Bp Case Study Nursing

3. KH’s hypertension is not adequately controlled. What other intervention might be considered? The other interventions are if there is no well treatment of couple of things, I think there would be damage to the heart, arteries and that could be a heart attack, heart disease, stroke and more.

The aim of this study is to provide a detailed account of the nursing care for a patient who is experiencing a breakdown in health. One aspect of their care will be discussed in relation to the nursing process. The model used to provide an individualised programme of care will be discussed and critically analysed.

1. The nurse is asked to implement a new, complex, and invasive procedure and is concerned that this may violate the state’s nurse practice act.

Nurse’s care for several patients in a day and it is important to understand the patient as a whole person to treat them effectively. The purpose of this assignment is to explore a patient’s disease to understand the nursing judgments and interventions involved, the medications for this diagnosis, and to understand the disease. The patient described in this paper will be referred to as Jonathan to ensure patient confidentiality.

is not receiving enough nutrients such as protein and vitamins that are crucial to wound healing, which impedes healing of the pressure ulcers (Myers, 2012). Last but not least, he has sexual dysfunction that can be detrimental to his psychosocial well-being. He is physically unable to achieve erection and orgasm. Appendix A is provided at the end of the paper to show an example of nursing care plan for physiological issues.

541). Interventions should be rendered continuously, promptly and appropriately as it can cause life-threatening complications (Holt 2009, p. 26). Apparently, the patient is stable, but continuous assessment and management should be done to avoid recurrences of untoward signs andsymptoms and prevent potential complications. Firstly, continuous assessment and vital signs should be done and these include blood pressure, cardiac rate, respiration, venous distention and skin turgor to assess possible occurrence of fluid overload as a result of rapid administration of large fluid that is often needed to treat the patient with DKA (Smeltzer & Bare 2004 p. 1185). Aside from this, documentation of fluid intake and output should be monitored and documented to assess for circulatory overload and renal function (Holt 2009, p. 61). Significantly, it is integral in the provision of continuous care that nurses reassess the factors that may have contribute or led to DKA, and educate the patient and his family about strategies to prevent its recurrences (Smeltzer & Bare 2004 p. 1186; Lemone, Burke & Bauldoff 2011, p. 551).

Quality patient care relies on having an educated workforce. There is a growing body of evidence that shows that the Bachelor of Science Nursing graduate brings unique skills to their work as nursing clinicians and play an important role in the delivery of safe patient care. In addition to having basic nursing fundamentals nurse’s today are expected to take a huge part and lead professional initiatives that drive towards improving the safety, quality, and efficiency of care that is delivered to patients.

Mission: One church, one heart one purpose advancing health awareness and providing people with tools to take responsibility for their health through early detection and prevention. The project is a public health intervention event with interactive and educational information with screenings and basic preventive medicine for the community.

In this assignment we will discuss the holistic assessment process on admission to the clinical area and the duties that the nurse has throughout this process. We will also consider the medical conditions Mr C is presenting with and the appropriate care the nurse should provide relating to specific conditions. We will also discuss the pathophysiology of each of his conditions. Within the assignment we will discuss the post-operative care Mr C will be given by the nurse and the reasoning for this care. Including airway and breathing, circulation, pain management and psychological care. Whilst still in the clinical area we will explore the process of discharge planning and the role of the nurse throughout this process. Lastly we will

The profession of nursing includes: promoting health, preventing illness, as well as providing care. NUR 102 teaches student nurses, like myself, a wide range of information and knowledge needed in order to become a successful nurse and also aids in the preparation for clinical placement. Nonetheless, this course teaches essay writing, critical thinking, nursing theories, as well as the roles and responsibilities that I will have as a nurse.

R.O. is a 43-year-old female Latino patient who has been living at home alone since she got divorced three months ago. She does not have any living or available family in the United States. She is the oldest of three children. Her parents died of an accident when she was little. Two of her sisters live in Mexico. She has lost contact with her family in Mexico when she got married and move to the United States. She also has stopped communicating with her ex husband since they got divorced. Although she does not have any support from her family, she states that her church member has been very supportive. Moreover, R.O. states she was a homemaker until the divorce. Currently, she has been working as a dishwasher near her house.

Time line – the project will require a 12-month implementation time line to allow the team to compare the intervention on a monthly and on a quarterly basis.

First the client will weigh himself daily, so that fluctuation in the amount of fluid can be detected quickly. Any major shifts in weight should be reported to the physician and adjustments to the medical regimen can be addressed. Since rapid heart rate is sign of an acute exacerbation, the client should also monitor his blood pressure and heart rate on a daily basis. He should be encouraged to consume a balanced diet that is low in sodium. Adhering to these dietary restrictions will help control his weight and reduce the amount of fluid that may be retained due to sodium

----- Clinic presents a black male 68 years old. Currently experiencing dyspnea and lethargy. For the past week he has been having a increase of difficulty breathing. Complains of alternating periods of sweating and chills. Other symptoms he has been experiencing is a productive cough with expectoration of thick yellow sputum. Patient is a ex- smoker, he was a 40 pack year history, denies smoking, stopped over 10 years ago. Medical history includes chronic bronchitis, hypertension, MI five years ago, has had a angioplasty, and denies chest pain since having angioplasty. Current medication combined albuterol/ipratropium MDI, nebulized albuterol prn, captopril, and hydrochlorothiazide.

Within this assignment it will be exploring the care of a patient using evidence based practice. The patient being explored is one met during a community nursing placement, though all identifying evidence will either be changed or not used to keep the patient’s confidentiality (as with the nmc code). The patient is currently residing in a residential home in Derbyshire. The patient is a man who is in his fifties. He had been put into the residential care following a hospital admission for a brain tumor, a family member living with the patient had flagged patient safety issues at home and social workers thought it be best for the family to have a respite period and to give the patient more care in a residential home for an undetermined amount of time. The patient themselves seemed very happy to accept this. The patient’s current medical history is that he suffers from diabetes which is kept under control through two insulin injections a day, morning and afternoon. As previously mentioned above he also suffers from a brain tumor, at the moment the effects of this on himself are unknown. It has been recorded that the patient has some difficulties in maneuvering himself and needs some assistance as well as assistance and prompting to eat and drink. Due to the patient’s current medical history three care aspects have been chosen to explore that are considered relevant to this patient. The following are - Infection control / standard precautions, medicine