Nursing Case Studies

804 Words2 Pages
bulb-icon

Recommended: Socio-economic influences on health outcomes

Ms. Jones a 28-year old African American female who presented to the emergency department for evaluation of right foot pain, fever, and nausea. The purpose of this paper is to identify 2 nursing diagnosis with 1 scholarly, supported article for each diagnosis. And to summarize 2 scholarly articles that address evidence-based practice when treating this patient.
Status of the Patient
Ms. Jones has never been married, no children. Lives independently since age 20 and currently lives with mother and sister to help with family support. Patient works 32 hours a week as a printing and shipping clerk. Ms. Jones is very active in her church and relies on them for support. Occasional alcohol use of 10-12 drinks a month and occasional cannabis use from …show more content…

Patient is 5’7” tall and weighs 195lbs. Labs revealed a high WBC at 18.6, a low Hgb at 11.1, a low Hct at 32.8, and a low MCV at 79. High neutrophils count at 76, low lymphocytes of 16 and a HgbA1c of 8.7. Glucose measured high at 133, and BUN was high at 28. Protein and Albumin low at 5.9 and 3.4. Patients LDL was high at 124. Urine protein was high with 1+ and glucose 1+ as well. The bacterial culture of right foot indicated Staphylococcus aureus. Right foot x-ray showed mild degenerative changes accelerated for patient’s age and mild dorsal soft tissue swelling in the forefront. No acute osseous finding in the right foot or ankle.
Nursing Diagnosis
1. Acute Pain
Emmanuel, N., & Lee, P. (2014). Acute Pain Management. International Journal of Nursing Education, 93-97. Retrieved from Acute Pain Management.
Acute pain often occurs from surgery, ischemia and acute inflammation. Pain acts as a warning sign to underlying issues in the body (Emmanuel & Lee, 2014). Ms. Jones is unable to walk without pain due to injury to right foot. Pain is a 9 on a scale of 0-10 when ambulating.
Todd, K H. (2017). A review of Current and Emerging Approaches to Pain Management in the Emergency Department. Scholarly Journals,

Show More
Related

  • Nurse Practitioner Case Study

    1191 Words  | 3 Pages

    The role of nurse practitioner in the Canadian healthcare system is relatively new compared to the traditional roles of doctors and registered nurses, and as with any new role, there are people who oppose the changes and others who appreciate them. Some members of the public and the healthcare system believe that the addition of the nurse practitioner (NP) role is an unnecessary change and liability to the system because it blurs the line between a doctor and a nurse; this is because nurse practitioners are registered nurses with additional training (usually a masters degree) that allows them to expand their scope of practice into some areas which can be treated by doctors. Other people feel that nurse practitioners can help provide additional primary care services, while bridging communication between nurses and doctors. There are always legitimate challenges to be overcome when changing a system as complicated as healthcare,

    Read More

  • Nurses Scope Of Nursing Case Study

    708 Words  | 2 Pages

    This discussion board is about the nurse’s scope of practice. The purpose of this posting is to discuss the definition and standards of the nurse’s scope of practice as defined by the American Nurses Association (ANA) and by the Ohio Board of Nursing with an example of how to use the standards of practice. Per the ANA, when determining the nurse’s scope of practice there is no one specific explanation that can be provided due to the fact that registered nurses can have a general practice or a practice that is very specialized. The limits that are placed on a RN’s scope of practice will depend on a registered nurse’s education, type of nursing, years as a nurse, and the patients receiving care. At the basic level, every nurse’s practice

    Read More

  • Nursing Case Study

    1069 Words  | 3 Pages

    The general idea of, K, is that a nurse must have knowledge in the diversity of cultures, ethics, and education. The significance of this faction being that if the nurse is cognizant of the patient 's culture, beliefs, family values, support systems, and education level, a more thorough and comprehensive plan of care can be formulated. The premise of, S, is that a nurse must be skilled in the ability to communicate with and advocate for the patient, assess for and properly treat pain, and incorporate the needs and concerns of the patient and their family. The significance of this group and development of these skills include the achievement of pain control, increased rehabilitation periods, and an increase in patient/family satisfaction. The theme of, A, requires that a nurse maintains an open attitude toward the patient and to respect and validate the nurse-patient relationship, which will aid in a positive nurse-patient

    Read More

  • Biopsychosocial Observation

    2035 Words  | 5 Pages

    Intervention options include trauma focused substance abuse treatment and parenting with children present. Barriers to this plan include financial issues, maslows hierarchy of needs, if she is unable to keep housing then she will not be able to address psychological well-being. May need a mezzo intervention to ensure. Macro intervention to affordability and transportation etc. Affordability of quality care and transportation/price to travel. Progress will be evaluated through her maintained sobriety, and tracking of skills through the parenting program as well as a parenting stress index, scl 90-r, and

    Read More

  • The Efficacy of Patient-Controlled Analgesia

    1438 Words  | 3 Pages

    Lindley, P., Pestano, C. R., & Gargiulo, K. (2009). Comparison of postoperative pain management using two patient-controlled analgesia methods: Nursing perspective. Journal of Advanced Nursing, 65(7), 1370-1380. doi: 10.1111/j.1365-2648.2009.04991.x

