Infective Endocarditis Case Study

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.

This assignment will discuss the nurse's role in devising of a care plan for a patient, including the rationale upon which this care plan has been based, evaluating that the goals intended are met or amended. The patient's identity will be protected using a pseudonym of Kora in keeping with the standards of maintaining confidentiality set by Nursing and Midwifery (NMC, 2015). The patient has Chronic Obstructive Pulmonary Disease (COPD) which is a long-term health condition which is slowly progressive, cause’s obstruction to airway that cannot be reversed, alterations in breathing with exacerbation often suggesting worsening of the disease (Currie, 2007). Kora is 63 years has three young grandchildren permanently in her care, Kora being in

When I arrive to the Trauma ICU 4800 unit, all of the nurses were already being followed by other students. The nurse in charge had me follow several different nurses, so I was able to observed several different patient cases. The first patient had received a triple bypass open-heart surgery. The patient had received a creatinine blood test. The patient had a dialysis machine next to them, which was used to function as the kidneys since the patient’s kidneys were not functioning correctly. Also, the patient’s body temperature was lowered from having a taken cool liquids so the nurses were keeping him warm with a bair hugger, which was a machine that helped regulate the patient's’ body temperatures.

P.R. is a 34 year-old male from Guatemala who went to a lake for cliff diving. He dove off of a cliff 20 feet from the water, hitting a rock, and fractured his neck at C6. This left P.R. as an incomplete quadriplegic, with partial gross movement of his upper arms. P.R. is able to move his shoulders to slightly lift his arms, but has no movements in his legs or the trunk. P.R. requires total assistance for all activities of daily living, and is incontinent of both bowel and bladder function. He speaks primarily Spanish and cannot communicate in English. He is verbally abusive and becomes combative with care givers. He does not have family support in America and is having difficulty adapting to American foods. P.R. has

2. What additional questions should you ask regarding this patient’s chief reason for seeking care?

the mitral valve 16 months ago and a Streptococcus mutans infection of the aortic valve 1 month ago.

Medical Assistants help offices and clinics run smoothly. A Medical Assistant can work individually with a doctor. In a small office they tend to report directly to a physician, health practitioner or office manager. In a larger office they tend to specialized in a particular area and they report to department administrator or other operations management.

4) A chest X-ray reveals a cardiac silhouette that is normal in diameter. Does this rule out a possible problem with Martha's heart? Explain. No, a normal diameter of a cardiac silhouette does not rule out a problem with Martha’s heart. The heart adapts and will compensate for damage in order to still function optimally. The right ventricle, in this case, will become stronger in order to push the same amount of blood (stroke volume) through the narrowed pulmonary semi-lunar valve. This thickening doesn’t necessarily change the inner diameter.

Which data indicates the need for the nurse to evaluate Mrs. Rusk further for altered nutrition? (Select all that apply.)

Discuss how an understanding of nursing-sensitive indicators could assist the nurses in this case in identifying issues that may interfere with patient care.

Differential diagnoses are developed by a clinician upon learning of the chief complaint. One must begin to develop the possibility of potential diagnoses mentally to guide the care provided to the patient. These potential diagnoses are developed by the care provider and are often based on one’s past clinical experiences, awareness of the illness and a clear understanding of the patient’s complaint (Goolsby & Grubbs, 2014). The care provider with experience may develop these diagnoses independently and others with less experience may utilize evidence-based resources and clinical guidelines to aid in this process (Goolsby & Grubbs, 2014). The process for reaching a final diagnosis requires further investigation and use of physical assessment

The patient must pay close attention to signs and symptoms in this stage. Signs may

As nurses we deal with several different 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 patients disease to understand the nursing judgments and interventions that go with this patient, to understand medications for this diagnosis, and to understand the disease the patient was diagnosed itself. The patient described in this paper will be referred to as Jonathan to ensure patient confidentiality.

interpret the results of diagnostic and laboratory examinations undergone by our client and identify the corresponding nursing considerations;

Urgency of acute care varies depending on the situation but can range to anything from emergency surgeries, to injuries, chronic illnesses, and also for the recovery of those procedures. Majority of the patients in acute care settings are critically ill. Nursing responsibilities in acute care settings are vital to patient’s recovery due to the front line position nurses play as well as the wide variety of tasks carried out. Assessments are made during every encounter the nurse has with the patient along with monitoring the patient’s progress. Nurses are responsible for recognizing symptoms the patient may be experiencing due to illness or injury and whether they fall in the spectrum of normal reactions. Vital signs are measured routinely and can be indicators of the patient’s current status. When vitals are questioned diagnostic tests can be arranged to further assess possible comorbidities the patient may have. Care plans are made to plan interventions the health care team can take to help patients through challenges they face, both physical and mental. Nurses administer medications as well as first aid as needed. They are responsible for maintaining special equipment patients may require including monitors and ventilators are well.