Nursing is a profession that requires great attention and care to do a job. It is one of those professions that do not have specific job descriptions and all that exists is the care and professional attention to the duties attached with patient and his/her treatment. The usual issues attached with nursing includes the time constraints, the probable chance of missing vital information, the individual care need for every patient, the stress attached with the care which requires immense mental balance to deal. (McCallin, 2001)The case in discussion includes several issues related to the nursing care discussed prior to this. The health issue relation to Shirley is her problem of aspiration in which she is not able to take food through oral medium. Her continuous chocking with the food take is clearly showing that she is suffering from Dysphasia. Dysphasia refers to the problem of food intake through oral means. The problem occurs with as the body’s natural immune system keeps the glottis close or semi close to prevent airway from foreign element. Same occurred to Shirley.
The staff failed to perform swallowing difficulty test to see whether the patient can intake the food orally or not. The social issues attached with the case come from the patient as well as from the nursing staff. The issue with the patient includes her confusion related to the problem with which she suffers. She is not clear about the symptoms that she really had. The social issue is related to nursing staff includes lack of communication amongst the nurses when one nurse handed over Shirley to the other. The medical, psychological and physical condition is not communicated by the nurse to the other which made the patient’s life at risk due to pneumonia as she was given food to take orally. The social issue attached with the patient came from the depression or worry on failing to swallow the food.