clearly going through a really difficult time and as a nurse I want to let her know we are here for her and want to support in any way possible and sometimes listening can be one of the best things that a patient needs because they can feel so isolated and alone. Once she has discussed her concerns and why she is upset we can come up with a plan of action and work together to get Sarah fit and healthy ready to see Theo.
Q3: Sarah calls you over and informs you that she is going to self discharge and go to see her baby at the local hospital.
What would you do? I would explain to Sarah that it would not be in her best interests to leave the hospital at the moment due to her current medication, post operative condition and health. Agree to have a chat with her and the ward manager about how you can facilitate more contact with Baby Theo to ensure they are bonding as much as possible. Choosing the other options will only upset the patient more, as we have to understand that all she wants to do is see her baby and we have to appreciate her wishes and what she is going through… the best thing to do is explain why she is being kept on this ward and that we want to get her better ready to see her baby.
Q1: I would choose option 1-I will try to contact baby Theo’s hospital and inquire whether it is possible to see him again today because Sarah is a little stressed, and I will ask them to organize a call when they are less busy. So I can let Sarah know when she can see her baby again, thereby reducing her worry and stress.
Q2: I would choose option 2- I will introduce myself and ask about her concerns. It might be problems with herself, such as postpartum depression, pain, infection, or wound-related issues in the caesarean section area. If she is concerned about Theo, keep her updated on the current situation. She presently needs additional assistance, care, and compassion.
Q3: I would choose option 2- I will do my best to explain the challenges of self-discharging from the hospital at the time, and the baby’s hospital may not allow her to see baby Theo because he has been admitted to the neonatal intensive care unit (NICU). It would be best if Sarah and the baby stayed where they are for their safety and health. If she requires more assurance, I will suggest that my manager talks with her to discuss how Sarah can bond with her baby via video call and offer her as much assistance as possible.
Q1 I would choose option 1 because the grief of the mother that has just had a baby but is separated from him, with all the implications that has (not only behavioural but also biological and chemical) is more important than the other 2 points, which are also valid. At least I would try to get her through and I would do that as many times as it would be possible for me. Mothers usually have their babies with them and Sarah can’t, so if watching him through an ipad helps her and also allows the newborn to hear her voice, I think I would try to help achieve that as much as possible.
Q2 Option 2 because I need to make sure she’s ok and if she’s got company. I wouldn’t enter the space enclosed by the curtains, I would say who I am from the outside if I can come in or if she is ok and if she needs help and what kind. Option 1 is based on an assumption, I rather make sure she says she needs time alone. And the 3rd, the curtain was surely drawn for a reason, maybe she is with another nurse or doctor and they are checking something and she’s uncovered. Again, I cannot make an assumption and open the curtain.
Q3 Option 2, I can only pass on factual information but the decision is hers, I am no one to tell a person where they should be or to call security on them if they haven’t posed a danger to me, others or themselves.Q1: Sarah asks you if she can see her baby again. You kindly arranged a video call an hour ago as Baby Theo is still in another hospital.
Option 1: I will make a phone call to the other hospital to see if this is possible. The anxiety and stress for a mother like Sarah, whose child had surgery, must be enormous. Thus, decreasing her emotional distress and isolation and helping her throughout the difficult period. I will do my best to support her during the hospitalization period to strengthen her inner coping abilities.
Q2: Sarah is still on the ward away from her new-born baby. As you walk past you can see
option 2: Gain consent and introduce myself and offer reassurance and comfort. Then, I will use open questions, and ask her to express why she feels upset: “Could you tell me what’s caused you to feel this way, please? I will listen actively and respectfully to the response.
The feeling of being understood by another person is intrinsically therapeutic. It bridges the isolation of loneliness and helps to restore the sense of connectedness that patients need to feel whole. The foundation of empathetic communication is based on accurately understanding the patient’s feelings and effectively communicating that understanding back to the patient so the patient feels understoodQuestion3: Sarah calls you over and informs you that she is going to self discharge and go to see her baby at the local hospital.
