StudentShare
Contact Us
Sign In / Sign Up for FREE
Search
Go to advanced search...
Free

Health Alterations and Nursing - Case Study Example

Cite this document
Summary
This case study "Health Alterations and Nursing " discusses Maria Poulos, a 40-year-old woman with two children, who consulted her doctor about experiencing menorrhagia and occasionally metrorrhagia for the past 5 months…
Download full paper File format: .doc, available for editing
GRAB THE BEST PAPER97.9% of users find it useful
Health Alterations and Nursing
Read Text Preview

Extract of sample "Health Alterations and Nursing"

NSB423 HEALTH ALTERATIONS AND NURSING 2 SUPPLEMENTARY ASSESSMENT SEMESTER Number: Q1. Amy is a 3 year old child seen by the Nurse Practitioner at the clinic for a urinary tract infection. Her mother tells you that Amy has bowel movements every 3-4 days. They are usually large, hard formed and sometimes Amy has trouble evacuating the stool. When Amy is asked if it hurts when she does a wee she replies, «yes it does and I cry” “I don’t want to go to the toilet but my mum makes me”. Mum states Amy has had a couple of wet beds over the past couple of days and has not been eating or drinking very much. Amy is also not as active as usual. A teaching session is planned to be undertaken with Amy & her mum on prevention of constipation. a). Discuss the anatomical/physiological reasoning for the link between Urinary Tract Infection and constipation b) Discuss the teaching strategies you would include in the teaching plan for Amy and her mum. DO NOT include content of the teaching session. Q2. Maria Poulos, a 40-year-old woman with two children, consulted her doctor about experiencing menorrhagia and occasionally metrorrhagia for the past 5 months. She was diagnosed with leiomyomas and a total abdominal hysterectomy was recommended. Maria was initially reluctant about surgery She states she does not want more children She is concerned that she may have uterine cancer Maria has several large, firm masses in the body of the uterus thought to be leiomyomas Physical examination otherwise normal Maria underwent a total abdominal hysterectomy and she is just back in the ward post operatively. Post Operative orders are as follows: Indwelling urinary catheter (IDC) Intravenous Therapy – 1L N/Saline 12 hourly Wound drain and wound to remain intact until reviewed by Dr Full-length elastic compression gradient stockings in situ What are the three (3) priority immediate nursing Interventions you would carry out on her return to the ward and why (rationales)? Q3. Mr Graham is a 55-year-old man admitted with a diagnosis of cirrhosis of the liver and is to have an abdominal paracentesis for ascites. Has had cirrhosis for 12 years Acknowledges that he had been drinking heavily for 20 years but has been sober for the past 2 years Complains of anorexia, nausea and abdominal discomfort Is thin and malnourished Has ascites Has jaundice of sclera and skin Has 4+ pitting oedema of the lower extremities Liver and spleen are palpable Total bilirubin: 257 µmol/L Serum ammonia: 122 µmol/L AST: 154 U/L ALT: 169 U//L a) Discuss the pathophysiology of Cirrhosis of the Liver and Ascites. b) Mr Graham is being closely observed for the possibility of gastrointestinal bleeding. Why is this considered a possible complication? Q4. Sally Smith, aged 14 yrs, has been admitted for review of her diabetes. Sally’s diabetes has been rather uncontrolled lately and her parents are extremely worried. She is now on insulin TDS and her diabetes appears to be more controlled. You are on night shift and are doing a round of checking the patients - you check Sally and find her unresponsive, cold & clammy. Identify the Diabetes complication that you suspect is occurring and outline the priority care you would give Sally in this emergency situation. Q5. Tara Smith aged four (4) years had a fall off the monkey bars at her day care centre. She fell on her outstretched arm which resulted in a Greenstick fracture of her distal R) radius. She is to have a synthetic cast applied to her forearm for 3-4 weeks. Briefly discuss the cast care that Tara and her mum must undertake. SSh Q6. Tate Brown aged 3 years has atopic eczema. He has been getting increased episodes over the past few months and his mother is finding it difficult to deal with. Briefly outline nursing interventions that can assist Tate’s mother to stop the itch-scratch cycle and decrease episodes of eczema? Q7. Bob Jackson, a 76-year-old man, was admitted to the hospital with pain while at rest and a non-healing ulcer of the big toe on the right foot. He has a history of: myocardial infarction stroke hypertension arthritis diabetes mellitus Type 1 - been using insulin for 30 years a smoking history of 45 pack-years Bob underwent a left femoral–popliteal bypass graft 5 years ago and is complaining of intense right foot pain for past 6 weeks. He states “I sleep in the recliner with my right leg hanging down to get some relief from the pain”. On assessment he has: a diminished right femoral pulse with no palpable pulses below that level a small necrotic ulcer on the tip of the right big toe thickened toenails; shiny, thin skin on the legs; and hair is absent on both feet Bob is to go to the operating theater to have a Right Femoro-Popliteal Bypass Graft tomorrow am. a) Briefly discuss the pathophysiology of intermittent Claudication. b). Discuss the nursing interventions for pre operative preparation for Bob REFERENCE LIST American Academy of Orthopedic Surgeons, Care of Casts and Splints. Web. (n.d), Retrieved from: http://orthoinfo.aaos.org/topic.cfm?topic=a00095, 2011. Hiatt, W. R. Pathophysiology of Intermittent Claudication in Peripheral Arterial Disease. Cardiology Rounds, 10(1), 2006. Print. Juravinski Cancer Centre. Recovering from total abdominal hysterectomy - bilateral salpingo-oophorectomy, and pelvic node dissection. Ontario, Ca: Hamilton Health Services. 2010. Print. Kliegman, R. M., Stanton, B. M. D., St. Geme, J., Schor, N., & Behrman, R. E. Nelson’s Textbook of Pediatrics. (19th ed.). Amsterdam: Elsevier, 2010. Print. Kumar, V., Sbbas, A. K., Fausto, N., & Aster, J. C. Robbins and Cotran Pathologic Basis of Disease. (8th ed.). Amsterdam: Elsevier, 2010. Print. Longo, D., Fauci, A., Kasper, D., Hauser, S., Jameson, J., & Loscalzo, J. Harrisons Principles of Internal Medicine. (18th ed.). New York: McGraw-Hill, 2012. Print. Nurse’s Rapid Reference. Philadelphia: Lippincott, Williams and Wilkins, 2009. Print. Read More
Cite this document
  • APA
  • MLA
  • CHICAGO
(“Uninary tract infection ,hysterecomy,cirrhosis,Diabetic,cast Case Study”, n.d.)
Retrieved from https://studentshare.org/nursing/1600425-uninary-tract-infection-hysterecomycirrhosisdiabeticcast-carelntermittent-claudication-eczema
(Uninary Tract Infection ,hysterecomy,cirrhosis,Diabetic,cast Case Study)
https://studentshare.org/nursing/1600425-uninary-tract-infection-hysterecomycirrhosisdiabeticcast-carelntermittent-claudication-eczema.
“Uninary Tract Infection ,hysterecomy,cirrhosis,Diabetic,cast Case Study”, n.d. https://studentshare.org/nursing/1600425-uninary-tract-infection-hysterecomycirrhosisdiabeticcast-carelntermittent-claudication-eczema.
  • Cited: 0 times

