Sample Nursing Case Studies

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.

A is an 87 year old women, with a long history of health troubles including chronic kidney disease, congestive heart failure, coronary artery disease, a pacemaker insertion for her atrial fibrillation, type 2 diabetes, dyslipidemia, colon cancer, breast cancer, mild cognitive impairment and most recently paranoid psychosis.

Susan is a 78 year old widowed lady who was admitted to a medical ward following an episode of coffee brown vomiting and breathlessness. Susan has a past medical history of chronic

The patient has no family history of heart disease or diabetes, however both her parents are on medication for high blood pressure. Her paternal grandmother died of breast cancer at age 47. Her maternal grandmother

My patient is a 58-year-old female, who presents with controlled type II diabetes, hypertension, and possibly thyroid tumors that have been there for a few years. She is under the care of a physician for her diabetes and associated controlled hypertension. I recommended several times that she see her physician after feeling the tumors around her neck and thyroid. Her medical history also indicates that she had rheumatic fever twelve to thirteen years ago, has arthritis in her knees, and occasional headaches. She is 5”3 and weighs 216 pounds. Her blood pressure was 126/80, pulse was 88 BPM, respirations were 20, and her temperature was 98.2 Fahrenheit. She doesn’t smoke and I made sure that she had eaten lunch and wasn’t hungry. She is currently on 100 mg Metformin for her diabetes, 120 mg. Lisinopril for hypertension, 40 mg. of Lovastatin to lower cholesterol, 80 mg. of Aspirin to prevent cardiovascular disease, and daily insulin. Reviewing her medical HX, I was informed that she usually checks her blood glucose daily, but had recently run out of strips, so it had been a

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

Her other past history includes mastoid surgery when she was forty. She has several environmental allergies and is also allergic to Sulfa, Slow-K, Ranitidine and Zinc. She doesn't smoke.

history of depression, ADHD, substance abuse and anxiety disorder on both sides of her family.

She was diagnosed in December of 1997. Overall, she is reported to be in stable health and has no known allergies to food or medications. Paula does not have a history of seizures. She is being monitored for high cholesterol, however her mother indicates Paula is not taking the medication and instead is exercising regularly and monitoring food intake as a means to reduce cholesterol levels to a normal range. Paula does not take prescribed medication and taking a variety of natural supplements. She has a history of sleep insomnia and will stay up late perseverating on past events, when this occurs, her mother will administer 12mg melatonin to help her sleep. Paula was recently diagnosed with sleep apnea following a sleep study completed by (______) on (___). Results indicated she stopped breathing 10 times per hour during her study and it was recommended she use a continuous positive airway pressure (CPAP) device when sleeping or taking a nap. She is on a regular diet and requires supervision to monitor food intake. Paula has a preference for eat, take food, and if able to will consume in excess. Mother reports that Paula is monitored by physicians and dentist on a regular basis and receives medical coverage through

Diabetes mellitus type 2, hemoglobin A1c has improved. As noted above, her creatinine did go up to high of 1.5. We did hold the dose of her metformin and when her creatinine did get better, we did decide to decrease the dose to 500 mg b.i.d., given that her hemoglobin A1c was excellent at 6.0. I think we are safe to do this. I would rather have her hemoglobin A1c be higher given her renal insufficiency.

First of all, her age is a concern as this dictates her ability to react to the drug which ultimately affects the effectiveness of the medication. Second, she is pre-diabetic, hence we should be looking for an antihypertensive with a hypoglycaemic action to at least reduce the possibility of her having Type II Diabetes Mellitus whilst managing her high blood pressure. Third, she has liver impairment and unfortunately, she is causing further liver damage through her drinking habits. This presents a challenge to look for an antihypertensive drug which is the least hepatotoxic so as not to contribute to the liver impairment she currently has. Finally, it is already established that Mrs Luv has poor compliance when it comes to her health. Therefore, a medication with a frequency of once a day is better as it will be easier for her to

MR. Anthony David is a resigned 69-year-old man with a 5-year history of sort 2 diabetes. He is resigned from an administration office. In spite of the fact that he was analyzed in 1997, he had side effects showing hyperglycemia for a long time before determination. He had fasting blood glucose records demonstrating estimations of 118–127 mg/dl, which were portrayed to him as characteristic of "marginal diabetes." He additionally recalled past scenes of nocturia connected with substantial pasta suppers and Italian baked goods. At the season of starting determination, he was encouraged to get more fit ("no less than 10 lb."); however no further move was made.

past 15 years but recently discontinued her medication because she could not afford it. The

At today’s visit she is accompanied by her daughter and son. The patient is a poor historian due to her dementia. Her daughter reports that she has declined significantly over the past 6 months, with a drastic