Nursing Case Study

While reflecting back on the previous weeks, I have to say that this was the foundational class for the FNP students. Before this class, I used to think how I am going to fulfill the role of a Nurse Practitioner (NP). This class helped me to better understand my role and gave me the confidence that I can fulfill the role of an NP. Today, when I look at myself, I know I am in the stage of advanced beginner in Patricia Benner’s Novice to expert theory. The case studies in the discussion threads really put me in the real world of practical nursing as an NP fulfilling the role of a provider. Thorough the case studies, I have learned how to make a best differential diagnosis based on the patients presenting symptoms. The interaction and sharing

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.

ICU patients suffer from a broad range of pathologies, requiring MV, sedation and use of multiples devices, which do not allow patients to protect their airway (Augustyn. 2007; Kollef. 2004).

The majority of the studies collected retrospective data via a reporting system from Emergency Departments (EDs) in the US and Canada. This does not account for the number of TBIs which are treated in general practice or clinic settings or by EDs which do not use those specific reporting systems. There is also the ongoing issue of underreporting which, while being well-known, is nearly impossible to fully account for.

On arrival to UKMC the patient received a Glasgow Coma Score of 3, which is an indication that intubation is needed. Bipap therapy was attempted but failed, due to respiratory failure. This was confirmed by arterial blood gases. After being assessed by the team at UKMC, the patient was intubated for respiratory failure, as well as shock of an unclear etiology. Rapid sequence intubation drugs, Etomidate and Succinylcholine where administered prior to intubation. A 7.5 endotracheal tube was used

The participants for this research project were recruited from treatment facilities throughout Eastern Europe and the Baltic regions; initial data was collected from participants while they were still in the intensive care unit, and then every three months until one year following discharge from ICU. Each participant was analyzed for the severity of their TBI on the basis of a number of different factors, including whether or not they required surgery and the amount of time they spent in the hospital immediately following the incident (Madjan et al. 798). After gathering information on how the patients were progressing with recovery one year post-incident, the researchers compared the causes of the TBI to pinpoint similarities in recovery among all the different groups, and they also evaluated which particular means of trauma produced the most disability for the patients, both within and between groups. In the traffic- related incidents category, drivers appeared to sustain more serious injuries to the brain than passengers, pedestrians, or cyclists; in the falls category, falls from a height greater than three meters resulted in the most severe damage; and in the miscellaneous category, patients who had survived gunshot wounds generally acquired more extensive damage than other participants in the group (Madjan et al. 800). The next set of data illustrated which of these categories resulted in the

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

Traumatic brain injury also known as TBI is a primary element of mortality and disability globally. This injury is caused by a strong force, such as a blow to the head. Bob Garrett (2011) addresses that TBIs are the cause of 52,00 deaths each year in the United States. Mishaps are a dominant cause of brain injuries, and many accidents occur when drugs and/or alcohol are related. Information reveals that a large number of people tested positive for consuming alcohol or illegal drugs when being admitted to hospital. Studies also revealed that a great number of traumatic brain injury survivors consumed alcohol before the brain injury. This research analyzes articles on substance abuse before and after a traumatic brain injury.

Pt is a 15 y/o biracial female that presented at NNBHC by her father with a dx of persistent depressive disorder with intermittent major depsressive episode, with current episode, severe; rule out PTSD, chronice; marijuana use disorder, mild; and parent child relational problems. Pt presents appropriately dress, pt eye contact was poor. Throughout the assessment the pt demonstrated intermittent of tearfulness. Pt expressed that she have been feeling worthless, helplessness, and hoplessness. Pt describe that since her mother died she has not seen any motivation for living. Pt states that she has been feeling suicidal for weeks, however lately it has became more intrusive. Pt states that she has a plan to either overdose

38. American Journal of Respiratory care and critical care Medicine, Volume 175, issue 7, pages 698 – 704

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.

According to Bushnick et al.4 there are three leading causes of TBI. These include vehicular crashes, violence, and falls in order of highest incidence. There is also a wide demographic of people who are at risk for TBI. Young people typically are at a greater risk for car crashes and violence related TBI. On the other hand, Elderly people are at a greater risk for injuries associated with falls. The risk for TBI is

Ella has decided not to use western medicine to help with her cancer all though Ella’s husband, John, has chosen to rely on the medication and spiritual beliefs. This is when a person religion comes into play they will seek counseling and spiritual guides from a minster, or even family and friends to help them cope with the last days of their life. Some people feel that they have gotten their life right with God so it will be easy for them to deal with the fact that they know they are dying. There are so many practices to choose from western medicine like chemotherapy, radiation therapy and surgery. Alternative medicine includes herbal medications and massage therapy to help them deal with the pain that they’re going through dealing with the treatments. From what the type of

Nurses working within the neonatal unit require a particular set of skills to adequately fulfil their roles and responsibilities within this fragile setting. The role of a neonatal nurse is to provide intensive nursing care to an infant who has inherited complications at birth due to varied reasons (Tubs-Colley, Pickler, Younger, & Mark, 2015). These complications often manifest as undeveloped internal organs that make simple bodily functions such as breathing and regulating body temperature incredibly difficult. The neonatal nurse provides close monitoring and extremely individualized care per patient to stabilise and further develop these body systems artificially post-uterine (Drozdowicz & Dillard, 2014).