Option 2- in this situation, Sarah has the right and capacity to make decisions for herself. However, I would provide her with clear and unbiased information about her post-operative conditions and health and that it is in her best interest not to leave the hospital at the moment due to her current medication and most of all for her health and safety. Also, to find other ways to support her in making contact with baby Theo. In doing so, there will be a sense of security and support element for her as a motherQ1 – I would choose option 1 and try to arrange another video call. Because Sarah is a new mother and is in distress, being far away from her baby. She also post-operation herself and should not worry much but concentrate on recovery. I think it will be most compassionate to organise the call as Sarah’s husband cannot see Theo, and the video call is the only thread with mother and baby.
Q2- I would choose option 2 as would not be able to ignore the patient crying or in distress. I would try to calm Sarah to the best of my ability, offer her a beverage and listen to her concerns. After giving birth women’s hormones are all over the place and with the situation Sarah is in it is paramount to look for the signs of post-natal depression. So as a nurse I can be the first port of call to spot this condition.
Q3- I would choose option 2 as Sarah is clearly not ready to be discharged.
I will explain that it will be in the best of her and her baby’s interest for her to heal properly so she then can care for Theo.
Also, have a discussion with the ward manager about when she can have videocalls to Theo or at what point she can travel to see him in the other hospitalQ1 – I would chose option 1 because both hospitals need to agree a time to facilitate an another video call and ask to arrange the call as soon as possible.
Q2 – I would chose option 2 because I would be unable to ignore Sarah being upset and she would need some comfort as she is struggling with the situation. I would also be able to look out for any signs of post-natal depression.
Q3 – I would chose option 2 because it is in Sarah’s best interests to remain at the hospital to continue her recovery. I would give her all the information regarding her recovery and treatment plan to enable her to make a decision on if she stays or self-discharges, ultimately it is her decision to make.Q1 – I would chose option 1 because Sarah will already be distressed and distraught that her newborn babies in a hospital and she cannot be there with him, so seeing him on video call may ease those feelings, and will help her form a bond seeing him.
Q2 – I would choose option 2 because I could not all past and leave someone upset without offering support. Sarah is in a very fragile emotionally state being parented from her new baby, and will need as much support as possible. I would never just walk in passed the curtains either, I would always ask first. Sarah needs keeping up to date with Theo’s progress and recovery.
Q3 – I would choose option 2 because this would be in Sarahs best interest. Due to her recent surgery, she ideally needs to stay in hospital, but I appreciate she needs to see Theo more, so I would see if this could be possible. After giving her all the information about her recovery, hopefully I would be able to find a safe solution.
1). I would choose option 1. Sarah is in a very difficult situation, to be away from her newborn child who is very poorly must be incredibly hard. I would speak to the hospital to arrange a time that would suit both parties. To refuse the call would only increase Sarah’s distress and anxieties hindering her own recovery.
2). ! would choose option 2. As a nurse we are there to provide holistic care and not just treat the physical symptoms but provide emotional support as well. I would make her aware of who I am and first ask her if she would like some company and conversation. Everyone deals with traumatic situations differently and she may want to be left alone for a while before talking to someone. I would inform her of plans for treatment made by medical professionals and also ask her what she would like to happen and pass this information on.
3). I would choose option 3. Sarah has full capacity and doesn’t pose a threat so it would be difficult to keep her there. I would ensure she knows the repercussions of her actions and try to convince her to stay. I would have a conversation with her and come to an agreement to try and get her more video calls with Theo to ease her anxiety. I would ensure she discusses her decision with her partner before making the final decision.Q1: Sarah asks you if she can see her baby again. You kindly arranged a video call an hour ago as Baby Theo is still in another hospital.
