Mr. Bernhard Wolfgang, a 56-year-old German immigrant who works as an engineer,

Question

Mr. Bernhard Wolfgang, a 56-year-old German immigrant who works as an engineer, is admitted with chest pain and shortness of breath. Mr. Wolfgang is admitted to the coronary care unit to rule out myocardial infarction. Immediately after admission, Mr. Wolfgang's wife comes to the coronary care unit with personal items such as family portraits, some roses from the client's garden, and some personal clothing. However, since the coronary care unit is restricted in space, personal items are not allowed and the wife is instructed to take the items home. On admission, Mr. Wolfgang's vital signs are stable and his color is good. He reports that the chest pain is not debilitating and is more or less an occasional dull ache. After 2 days, the diagnosis of myocardial infarction is confirmed, and Mr. Wolfgang remains restricted to bed but is transferred to a semiprivate room in the coronary care step-down unit. After admission to the coronary care step-down unit, the nurse observes that Mr. Wolfgang is anxious, somewhat withdrawn, and unable to express his needs and feelings.

4. Identify ways in which illness and hospitalization could threaten Mr. Wolfgang's personal sense of territoriality.

Explanation / Answer

The number of ways in which illness and hospitalization could threaten Mr. Wolfgang's personal sense of territoriality are,

Security: Actual safety from the disease aand feeling of being safe. People feel safer in their own territory because it is arranged and equipped in a familiar manner. This degree of predictability is difficult to acheive in hospital setup.

Privacy: Personal space in addition to providing security also provides privacy.

Autonomy: Autonomy is the means by which the person controls what happens. In personal territory, persons may feel free to ask questions, resist suggested answers and share personal feelings which is not possible in hospital environment.

Self-identity: Personal territory promotes self-identity by affording oppurtunities for self expression .

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