Nursing Care Plan: John Duncan - Gastroenteritis Ostap Tytskyy NUR 105 04/10/24. Clinical Judgement Model: John Duncan - Gastroenteritis. Using the clinical judgment model, I am going to create a care plan for patient John Duncan. Mr Duncan is a 68-year-old male who returned from a trip to Mexico and is complaining of gastrointestinal symptoms. It appears that he is experiencing symptoms of gastroenteritis. This case study seeks to rule out other diagnoses and analyze Mr. Duncan's symptoms, stabilize him and address his safety needs. Subjective and Objective Assessment Findings. Subjective Findings Mr Duncan presents with weakness, headache, diarrhea, nausea, palpitations, and low appetite. He has no past medical history and no known allergies. Objective Findings Mr Duncan is found to be alert and cooperative. Upon assessment he is found to have a temperature of 99.4F, blood pressure is 106/72, heart rate is 96/min, respiratory rate is 20/min and his oxygenation saturation is 91% on room air. Three Client Problems/ Nursing Diagnosis, Interventions, and Rationales. …show more content…
The most common pathogens that can cause gastroenteritis are escherichia coli, norovirus, rotavirus and salmonella Signs and Symptoms: The signs and symptoms that are seen in people with gastroenteritis include diarrhea, nausea, abdominal cramping, vomiting and fever. These are all the symptoms that Mr Duncan presents with. The presence of one of the pathogens causes nausea and vomiting which ultimately irritates the stomach lining which also causes the abdominal cramping he is experiencing. Furthermore, diarrhea is caused by the increase in fluids. His stomach is unable to properly absorb nutrients from what he ingested, and this causes
Dr. Murray, the chief resident who arrived around 8:00pm, charted Lewis’ heart rate as normal and noteds a probable ileus; however, nursing documentation at the same time recorded a heart rate of 126 beats per minute (Monk, 2002). Subsequent heart rates at midnight and 4:00am arewere charted as 142 and 140 beats per minute respectively without documented intervention (Monk, 2002 ). On Monday morning Lewis noted that his pain suddenly stopped after being very constant and staff charted that they were unable to get a blood pressure recording in either arm or leg from 8:30-10:15am despite trying multiple machines (Monk, 2002; Solidline Media, 2010).
in the upper GI tract. Gastric and duodenal ulcers can also result from Crohn’s disease and Zollinger-Ellison syndrome (ZES). The patient does not report a history of Crohn’s disease nor is he symptomatic for it. His symptoms do not indicate (ZES). ZES is a hyper secretory gastric acid disorder that results in multiple peptic ulcers, kidney stones, watery diarrhea and malabsorption.
Many children around the world , especially in third world countries suffer many bacterial infection of the gastrointestinal system as a result of lack of awareness and the spread of the disease in the less attention to hygiene and the environment . In order to explain this word gastrointestinal tract infection , especially the stomach and intestines , it can result from infection by bacteria or virus or other parasites (1) . Some of the causes of inflammation as a result of eating food poisoning , especially meat and eggs . However , some symptoms of severe cases are headache , nausea , vomiting , general weakness , diarrhea and pain , the illness begins suddenly with high fever , vomiting , abdominal pain and stool liquid to water that may contain some blood and mucus . The result of drought through loss of fluids and salts and lead an alliance with the poisoning to the collapse of the circulatory system in diseases such as cholera (2) . It must be conducted in diagnosing bacterial to find the source of infection because it causes illness and death of millions in the third world and in particularly children as mentioned . In this report will refer to the most common types of bacteria cause gastrointestinal tract infection for example , Shigella , Salmonella , Vibrio and Campylobacter (3) . First of all , Shigella is gram negative , nonmotile , non lactose fermenting and H2S production . There are four important species , S. sonnei , S. flexneri , S. boydii and S. dysenteriae is the most serious . Next is Salmonella which is gram negative as well , non lactose fermenting and production H2S . These species are S. typhi and S. paratyphi found in humans and animals . Finally , Campylobacter is gram negati...
Client Profile: Lane Bronson is a 55 year old male with a history of angina, hypertension, Type 2 diabetes, COPD, and sleep apnea. He comes to the physican’s office complaining of worsening shortness of breath. His skin tone is grey, and his angina is worsening. Previously stable, he now does not get relief from rest or nitroglycerin. The physician called 911 and had Mr. Bronson directly admitted to the hospital.
