Case Study, Chapter 59, End-of-Life Care Ingrid is a 62-year-old retired labor and delivery nurse. She was diagnosed with terminal pancreatic cancer with metastasis 2 weeks ago. She is divorced and has three adult children who live in other cities. Home care was not an option so Ingrid agreed to be admitted for palliative care in the local hospice. On the second day after her arrival, the nurse finds Ingrid crying and holding her abdomen.
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- Discussion Topics, Chapter 31, Transcultural and Social Aspects of Nutrition 1. A 50-year-old Muslim client admitted to a long-term healthcare facility is recovering from an illness that has led to a lot of muscle wastage and weakness in the client. He is provided a special diet to regain his strength and muscle tone. One evening, when discussing a few medications, the client tells the nurse that he will not be eating his meals from dawn until after dark starting next week because he will be fasting during the month of Ramadan. What kind of approach should the nurse adopt toward the client without overlooking the client’s religious sentiments and also keeping in mind the client’s dietary requirements for his illness Response: 2. A client visiting the clinic for her regular checkup tells the nurse that she is a vegetarian. However, she eats eggs sometimes. She is concerned that her diet does not contain an adequate amount of protein. a. Do you think that a…Review Case Study Annie Annie is an 80-year-old widow who lives alone. She has a long history of hypertension and diabetes and suffers from the complications of CHD and neuropathy. She has diabetic retinopathy, which has left her legally blind. She has never been compliant with a diabetic eating plan but takes insulin as directed. She is 5 ft 5 in. tall and weighs 170 pounds, down from her usual weight of 184 pounds 5 months ago. Annie reluctantly agreed to receive Meals on Wheels, so she does not have to prepare lunch and dinner except on weekends. Her daughter buys groceries for Annie every week, and her grocery list generally consists of milk, oatmeal, two cans of soup, two bananas, a bag of chocolate candy, a layer cake, two doughnuts, and mixed nuts. Her weekend meals consist of whatever she has available to eat. 1. What is Annie's BMI? How would you assess her weight status? 2. Is her recent weight loss significant? Is it better for her to lose weight, maintain her present…G3: CASE ANALYSIS Rex, a 12-year old male patient with Cerebral Palsy and Pachygyria went to your clinic for his annual health examination. Before proceeding with the exam, you recorded his case history and found out that the general health of his mother during her pregnancy was good and she had a normal delivery. You were told that the most notable medical history in the family was Rex's grandmother who had cystic fibrosis. Aside from that, Rex had complaints such as shortness of breath, wheezing and had trouble with his bowel movement. Thereafter, you began your tests and found that his nasal passages were inflamed and his chloride sweat test came back with a result of 79 mmol/L. What condition is Rex suffering from? What vitamin deficiency is evident in this case? And why?
- SubjectiveChief Complaint: “Why can’t I just take prednisone every day? It always works when I get admitted to the hospital.” HPI: Thomas Jones is a 66-year-old man with COPD presenting to the family medicine clinic today for a 1-month followup appointment from his last hospital admission for an acute exacerbation of COPD. This last COPD exacerbation is the second hospital admission in the last 6 months related to TJ’s COPD instability. After TJ’s hospitalization, his discharge COPD regimen was changed to include tiotropium, 1 inhalation daily in addition to salmeterol 50 mcg, 1 inhalation Q 12h, and an albuterol MDI as needed. TJ had pulmonary function tests (PFTs) while he was in the hospital 1 month ago but has yet to have them reassessed after the change in his COPD regimen. He wants to start taking prednisone every day because he believes this would prevent him from being readmitted to the hospital. The patient states that his respiratory symptoms are better than when he was…Case Study: Renata is a resident at the Calypso Aged Care Home. Two years ago, she was diagnosed with advanced bowel cancer and received three intensive cycles of chemotherapy treatment after undergoing a bowel resection to create a permanent colostomy. Renata was aware that her cancer was incurable but with the help of her husband, she remained well and enjoyed a reasonable quality of life. At the end of last year Renata’s husband passed away suddenly. Following his death she became socially isolated and found it increasingly difficult to care for herself. With her children’s support she moved into Calypso. Not long after settling into Calypso, Renata began experiencing right-sided chest and upper abdominal pain. Following further investigations, Renata’s oncologist, Rajesh, advises that the cancer has metastasised to her right lung, liver, and bones. He advises Renata to consider palliative chemotherapy as it may manage her disease symptoms and possibly prolong her life. Renata’s…ASEPSIS Scenario: Mrs. Delia Cruz is a 78-year-old woman who is independent, lives alone and prefers not to rely on others unless absolutely necessary. She was active and healthy until about 6 months ago, at which time she developed a persistent upper respiratory infection. Because she was unable to obtain or prepare food, she lost weight and became very weak. She finally sought medical attention, but she has not yet fully recovered. Her primary care provider has admitted Mrs. Cruz to the hospital for shortness of breath, productive cough, dehydration, and nutritional deficiency. QUESTIONS: Cruz’s primary care provider suspects that she has pneumonia. What data support Mrs. Cruz’s increased risk for such an infection? What can you do to prevent the spread of Mrs. Cruz’s infection to other hospitalized clients and at the same time prevent Mrs. Cruz from getting infections from other clients? SAFETY Scenario: Mr. Valdez is a 72-year-old widower who is recovering…
