Nursing Case Study

Nursing care is a dynamic field of practice. The way it looks today is far out greater intense and very structured. It advances itself by the use of nursing theories and evidence based practice. Policies and procedures constantly change with the advancement of technology and science. While caring for the patient in the given case studies, a nurse involved utilizes practical knowledge, a culture care model and transpersonal caring relationship to attain a caring environment (Smith & Parker, 2015).

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.

Mr. Brann is a 42-year-old male here today for followup from his left cerebellar stroke and left vertebral artery dissection, status post hospitalization in May of 2015

B.T. has a nursing diagnosis of ineffective airway clearance that requires nurse management with prescribed beta 2 adrenergic agonists, and teaching effective coughing and breathing techniques. The respiratory therapist will assist by performing nebulizer treatment and teaching the patient about home nebulizer. The nurse will emphasize on the importance of adhering to medication regimen and taking the right medication at the right time.

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

Mrs. Cote 57-year-old female here today to establish care. She is a former patient of Marni Nicholas, MD.

Mr. Mustard fell down on his driveway three weeks ago. He has now presented to the clinic of Nurse Practitioner (NP) with chief complains of worsening left-sided headache, photophobia, unequal pupillary reaction, and dysphasia. Mr. Mustard takes Coumadin to lower the risk of stroke due to atrial fibrillation. Mr. Mustard’s presenting symptoms along with his higher age (70 years), history of hypertension and being on Coumadin regimen, should be considered as red flags and need urgent attention and evaluation. Based on the subjective interview, Mr. Mustard denies any previous history of brain injuries, which is also confirmed by the NP during physical examination. The NP considers that Mr. Mustard has suffered from traumatic brain injury likely

The coordinated care of the patient involves organizing a Child Family and Team (CFT) meeting to facilitate the appropriate delivery of behavioral and healthcare services that meet the needs of the family. During the CFT, the patient, patient’s legal guardians, behavioral health providers, and medical team effectively communicate the appropriate delivery of healthcare and behavioral services. Updates about medical and/or behavioral concerns are faxed to the patient’s primary care physicians. In addition, case managers, clinical care managers, or family support partners make an attempt to accompany the family to the next schedule PCP appointment. This process facilitates both

I just wanted to thank you for your time and consideration for the Nurse Practitioner position. It was a pleasure meeting everyone and learning more about the opportunities within the emergency medicine group.

A 35 year old female went to the ER with complaints of dizziness, double vision, numbness in the legs, but also on the right side of the body. She was treated for a severe headache with Vicodin and instructed to see her primary care physician if symptoms persist.

An understanding in nursing sensitive indicators in this case could have solved a couple problems that arrived during this patient’s stay. One of the issues was that the patient’s back was reddened due to restraints being placed and the patient not being turned properly to prevent pressure ulcers. If this would have been recognized when the restraints were applied, the patient would have been turned every two hours by placing a pillow under the sides of the patient so that he would not be on his back constantly. Due to him being confused, he may have been moving around a lot and pushed the pillows out, but there is also the case he should be getting rounded on hourly at the minimum. If this understanding would have been understood and the nurse knew what could have happened, she would have been turning the patient to ultimately decrease the hospital stay.

Families believed it would have been more helpful and a relief if they would have had the same team of staff members. Support provided to the siblings was mentioned. Resources such as support groups, hospitals that have playrooms to utilize during visits, and respectful acknowledgement from staff. Lack of time allowed to spend with siblings and should participate in discussions. Language barrier interfered with proper access to important information which resulted in lack of comprehension of the child’s diagnosis, plan of care and status. Lack of presence of an interpreter. These families reported feeling a level of isolation, disoriented, and suspicious of the facilities system. Families felt important, as if they still mattered after receiving bereavement follow-ups via phone, mail or face to face. Especially if they had a strong connection with the hospital staff. Pain management was an issue, parents felt horrible witnessing their child in pain and lack of response to the pain medication and lack of response from the caregivers responding to the patient’s

According to Walker and Avant (2011), model cases remain examples of concepts by containing all the defining attributes. Susie is a 77-year-old white woman, who was diagnosed with osteoporosis after suffering from a hip fracture. After her diagnosis, she read numerous articles about her condition. She arrives at the clinic today for her annual physical. She calculates the amount of calcium and vitamin D that she takes daily and agrees to continue to take the recommended dose. During her physical, Susie actively participates in discussions about her health, decisions about her plan of care, and asks questions appropriately. Her physician answers all of Susie’s questions and supplies her with additional information on diet and exercise. Furthermore, the physician offers her the phone number of a local gym that provides discounts to senior citizens. Susie enthusiastically reviews the information, verbalizes understanding of it, and schedules her dual energy X-ray absorptiometry (DEXA) scan.