Nursing Case Study

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.

CHIEF COMPLAINT: This is a post op note from a procedure performed July 21, 2015 by David Lin, MD.

DOI: 8/6/2015. Patient is a 51-year-old female licensed vocational nurse who sustained a work-related injury to her back and hips while moving a client. As per OMNI, she was diagnosed with muscle spasm, pain over the low back and thoracic region. She is status post right carpal tunnel release on 02/26/16.

This 60 year old Hispanic male presents at the clinic today with a chief complaint of urinary frequency, decreased urine flow, increased nocturia, slight terminal dysuria and low grade fever. The patient was experiencing these symptoms for the past two years, but they had increased a whole lot more during the last two weeks. Upon assessment, it is noted that the patient has a

----- 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.

The complainant, Nursing Service, RN John Allen alleges on August 18, 2015 that Patient Mr. Ulysses Grant Jr. checked in for his appointment without checking in with VA Police personnel. In addition, Mr. Grant was not accompanied by a uniformed VA Police Officer as directed. by XXXXLETTER???XXX dated XXXX.

Topic: Nurse Practitioner the Role they hold in our Health Care, how changing their scope of practice may help with the demand.

Now, Ms. Matson claims her current disabling medical conditions are to her lower back which inhibits her from not walking not more than ten minutes at a time while using a walking cane. Furthermore, the pain to the left side of her neck because of her left shoulder injury has caused the nerves from her left shoulder travel up to the left side of her neck which is now painful enough where she cannot turn her head to the left.

A 55- year old male presented to an outpatient surgery clinic with pain in suprapubic region for 3 months due to poorly draining Foley catheter. He denied any significant medical illness and was not taking any medications. He was a nonsmoker and did not consume alcohol. He had undergone surgery 3 years ago for bladder calculi . He was put on suprapubic catheter for 2 weeks along with Foley catheter per urethral. He was discharged after removal of SPC with Foley catheter in situ and advised to follow up in a week. He did not follow up for two and half years. He had not changed the catheter during this period. He was not able to follow up because of economic condition and some problens at home.

I have suffered from urinary flaming since March 2016. I have been several times in hospital of The Hague, but doctors failed to take that seriously, and they sent me back home without any treatment or medical check up. I initiated to contact a homoeopathy doctor, Miriam Sommer in July 2016, she treated me, with different medicines. After that, I was sick in whole months of November and December 2016. I stopped going to Miriam Sommer. The Doctors were still ignoring my sufferings. Consequently, in January 2017, I felt the blood in my urine; I went emergency medical help, doctors tested and found that I had aggressive prostate cancer level 9. They cannot remove that. However, they will treat to extend the life. I believe in God that mysteries

Betty has been an RN for two years and is the charge nurse of the medical unit on the evening shift of a small rural hospital. During her two years as a nurse, she has floated to many other areas of the hospital, but most of her experience has been on her medical unit. On the evening shift the medical unit is usually staffed with an RN, LPN, and an aid.

2. No biomedical signs or symptoms were present while in treatment. Current status is unknown. Client is recommended to obtain a complete physical exam to rule out any medical issues that may interfere to complete treatment successfully.

Not only does this article provide interventions but it also describes clinical decision making which I found very helpful. It also states early on “The purpose of this case report are: (1) to outline the differential diagnosis and clinical decision-making process that was used based on history, patient presentation, and examination findings and (2) to describe the rationale for intervention and intervention techniques chosen in the management of this patient (3).”

Laboratory values make a diagnosis of TTP most likely. What is the best next step in the management of this patient?