Get Answer: Using Case Study Question Guide

This question focuses on applying theory to practical scenarios.

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This question relates to using case study and requires a structured academic response.

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Focus on explaining concepts clearly and supporting them with examples.

Key Explanation

This topic involves using case study. A strong answer should include explanation, application, and examples.

Original Question

Using the case study provided, you will complete the clinical worksheets that you will be using in the clinical courses for your clinical assignments. a) Download the case study and all clinical paperwork. b) Complete each form using the case study information. b) The diagnostic results-each column must be completed for each test that is discussed in the case study. The reason ordered pertains to why would this diagnostic be ordered for this patient? The significance is the analysis of the results. Be thorough when discussing the significance. A citation is required at the bottom of the worksheet. 3) Vital Signs-include the vital signs on the care plan form under the appropriate assessment data-list of concepts. 4) Care Plan-You need to complete 1 whole care plan based on case study. This will include one nursing diagnosis with related to and as evidence by if applicable. The nursing diagnosis should be ICNP approved. This is noted in your required care plan book. You will then add at least one expected outcome/measurable goal. The final part of the care plan is to add 3 to 4 nursing interventions per expected outcome/goal listed. If you add 3 expected outcomes, you will need 9-12 interventions. The rationale needs to be included for each intervention. Please make sure to include evaluations of each intervention and the goal. This information is what you would expect after completing the intervention with the patient. Please refer to the Care Plan Example Add 2 additional nursing diagnoses for this patient but you do not need the whole care plan completed for these 2. You need an approved ICNP diagnosis, related to, and AEB. At least one citation should be included for the entire care plan section. Patient Situation EHR J.P is a 54-year-old male, 65″, 200 lbs., who appears to be 70. He has just been readmitted to General Hospital for the fifth time in 3 months. He is usually admitted for treatment of problems related to his severe COPD. He has been progressively short of breath. He has just started with an occasional cough productive of moderate amount of yellow sputum. His current temperature is 99.8. His history reveals no known allergies. He has difficulty voiding in the past with complaints of voiding frequently in small amounts and nocturia. He was diagnosed last year with Benign Prostatic Hypertrophy and underwent Transurethral Resection of the Prostate. He has suffered from Rheumatoid Arthritis for the last 5 years. Because of his COPD, which greatly limits his physical exertion; J.P. is considered 100% disabled and has not worked for the past 8 years. In between hospital stays, he lives in a two-room apartment. He has a hot plate on which he cooks, but does not have a refrigerator. He shares a bathroom with ex-Navy buddies. In the hospital, J.P. is rather well-known and generally liked, because he is so familiar with the environment, he is often in an informal leadership position with new patients. His major complaint with the hospital is its non-smoking policy, strictly enforced. Despite repeated teaching J.P. smokes, a pack and a half of unfiltered cigarettes a day. The basic physiology of his disease and its relationship have been explained to him repeatedly. He tells others that smoking is the only source of pleasure left to him. Whenever he is breathing easy enough, he walks to the sun room and lights a cigarette. “Live fast, love hard, die young—that’s my motto,” he frequently tells the nursing staff. Upon exam J.P. states along with his other recent symptoms, he has not had much of an appetite and has been slightly nauseous. His doctor felt it was due to his medications. He has drunk 400 mL in the last 24 hours. He is alert and oriented x3, pupils are equal and reactive @3mm. He is HOH and wears glasses for reading. His color is dusky, skin is warm and dry. His resp are 26, regular with some use of shoulder and abdominal accessory muscles. He always in orthopneic position in bed or in the chair. He is barrel chested and uses pursed lip breathing when he becomes SOB. Scattered rhonchi and expiratory wheezing are heard throughout both lung field. He has an occasional cough productive of a moderate amount of thick yellow sputum. His AP is 104 with 4 irregular beats per minute and a fair volume. BP 160/80. Bowel sounds are present in all 4 quadrants. His abdomen is soft and nondistended. Currently he has been voiding every 4-5h. His 24-hour urine output was 1000 mL (300 7-3, 400 3-11, and 300 11-7). His last BM was this AM-mod. soft brown BM. His lower extremities are pale and slightly cool to touch, Peripheral pulses are palpable bilaterally. Has 2+ pitting bilateral ankle edema. His hands, writs and feet are often painful and swollen due to arthritis. His joints are stiff especially in the AM. Diet, Treatments and Medications 2gm Sodium Restricted Diet 02 @2L/M CPT (Chest Physiotherapy) with postural drainage every 4 hours Aerosol Albuterol Sulfate 2.5mg every 6 hours Theophylline 300 mg every 12 hours PO Prednisone 40mg PO Daily Cefuroxime 750mg IV every 8 hours Ibuprofen 300mg PO 4 times a day Acetaminophen tabs 650mg PO or supp PRN for temp 101 or above Ondansetron 4mg IV every 6 hours PRN MOM 30 mL’s PO PRN Terbutaline (Brethine) 0.3mg SQ every 3 hours PRN for SOB Diagnostic Test Results: CXR: Consistent with emphysematous blebs and cardiomegaly EKG-Sinus Tachycardia CBC-RBC 4.02 Hgb 11 Hct 32% WBC 18,000 Segs 76% Bands 10% Eos 3% Basos 3% Monos 10% Lymphs 24% Sputum Culture-no growth Theophylline Level-13.8 Lytes-NA 138 mEq K 3.6 mEq Cl 100 mEq CO2 25mEq Glucose 110 Cholesterol 200 BUN 20, Creatinine 1.0 Urinalysis Appearance-clear Sp. Gr. 1.015 pH 6.2 color-amber Protein-neg Glucose-neg Ketones-neg

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