Medical Surgical Nursing : Clinical Paper

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Medical Surgical Nursing II Clinical Paper Medical Surgical Nursing clinical has allowed the author with the opportunity to take care of several patients suffering from a variety of diseases processes. This paper will discuss the pathophysiology of a chosen patient’s medical diagnosis and comorbidities, as well as the nursing diagnosis and interventions individualized for the patient. The chosen patient will be referred to as J.C. throughout this paper to ensure patient privacy. Pathophysiology J.C. was admitted to the floor with a diagnosis of pneumonia with sinusitis. According to Lewis, Dirksen, Heitkemper, Bucher, and Harding, pneumonia is an acute infection of the lung parenchyma (Lewis, Dirksen, Heitkemper, and Bucher, 2014, p.…show more content…
JC experienced just that when she went into respiratory failure eight days prior. J.C. also presented with sinusitis along with pneumonia. Sinusitis is the inflammation of the mucosa in the sinus located at the opening of the sinus where mucus is able to drain (Lewis, et al., 2014, p. 504-506). Since drainage is made more of a challenge, fluid will accumulate at the opening leaving an excellent medium for infectious growth (Lewis, et al., 2014, 504-506). This factor combined with her already immunocompromised health could lead to more infection. In relation to her primary diagnosis of pneumonia, a key intervention is to expectorate secretions (Lewis, et al., 2014, 504-506). Having sinusitis and pneumonia could affect the effectiveness of interventions used to reduce secretions in the lungs (Lewis, et al., 2014, 504-506). Nursing Diagnoses J.C. presented with several problems in need of nursing intervention that could be implemented after proper nursing diagnoses were made. One diagnosis that can be made according to Doenges, Moorhouse, and Murr is ineffective airway clearance related to retained secretions as evidenced by excessive sputum and diminished breath sounds (Doenges, Moorhouse, and Murr, 2013, p. 54-59). The appropriateness for this
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