Rosemary-Cambridge Model Of Nursing Case Studies

pregnancy. This serious complication results in a miscarriage and can cause death of the mother.

Kecia is a 25yo, G3 P2002, who was seen for an ultrasound evaluation to evaluate the fetal abdomen. She overall denies any major medical disorders. She reportedly had a seizure related to an anesthesia event in a prior surgery but denies any history of epilepsy and therefore is not on an anticonvulsant. She has 2 previous term uncomplicated vaginal deliveries in 2012 and 2016. On today’s evaluation, overall, she has no obstetrical complaints and has positive fetal movement.

This particular case study involves a 29 year old obstetric patient who presented to the labor and delivery unit at 33 weeks gestation with complaints of abdominal pain for the past three days that had become more severe and absence of fetal movement noted since the previous evening. Her obstetric history revealed she has one living child and has had one previous miscarriage at ten weeks

X.C., a 30 year old married Asian female who works in her family’s business. She is a non-smoker, she does not drink alcohol or use drugs. She lives with her husband and 4 year old son. She denies any history of abuse, and reports feeling safe at home. She also uses her seatbelt regularly. X.C. presents to the office today for a scheduled non-stress test for gestational diabetes. Her blood sugars have been well controlled with this pregnancy, by diet. She is a G2P1, with one previous vaginal delivery. EDC is 4/8/16. X.C. is currently having lower abdominal pain and pressure in her vaginal area that started 3 days ago. She is also c/o of constant, dull pain in her right upper quadrant (under her ribs). X.C. has tried drinking water, resting, and Tylenol for pain. These measures

L. is suspected of having endometriosis based on her clinical symptoms. Individuals with endometriosis have similar symptoms as B. L. Endometriosis is an abnormal growth of endometrial tissue outside of the uterus with accompanying symptoms of severe dysmenorrheal, pelvic pain and oftentimes infertility (Bouazz, Mashiach, Cohen, Kedem, Baron, Zajicek, & Soriano, 2018). Other symptoms of endometriosis are abnormal uterine bleeding, gastrointestinal and genitourinary symptoms, such as nausea, vomiting, and dysuria (Dun et al., 2015). Being that B. L’s labs were negative, and her symptoms were refractory to medical treatment, a diagnosis was made based on her severe pelvic pain without evidence of pathology (Dun et al.,

I choose this topic because couples who are infertile are now turning to other birthing methods such as IVF. IVF is one of the causes of ectopic pregnancy.

Occupational profile: Mary is a 43-year-old female who was diagnosed with MS 6 years ago and is currently admitted into the hospital with an acute exacerbation of MS symptoms. Mary and her 16-year-old daughter reside in a second level apartment. The apartment complex only offers stairs for means of ascending to upward levels. Mary’s daughter assists with home management tasks. Prior to the hospitalization, Mary was not employed and was on disability. She was functional in her ADL’s and IADL’s prior to this exacerbation. Mary is exhibiting frustration with her condition. Her goal is to return home.

Individual lifestyle and comorbidity, such as smoking and obesity could lead to early chronic diseases which include Hypertension, Diabetes Mellitus (DM), Respiratory failure, and bone diseases (Fabbri, Luppi, Beghe, & Rabe, 2008). Caring for patients with such complex conditions could be challenging for nurses as well as other healthcare professional and could lead to poor care coordination, having to prioritize the care and consider the consequences of their actions and inactions (Schoen, Osborn, Squires, Doty, Pierson, & Applebaum, 2011). This essay is about the case presentation of Rowena, and it will analyse the complexity of her presentation, discuss two nursing priority areas, and the rationale and evaluations of the

Then, assess the vital signs to establish baseline data and determine if the patient is under shock. The nurse should gain the patients history—any surgeries, past illnesses, and current medications. While gaining the patient’s past medical history, asking questions such as, “Do you currently have an IUD, or are you on birth control?” because having an IUD in place or conceiving after having tubal litigation puts one at risk for having an ectopic pregnancy. “Have you had recent surgery done on your pelvis or abdomen?”—previous surgeries can cause adhesions in the fallopian tubes. Asking the patient if they have had any recent infections is necessary because an infection could impede the egg’s movement. These key factors about ectopic pregnancy signs would help the nurse while conducting an assessment would be knowing that no unusual symptoms are usually present at the time of implantation of an ectopic

A patient presented with pelvic pain and off cycle menstrual bleeding and was diagnosed with ectopic pregnancy. Laparoscopic Salpingostomy was done to surgically remove the mass build in her left oviduct and sutured it closed. The procedure was a success, her wounds healed, CBC was normal and hCG levels were undetectable. The procedure was done to increase the fertility of the patient, however possible complications can occur in future and further more surgeries may be required. A close monitorization of the patient will be required for the coming years. The lessons learned from this case report are: early detection is needed and consider all treatment options in order to limit invasive treatments. Transparency between the patient and the

When a fertilized ovum implants somewhere other than the uterus, this causes an ectopic pregnancy.

Placental abruption is a serious and potentially life threatening condition for both the mother and fetus that requires urgent diagnosis and care from a multidisciplinary team. Although relatively rare, occurring in approximately 0.4 to 1% of all pregnancies, placental abruption accounts for between 10 and 20% of all perinatal mortality and approximately 10% of all preterm births (Tikkanen M 2011) and is the leading cause of vaginal bleeding after the first trimester (Oyelese Y & Ananth CV 2006). The cause of placental abruption is not well understood however it is thought to often be multifactorial and a woman’s known risk factors and co-morbidities may increase the risk status of this condition presenting although it is more often than

A heterotopic type of pregnancy is considered a complication and not a natural consequence because it usually happens to women who are at high risk for having an ectopic pregnancy or those who undergo ovulation induction1, as seen in our index case. It is a simultaneous occurrence of an intrauterine and an ectopic pregnancy which can implant anywhere outside of the endometrial cavity. In 93.9 percent of cases, the ectopic pregnancy usually occurs in the fallopian tubes but other sites such as the ovaries and the

Ectopic pregnancy (EP) is the implantation of a fertilized ovum outside the lining of the endometrial cavity (Ikeme, et al., 2005). EP is also known as tubal pregnancy; the most common site of EP which occurs when the fertilized egg gets stuck on its way to the uterus, due to tubal damage from different causes such as inflammation following a poorly treated pelvic inflammatory disease, hormonal imbalances or abnormal development of a fertilized egg (Ikeme, et al., 2005). Other sites of EP include the ovaries, cervix, broad ligament, abdominal cavity and heterotopic pregnancy though rare in spontaneous pregnancies (1 in 3000-4000), has been recorded in up to 3% of pregnancies from assisted reproduction (Symonds IM.,1998).