- Case Study Practice Case Introduction: Mr. Smith is a 55 year-old African-American male with a history of cirrhosis. He lives with his wife and teenage sons, ages 19 and 16. His wife brought him to the emergency department because she noticed that Mr. Smith showed increased confusion and was having difficulty walking. His wife states, “He is probably acting a little funny because he is sleep deprived. He hasn’t slept very much in the past few days.” His wife reports that he has a history of alcoholism and drank one quart of hard liquor each day for three years prior to his diagnosis of cirrhosis (diagnosed 2 years ago). He is currently unemployed and has been on disability for four years. Relevant medical history: Past medical history: Cirrhosis secondary to alcoholic hepatitis, Hypertension, Esophageal Varices Coexisting Condition: Ascites Pharmacologic: Lactulose; Neomycin sulfate; Inderal Assessment: Mr. Smith’s vital signs are as follows: BP - 136/68, pulse 88, and…Please help me answer the questions on the bottom! Thank you! Case Study #7- DKAHector Stevens is an 18-year-old African American foster youth who ran away fromthe foster care system when he was 16. He is a diabetic who has been noncompliantwith medications for the last two years. He says that he was put in the foster caresystem when he was 10 years old after his parents died from drug abuse. He does notthink he has any family since DCFS was unable to locate anyone. Hector was able tograduate from high school at 17, he enrolled himself in online high school and woulduse the library computers for his homework. Currently Hector has secured livingplacement with JobCorps and is in trade school to become a chef.Hector brought himself into the ER after vomiting for three days- he thought he hadfood poisoning. He had been increasingly weak over the last three days, and had nottaken his insulin. He thought that since he was unable to keep food down that hedidn't need to take his insulin. On…Please help me answer the questions on the bottom! Thank you! Case Study #7- DKAHector Stevens is an 18-year-old African American foster youth who ran away fromthe foster care system when he was 16. He is a diabetic who has been noncompliantwith medications for the last two years. He says that he was put in the foster caresystem when he was 10 years old after his parents died from drug abuse. He does notthink he has any family since DCFS was unable to locate anyone. Hector was able tograduate from high school at 17, he enrolled himself in online high school and woulduse the library computers for his homework. Currently Hector has secured livingplacement with JobCorps and is in trade school to become a chef.Hector brought himself into the ER after vomiting for three days- he thought he hadfood poisoning. He had been increasingly weak over the last three days, and had nottaken his insulin. He thought that since he was unable to keep food down that hedidn't need to take his insulin. On…
- HPV Case Study Read the case study and, using your knowledge of human biology and other resources indicated, answer the questions that follow. Save and submit to the drop box. Bob is healthy 44-year old and father of 2 who recently completed his first marathon. Life was good; he was in the best shape of his life, gainfully employed and happily supporting and raising his family at home. However, Bob has been sporadically dealing with a sore throat for the better part of the past year. The symptoms would come and go but for the most part consistently there. Eventually, he went to see his doctor who examined his throat and saw an inflamed red area in the back of his throat and prescribed a course of antibiotics presuming the sore throat was caused by a bacterial infection. Bob adhered to the course of antibiotic therapy but the sore throat still persisted. At this point, the doctor felt as if perhaps Bob had post-nasal drip perhaps caused by a viral infection or allergies and…Chapter 10 Case Study A surgical technology student is completing rotation at the clinical site’s central sterile processing department. The preceptor notifies the student that a pregnant patient has just arrived in the emergency department with complaints of constant UTIs and retroperitoneal pain, and the student needs to assemble a case cart containing everything that will—or might—be needed for the case. The patient will be in the OR in 10 minutes, so the student must quickly work.1. What instrument trays should be gathered for this case?2. What equipment must be in the room for this case?3. What supplies must be available for this case?4. Considering the type of case, what specialists need to be involved in the caseMAKE SHORT TERM GOAL AND 5 OBJECTIVES FOR THIS DX. Main Dx: Imbalanced nutrition less than body requirements related to Lacto-Ovo vegetarian diet as evidenced by lack of essential minerals & nutrients (Iron, Zinc & Omega Fatty-acids) SHORT TERM GOAL: OBJECTIVES: (ex. after 10 mins, the patient will.. after nursing shift, the patient will.. THE OBJECTIVES ARE ALL ABOUT THE PATIENT.) 1. 2. 3. 4. 5. SCENARIO: Aubrey, 19 years old, an incoming college freshman student went to Ateneo De Manila Health Services for physical examination. The nurse gathered the following information: Height: 5 ft Weight: 48 kg Vital signs: Temp 37.2C, Pulse rate: 95 beats per minute, Respiration rate: 12 breaths per minute, and BP: 100/70mmHg. Family History of illness: Father (+) Hypertension (HPN), and Diabetes Mellitus (DM) Present Health History: Aubrey never experienced to get hospitalized as far as she can remember. Her mother ensures that she takes daily supplemental vitamins such as vitamin…