I will choose option 1, although I have never been in Sarah situation before, I can imagine how difficult this must be for her as a mother, it will be nice to put a call through to the other hospital if that will help calm Sarah down a long as is within the rules and regulations of the hospital, as this also will help her to stop crying , as crying can increase her anxiety as a result affect her health.Q2 : Sarah is still on the ward away from her new-born baby. As you walk past you can see.
I will choose option 2, because, the curtain is close for a reason, at least to give Sarah her privacy, so I will introduce myself over the curtain and seek for her consent while I wait for Sarah’s approval before opening the curtain because, as no body was around it may be that Sarah may just want a time alone, if not, I will listen to her worries or complains and give advice if I can or pass her query to the appropriate person.Q3 : Sarah calls you over and informs you that she is going to self discharge and go to see her baby at the local hospital.
I will choose option 3. Explain to Sarah that it would not be in her best interests to leave the hospital at the moment due to her current medication, post operative condition and health. Agree to have a chat with her and the ward manager about how you can facilitate more contact with Baby Theo to ensure they are bonding as much as possible. Because agreeing to give Sarah more access to see her son, will make her relax and put her mind at rest which will help her recovering. I will also explain to her that even if she discharge herself, she may not be allowed to see her son, but staying in the hospital will help her recovering and also give the son time to recover too.1) option 1 is that it must be difficult for Sarah to be away from her baby. I also understand that being separated from her baby can create new issues such as postal depression. The role of a nurse is to provide holistic care, meeting the patient’s needs to facilitate a speedy recovery.
2) option 2, I choose this because we have to support the patient in our care with their health and well-being, including her mental health state. Avoid her having anxiety
and post-natal depression.3) option 2, it is in Sarah’s best interest to remain in the hospital for a full recovery and facilitate more contact with her baby for bonding.
Q1/ I would choose option 1 because Sarah is obviously anxious about not being with her baby. She needs reassurance he is doing well and is receiving the best possible care. Arranging a video call so she can see Theo would be beneficial for her as she is also recovering from surgery.
Q2/ I would choose option 2 because Sarah may feel alone and need to speak to someone. She is concerned about her son and supporting her through this situation and coming up with a action plan together will make her feel more involved in his care.
If she requests to be on her, then I would respect her wishes and keep checking on her throughout the shift.Q3/ I would choose option 2 because the hospital can’t refuse her discharge if she wants to leave but she really needs to be well herself to look after her baby. Explain to Sarah that she still requires medication and nursing care and speak to my manager about a possible discharge date so Sarah has an idea when she will be able to be reunited with her baby.
Q1- i would personally choose option 1. This is because Sarah is still in recovery so it is important to check that she is physically, emotionally and mentally stable prior to the phone call taking place. But it is also important to make sure that baby Theo is stable so that the experience will not be traumatic for Sarah. If baby Theo is too poorly for the phone call, i do not think this would be appropriate as it could be distressing for Sarah.
Q2- I would choose option 2, because it is important to show compassion towards Sarah and be open and prepared to listen to her concerns and put into place any plans moving forward. Sarah has been through major surgery and is suffering from separation anxiety from her son on top of his health condition. Sarah is most likely feeling anxious and depressed and could benefit from support when it is available. A friendly face and supportive words could do her the world of good.
Q3- I would choose option 2. This is because Sarah’s health is a priority and currently she is vulnerable and at risk of further complications. If she was to self discharge she would put herself at risk and potentially cause further delay in being able to see Theo and support him. It is important these risks are explained to her in a sensitive approach and she has a clear understanding of these risks.
Q1 – I would chose option 1, due to the fact she has just gone through a traumatic experience being away from her baby may trigger a psychological episode and as a new parent all you want to do is see your newborn in this stressful situation , however as nurse we have a duty of care towards the patient health and wellbeing and to have a person-centred care approach so that patients can recover well and receive the best possible treatment.
