HNB-BC case studies
HNB-BC · Put your knowledge to work in context.
HNB-BC - Holistic Nurse Baccalaureate Board Certified - is a voluntary professional credential for registered nurses who hold a baccalaureate degree in nursing and want formal recognition of holistic practice. It is designed for nurses who consciously integrate body-mind-spirit care, therapeutic presence, and complementary and integrative approaches into their everyday work, whether at the bedside, in ambulatory care, in education, or in community settings. The HNB-BC case studies are 5 cases and about 4,253 words.
1The Night-Shift Directive: Prior Wishes, Present Family, and a Nurse in the Middle
R, 79, has advanced Alzheimer's disease and was admitted three days ago with aspiration pneumonia. Two years ago, while still able to converse, he completed a state advance directive and a medical order form naming comfort-focused care and no intubation.
903 words, about 5 min2Twenty-Five Minutes and a 10.2 A1c: Why Teaching Harder Isn't Working
K, 54, was just diagnosed with type 2 diabetes. A1c is 10.2%, BMI 33, and he works two jobs - warehouse days, rideshare evenings - while caring for his mother, who has dementia.
786 words, about 4 min3Four Twelves, No Breaks, and a Near-Miss She Didn't Report
A 38-year-old ICU nurse has worked nights, four 12-hour shifts weekly, for 14 months. She has taken a full break on one of her last twelve shifts; most days she eats standing in six minutes.
859 words, about 4 min4Pain of 8, Refusing the Opioid, Not Walking: Whole-Person Pain Care After Knee Replacement
Post-op day 2 after total knee arthroplasty, a 67-year-old woman rates pain 8/10 at rest and 10/10 with movement. She slept about three hours, is tearful, and says, "I can't do this, I'm going to be in a wheelchair," then a minute later, "If I don't walk I'll get a clot, right?" Vitals: BP 158/88, HR 96, RR 22, SpO2 96%.
856 words, about 4 min5Preterm Labor, a Husband Who Answers, and a Ramadan Fast
A 29-year-old Muslim woman, G2P1 at 30 weeks, is admitted with regular contractions every 6 minutes, 1 cm dilated, and a negative fetal fibronectin. Her husband answers nearly every question for her; she nods and looks at him before responding.
849 words, about 4 min