In this case, the nurse may face several challenges, including: 1. Addressing the patient's unfavorable social situation: The nurse needs to consider how the patient's social circumstances may impact their health and well-being. This may involve collaborating with social workers or other professionals to provide support and resources. 2. Managing the patient's other problems: The nurse must take into account the patient's psychological issues and obesity, as these can affect their overall health and treatment outcomes. They may need to coordinate with other healthcare providers to develop a comprehensive care plan. 3. Ensuring proper medication adherence: The nurse should assess if the patient is taking their medication as prescribed. Lack of instruction or understanding about the medication regimen can contribute to non-adherence. The nurse may need to provide clear instructions and education to the patient and their family members. 4. Addressing the patient's acceptance of their illness: If the patient is struggling to accept their illness, the nurse needs to provide emotional support and education to help them understand the importance of managing their condition. This may involve counseling or involving the patient's support system in the care process. 5. Analyzing the situation and determining the best course of action: The nurse needs to carefully assess the patient's overall situation, considering their social, psychological, and physical health. They should collaborate with the healthcare team to develop an individualized care plan that addresses the patient's specific needs and challenges. Remember, these are general challenges that a nurse may face in such a case. The specific challenges can vary depending on the patient's unique circumstances and the healthcare setting.
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