Analyzing Daniel's Case: A Nursing Perspective

Case Study-Daniel

Tiffany Schenck

Rasmussen College

Author Note This paper is being submitted on January 31, 2017, for Eugenie Cook’s Fundamentals of Professional Nursing Course. Case Study-Daniel The nursing process is the common thread uniting different types of nurses who work in variety areas. It is the essential core of practice for the registered nurse to deliver holistic, patient-focused care. Today Daniel, a 16-year-old male, was brought to the emergency room after fainting while getting ready for his game. Daniel has been feeling more tired than usual recently. He is running a slight fever, breathing is shallow, and he is sweating. He is sleepy and his blood pressure is high. He did have some abnormal laboratory work,

The nursing diagnosis is my clinical judgment about a patient’s response to actual or potential health conditions. The diagnosis reflects not only that the patient is in pain, but also that the pain has caused other problems such as anxiety, poor nutrition, and conflict within the family, or has the potential to cause complications. The diagnosis is the basis for the nurse’s care plan. Daniel’s problems include, why did he faint, an explanation of his shallow breathing, his sweating, his elevated blood pressure, and possibly why his labs are abnormal. My nursing diagnoses would include the

Disturbed self-esteem, Daniel should identify the environmental factors and current behaviors that are causing the low self esteem. For his activity intolerance I would plan to promote adequate rest and allow for uninterrupted sleep. Daniel’s acute pain/aches, he will be ache free by discharge and stress overload, Daniel will review amount and types of daily stressors. Daniel will talk to family about these specific stressors and implement stress reduction activities. Examples include deep breathing, yoga, and guided imagery. Both the patient’s status and the effectiveness of the nursing care and interventions must be constantly evaluated, and the care plan modified as