Sample Nursing Case Studies

On June 24th, 2015, a female inpatient at Meadows Regional Medical Center for a procedure that included right ankle three view. The other procedures such as L-spine, hip and femur also performed on the patient. The patient had an old shotgun wound to the distal right lower extremity with multiple soft tissue pallets presents. She also noted that she's had swelling in her ankles for years has started to get worse over the past few months, making it especially difficult to walk on her feet. In this case study a 72-year-old female who suffered from a medical history of Osteoarthritis and Chronic Gout for many years. Although most of pellets were still present, there were no other symptoms except lower back pain and swelling in ankle.

DOI: 5/16/2011. Patient is a 51-year-old male truck driver who sustained a work-related injury to the left foot when he was getting out of truck. Patient is diagnosed with left foot plantar fasciitis, ligament strain, sinus tarsi syndrome, and ankle capsulitis. He is status post open reduction internal fixation of left navicular on 11/23/2011. IW was found at maximum medical improvement (MMI) on 08/21/12 by Dr. Thomas with 7% whole person impairment.

DOI: 2/10/2016. Patient is a 51-year-old female housekeeper who sustained left knee injury when another employee from the hotel accidentally hit her knee with the housekeeping cart. As per OMNI, she was initially diagnosed with tear in left knee. He is status post left knee arthroscopy on 6/23/2016.

He could not feel his finger. There is numbness. The symptoms are continuous in nature and currently present. He also reports paresthesias. There were no chemical or toxic compounds involved. The findings were consistent with the injury. There were no conditions that may impede or delay the recovery. The exam revealed circumscribed laceration around the PIP joint of the middle finger. ROM: the finger is pale and cool without restriction. Neurologically: no sensation in his right middle finger. Plan: OR for revascularization, possible operative fixation, possible revision amputation, possible nerve graft, and possible vein

This graduate project course has offered the opportunity to expand on the knowledge obtained in the previous nursing research course and to begin with a concept or idea and follow a process to develop a research project through the dissemination process. Research is defined as a systematic process for inquiring information and this process is applied to the development of evidence-based practice. Evidence-based practice is defined as the use of scientific evidence, patient preference and clinician expertise which is applied to implement practice changes to improve the quality of care and patient outcomes (Hain, 2017). With the graduate project the process began with the development of a topic of interest in which research could be applied

A female patient seeking contraception options needs to select a method that is best for her and her partner. What questions and/or discussions would be important for the nurse practitioner to ask the patient when counseling her about contraception methods?

Jennifer Edwards – Target population of A1C greater than 9. She wants to check it out at one clinic and see how it turns out, even though Dr. Gardner does not like to use just one clinic. Jennifer Edwards was asked to find out what clinic Hope Galvan wants to use.

The patient is 65-year-old gentleman who has recurrent presentations to the ER first 1/22/2017 for a fall. Discharged 1/26/2017, another fall, admitted to having some alcohol to drink, discharged, a repeat visit on 1/27 again because of falls, discharged with instructions to see Dr. Silva the following Monday only for the patient to return to the ER about 5 or 6 hours later. He evidently has no place to live since the death of his wife a year ago. He states he lives in the laundry room of the the building and he was kicked out and again has fallen. His laboratory work shows he has a CO2 of 15, which is unexplained. He does have a left below the knee amputation with pain, swelling and some cellulitis of the lateral aspect. Evidently

01/20/16 Progress Report documented that the patient was last seen on 12/08/15. He has seen Dr. Gammon and is scheduled to have a surgery on 02/01/16. He is planning to do a fusion into the left leg to help stabilize that nonunion. He is on Lyrica 150 mg twice a day and wants to increase that. He also takes Feldene 20 mg once a day, Robaxin 750 mg 2-3 times a day and Miraprex 0.25 mg once a day. He was advised to stop Feldene, 3 days before his surgery. He was also advised to stop any Aspirin products. He takes Aspririn 88 mg once a day.

The first issue and one that must be settled early on is that of possible abortion. The mother and father have both said that they are not going to allow that to happen because of personal religious beliefs, but it is important to ask again prior to starting any other consultation. Once this is settled, most likely negative as parents who follow the Catholic tradition are staunch defenders of unborn fetuses, the team can discuss with the parents the issues that they may face, and what can be done for the baby and themselves.

Based on the medical report dated 12/15/16, the patient complains of pain in the left knee, described as achy, dull, radiating, pressure and deep. Severity of pain is 8-9/10.

During this course of the timeline provided, there were 725 ICU patients in this hospital. Out of these ICU patients, only 85 of met the qualifications for this study. Out of the patients presenting with a TBI with or without ARDS, 87.2% were men, with a mean age of 38.9 years. Patients with ARDS with or without a TBI had a mean age of 48.3 years. Out of these patients, 70.9% were men. There were no significant differences in baseline parameters between either those TBI patients with or without ARDS, or the ARDS patients with or without TBI. For the cases of patients presenting in the ICU with non-traumatic causes of ARDS, the most common were diagnosed as having pneumonia at 73.7%, and extrapulmonary sepsis at 21.0%. The most

Inclusion of the 674 patients who completed a HCCA into these data, gives a slightly different perspective into the variables. Appendix~\ref{AppendixB} further shows the R output of the Cox-PH model in the data set for patients with a CA and HCCA. After using the stepAIC function (as discussed in Chapter~\ref{Chapter3}) and manually removing variables with coefficients between -1 and 1, only 10 variables are chosen, namely; Meds to be initiated, Expected living arrangement, self-rated health, Urgency for comprehensive, face-to-face assessment, Urgency - Nursing, Urgency - Physiotherapy, Urgency - Occupational therapy, Service urgency and Client Group\footnote{These variables are coded iA32ba, iA33, iA34, iJ7, iNN4, iNN5a, iNN5c, iNN5d',

I knew better than to enjoy the unexpectedly calm environment of the ER. As a horde of ER staff rushed to the critical care room, I reached for my laptop and quickened my pace amidst the crowded room. While one ER nurse was continuously conducting CPR, the Pediatric ER attending directed another nurse to arrange for 3 more doses of epinephrine. I then noticed two other nurses attempting to console a shrieking mother, however inadvertently, failing. The doctor then signaled me to escort the distressed mother, Catherine, into the waiting room. As soon as we sat down, Catherine began recalling the events prior to the episode, her words barely comprehensible due to the uncontrollable sobs. She described the pork tamales they had gone to eat

Mr. M.T present to the clinic for a follow up of his left ankle that he sprained a week ago when he missed one step of the staircase that goes to his basement, fell and and twisted his left ankle. The x-ray of his ankle was normal. He has been taking Norco for pain and it has been helpful for him. His pain medication ended yesterday and he says he has been having a lot of pain. He rate pain 8/10. His pain is worsened by movement and touch. Nothing is relieving his pain except the pain medication. He says the swelling has decreased, but he noticed a bruise on his foot this morning. He says he is not able to bear weight. He has been wearing ankle brace and has been using crutches for mobility. He denies constipation and his last BM was yesterday.