Tanner (2006) made a clinical judgment model thinking like a nurse in which research of literature of the topic clinical judgment was reviewed and used to develop
The disease occurs when pouches in the large intestine become infected and inflamed, Symptoms may include but not limited to severe abdominal pain often in the lower left side of the abdomen, constipation, diarrhea, nausea and fever.
The patient is a 55-year-old man admitted to the hospital for dehydration secondary to vomiting. The physical examination of the patient revealed dry mucous membranes and vital signs as follows: Pulse 110, blood pressure 100/60, and respirations of 20.
Abdominal Pain Diarrhoea With or without vomiting With or without fever Major problems with food poisoning occur in the very young, the very elderly and those with otherwise reduced immune defences. The The major problem is with dehydration and loss of electrolytes and is a main cause of infant and child mortality in the developing world. Some authors exclude food-borne illnesses that are caused by primary. human pathogens that are adapted to the human host. definition of food poisoning, examples include Salmonella Typhoid and.
Salmonella is a gram-negative bacillus that causes inflammation of the GI tract and in some cases, if the immune response is not sufficiently powerful and treatment is not administered, can become systemic and cause even more serious conditions throughout the body. After ingestion, these bacteria cause infection by invading the epithelial cells of the small intestine and macrophages. Though there are more than two thousand different subspecies of Salmonella, few of them are able to cause serious conditions in humans—for most, the disease resolves itself in a matter of days. Those who are most affected by Salmonella infection are infants, the elderly, and people with compromised immune systems. Some of the main conditions caused by Salmonella are gastroenteritis, enteric fever, and bacteremia, while the general symptoms of salmonella include vomiting, nausea, diarrhea, and abdominal pain. While there are typically few to no long-term effects as a result of a Salmonella infection, more serious complications may arise.
The purpose of this clinical journal entry is to elaborate on the details of lab day three. On lab day three, we had check-off for blood pressure and apical pulse. In addition, we took a safety test, and learned about mobility, immobility, how to use ambulatory devices, and reposition (C#4, C#6).
Tom, a critical care step-down nurse, was assigned to take care of Mr. Jones. Tom knew Mr. Jones, whom he had previously transferred to the regular medical-surgical unit. Mr. Jones was being treated for an acute exacerbation of COPD (Chronic Obstructive Pulmonary Disease). He was glad to see a familiar face and was able to build good rapport with Tom, even though he was wearing a BiPap. Mr. Jones suffered from shortness of breath in the BiPap had to be removed for him to eat. His color would become dusky if the BiPap remained off for too long. According to Tom, this was not a new experience for the patient, and he always improved after taking deep breaths. During this episode, Tom felt that Mr. Jones was not looking good, but a check of his vital signs revealed differently, they were within normal limits. Tom felt better about Mr. Jones’s condition. Near the end of the shift, however, Mr. Jones became restless and was complaining of shortness of breath. Tom recalled that when taking care of Mr. Jones previously, he frequently had episodes of anxiety with increased shortness of breath and hypoxia. Tom, using knowledge gained when working in a specialized unit, interpreted the patient’s behavior to be consistent with the theory that patients with chronic lung disease often need a hypoxic drive to sustain respiration. Following
The patient received general anesthesia. The CRNA monitored the patient 's heart rate, blood pressure, temperature, EKG, PaCO2, PaO2, pulse oximeter, and Bispectral index. The airway was maintained through intubation.
Adam reports some mild dyspnoea over the last year or so with episodic wheeze and chest tightness. There is no chronic cough. He is not aware of any gastro-intestinal or genito-uriniary issues or symptoms to suggest ocular
Food borne illnesses are caused by consuming contaminated foods or beverages. There are many different disease-causing microbes, or pathogens. In addition, poisonous chemicals, or other harmful substances can cause food borne illnesses if they are present in food. More than two hundred and fifty different food borne illnesses have been described; almost all of these illnesses are infections. They are caused by a variety of bacteria, viruses, and parasites that can be food borne. (Center 1)
The patient has experienced fever, chills on body, headaches and anorexia as well as sweating especially during the night. The patient has also been feeling fatigued, muscle aches and nausea as well as vomiting especially after eating (WHO, 2010, p. 117). These symptoms started forty eight hours ago, and the patient has not taken any medication except for some aspirin.