Q2- I would choose option 2. ‘You must ensure you gain consent before you begin any treatment or care (NMC, 2018)’. It is very important to respect Sara privacy and space. With Sara consent to enter her bedside, as a nurse we should be compassionate towards Sara who is in a difficult situation. We want to be able to build a relationship with Sara with professional boundaries as she is vulnerable, allow her to speak and voice her concerns so we can give her the appropriate support needed.
Q3- I would cho0se option 2. According to NHS UK Patients are in their own right to discharge themselves at any time during their stay in hospital, however in Sara condition I will strongly advise Sara to remain in hospital and the the risk she will putting her health and wellbeing in. As a nurse we need to look after Sara health and wellbeing. I will seek senior help such as a ward manager speak to Sara to advise her to remain in hospital for her recovery to be strong and well enough to look after Theo.
Q1 – I would choose option 1 because she is already going through a very tough moment. Giving birth should be a magical moment where you are bringing a new life to the world. She should be having tears of joy and not be separated from her baby. Due to unforeseen situations, they had to be separated after birth, so it would be in the best interest of her treatment to make sure she can see her baby by video call as they would improve her mental health state.
Q2- I would choose option 2 because as a nurse we need to empathise with the patient’s pain, if she is crying is because something is happening or she needs someone to talk. If the curtains are closed, it is always good to respect the patient’s privacy and ask if we can come in.
Q3- I would choose option 2 because as nurses we can’t tell the patient what to do but we can always give them advice on what from a medical point of view would be better for them.
Q1. I Think that answer 2 is the most appropriate one. Thought it is difficult for Sarah to be separated from Baby Leo. Arranging another video call for them in just one hour from the first one is not reasonable due to preparations that must be made for the call, and other responsibilities that the members of staff at hospital A and B have. Sarah needs to rest for her to recover, and the nurses need time for Leo and Sarah care and monitoring.
Q2 – I would chose answer 2. Sarah permission is necessary before entering her bed space as the curtain in closed. She needs to be listened to, she needs compassion, empathy and assistance to help her deal with the situation better.
Q3- Again answer 2 is the most appropriate. Sarah has the right to decide about her care. However we must explained them in details that they are able to understand, the consequence of any decision they might take so they can take make informed decisions. patient are not to be kept against they will, except where a patient has been sectioned.
Question 1 = option 1 as she is already distressed being separated from her new born baby and seeing her baby via a video call can bring her comfort and help ease her mind.
Question 2 = option 2 as Sarah may need emotional support with how she is feeling. I would ask for permission first if she would like to talk to me. Equally I would respect Sarahs wishes if she requested that she wanted to left on her own.
Question 3 = option 2 I would explain the the reasons why it is not advised that she discharged herself from the hospital.I would also see if she had ant=y family or friend that she would like me to contact to come and support her. Also I would try and make a plan so that Sarah feels that she is more connected with her baby, this could involve more video calls. Also if there was a chance that Sarah could maybe transferred to the hospital that her baby is art so that she can feel closer to her baby and start to bond.Question 1 – I would choose option 1 as Sarah is clearly worried and a video call could reassure Sarah that Theo is in safe hands. It could also help to develop their mother /son bond as Theo will be able to hear Sarah’s voice more often. If Sarah is feeling stressed and upset it could hinder her recovery: prolonging her stay in hospital.
Question 2 – I would choose option 2, Sarah may want someone to talk to or even someone to listen to her. The fact the curtains are closed indicates anyone entering the bed space should be respectful and ‘knock’ to ask if it’s ok to come in. This demonstrates respect and gives the patient the option to talk or be alone.
Question 3 – I would choose option 2, show empathy to Sarah and explain to her that it is not in her best interests if she leaves hospital against medical advice. I would try to understand Sarah’s upset and liaise with the ward manager to do all we can to help her feel closer to Theo. Conversely, if Sarah has capacity and is able to give consent and she wanted to self discharge we could not hold her against her will but could only offer factual advice and recommendation.
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