CHECK THESE SAMPLES OF Health Alterations and Nursing

Nursing Practice. Roy Adaptation Model

The theory's main concepts encompass aspects such as adaptation, person, environment, health and nursing.... Roy's Adaptation Model (RAM) can be categorized as one of the most constructive conceptual frameworks that direct nursing practice, research and influences education.... The paper explores the efficacy and application of Roy Adaptation Mode within the nursing practice.... Callista Roy and sums up as one of the broadly applied nursing models in nursing practice, education and research....
5 Pages (1250 words) Research Paper

Trends Affecting the Nurse as Educator

Diversity of race and ethnicity in the health care and nursing schools have emerged drastically, providing a healthy and rich environment for the students to learn.... Trends Affecting the Nurse as Educator 02/02/2013 Trends Affecting the Nurse as Educator Nowadays health care climate are changing on account of political as well as policy implications, specific development in education of nursing are usually surfacing.... Since health care continues experiencing its advancement, fueled through such factors because economy and also policies set forth by legislators, nursing jobs education is affected and also some trends appear (Zerwekh, 2011)....
5 Pages (1250 words) Research Paper

Nursing Leading Change in Practice and Alterations in Child Health

Extracting evidence from research must be an important curricular activity, and the nursing education authority must initiate.... nursing Leadership and Management: Concept and Practice.... The change that was implemented in my work area in pediatric practice is quality improvement project that called for a planned change in practice to deliver evidence-based practice to the clients....
40 Pages (10000 words) Essay

Alterations during Menopause

ther than altered sleeping patterns, health care professionals should ask the patient whether she is experiencing any forms of cognitive defects like dementia or mood alterations since these are symptoms that dysregulation in some neurotransmitters like norepinephrine, dopamine, and serotonin which is common side effects of estrogen deficiency....
5 Pages (1250 words) Case Study

Information Sensitivity and Protection of Data

here is emphasis on integrity with regard to vital information that prevents it from errors, unauthorized reproduction, alterations, and destruction. ... Accidental alterations occur in some cases such as virus attacks on databases, leading to restriction of digital uses that may expose information to such.... here university protects the privacy of all the health information it creates, acquires, or maintains.... t restricts its personnel from using or disclosing protected health information in inconsistent manners....
3 Pages (750 words) Essay

Specific Molecular Alteration in Cancer Development

The essay "Specific Molecular Alteration in Cancer Development" focuses on the critical analysis of the use of the ERBB2 (HER2/NEU) oncogene to describe one specific molecular alteration which plays a role in cancer development, and discusses how it has been exploited to improve cancer treatment....
4 Pages (1000 words) Essay

Planning Nursing in Medical Care

This nursing care plan "Planning nursing in Medical Care" focuses on Mrs Monica Claridge, who has been admitted to the medical ward with complaints of chest pain, nausea and shortness of breath, and diagnosed with acute pulmonary oedema, secondary to heart failure.... By identifying the needs/problems of the patient, by making clear cut goals and by using nursing interventions, the nursing care plan would be able to achieve an outcome....
13 Pages (3250 words) Report

The Development of Professionalism in Occupational and Health and Safety

The paper "The Role of the Occupational and health and Safety in the Sustainable Development of a Secure Civil Society " is an outstanding example of a term paper on health sciences and medicine.... Occupational and health and safety (OH&S) involves three broad developmental stages in Western countries.... The paper "The Role of the Occupational and health and Safety in the Sustainable Development of a Secure Civil Society " is an outstanding example of a term paper on health sciences and medicine....
7 Pages (1750 words) Term Paper
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.
Contact Us