    Read More

  • Chronic Pain Management in Preoperative Patient Care

    1194 Words  | 3 Pages

    Institute of Medicine Report from the Committee on Advancing Pain Research, Care and Education. (2011). Relieving Pain in America A Blueprint for Transforming Prevention, Care, Education and Research. Retrieved from http://books.nap.edu/openbook.php?records_13172

    Read More

  • Nursing Case Study

    518 Words  | 2 Pages

    A registered nurse (RN) is someone that went through a university or college and studied nursing; and then passed the national licensing exam to obtain a license to practice nursing. The degree earned by an RN at the need of the program is deemed a professional nursing degree. The RN top nursing staff and they usually works independently. On the hand, an LPN only earns a practical nursing degree after completion of the program. LPNs are mostly recognized only in USA and Canada; they are also named as License Vocational Nurse (LVN) in the state of California and Texas. LPN work under the supervisor of an RN or a physician.

    Read More

  • Assessment of Post-Operative Pain in Dementia Patients

    1954 Words  | 4 Pages

    Assessing and managing pain is an inevitable part of nursing and the care of patients. Incomplete relief of pain remains prevalent despite years of research due to barriers such as lack of kn...

    Read More

  • Nursing Diagnosis

    1434 Words  | 3 Pages

    On admission, a complete physical assessment was performed along with a blood and metabolic panel. The assessment revealed many positive and negative findings. J.P. was positive for dyspnea and a productive cough. She also was positive for dysuria and hematuria, but negative for flank pain. After close examination of her integumentary and musculoskeletal system, the examiner discovered a shiny firm shin on the right lower extremity with +2 edema complemented by severe pain. A set of baseline vitals were also performed revealing a blood pressure of 124/80, pulse of 87 beats per minute, oxygen saturation of 99%, temperature of 97.3 degrees Fahrenheit, and respiration of 12 breaths per minute. The blood and metabolic panel exposed several abnormal labs. A red blood cell count of 3.99, white blood cell count of 22.5, hemoglobin of 10.9, hematocrit of 33.7%, sodium level of 13, potassium level of 3.1, carbon dioxide level of 10, creatinine level of 3.24, glucose level of 200, and a BUN level of 33 were the abnormal labs.

    Read More

  • Nursing Case Study

    715 Words  | 2 Pages

    “We can’t turn away from a patient’s pain just because it’s difficult” (chapman, 2015, p. 88). I know the path of least resistance is taking a path of ignorance. Easy, is to ignore or neglect the true pain patients experience in times of crisis. As caregivers I believe we all want to heal others or we wouldn’t be in the field of nursing, but there are only handfuls willing to be present during the healing process because sharing one’s pain hurts. As a surgical nurse, I find being genuinely present takes hard work on my behalf, not only mentally but emotionally. On a unit where patient’s needs and conditions are changing at astonishing rates, being present requires mental strength in order slow down enough to recognize the value presence

    Read More

  • Theory of Acute Pain Management

    1261 Words  | 3 Pages

    The major concepts deduced from the hypothesis fall under three categories: (1) multimodal intervention, (2) attentive care, and (3) patient participation. Multimodal intervention includes the concepts of potent pain medication, pharmacological adjuvants, and non-pharmacological adjuvants. Attentive care relates to the assessment of pain and side effects and intervention along with reassessments. Patient participation includes goal setting and patient education. The resulting outcome of these three categories working together is the balance between analgesia and side effects.

    Read More

  • Nursing Care Plan

    10498 Words  | 21 Pages

    MEDICAL DIAGNOSIS: Empyema, Hemoptysis, Necrotizing pneumonia, Aspergillosis (Aspergillus fumigatus) cachexia secondary to malnutrition/infection, hypothyroidism, Diabetes Type II melitius , and...

    Read More

  • Nursing Essay: Pain Management.

    1478 Words  | 3 Pages

    Pain, which is defined in its widest sense as an emotion which is the opposite of pleasure (White, 2004, p.455), is one of the major symptoms of cancer, affecting a majority of sufferers at some point during their condition (De Conno & Caraceni, 1996, p.8). The World Health Organization (WHO, 2009, online) suggests that relief from pain may be achieved in more than 90 percent of patients; however, Fitzgibbon and Loeser (2010, p.190) stress that pain may often be undertreated, even in the UK. Foley and Abernathy (2008, p.2759) identify numerous barriers to effective pain management, among which are professional barriers such as inadequate knowledge of pain mechanisms, assessment and management strategies.

    Read More

  • Pain Management and Palliative Care

    1313 Words  | 3 Pages

    Management of pain is very important when it comes to palliative care patients, considering that 55-95% of this patient population requires analgesia for pain relief (Creedon & O’Regan, 2010, p. [ 257]). But what is considered pain management? And why does pain continue to be inadequately treated? According to the article on chronic non-cancer pain in older people: evidence for prescribing, in the past few decades significant improvements have been made to the management of pain in palliative care. However, it is universally acknowledged that pain on a global scale remains inadequately treated because of cultural, attitudinal, educational, legal, and systemic reasons (Creedon & O’Regan, 2010, p. ...

    Read More

  • Physical Assessment Case Study

    1005 Words  | 3 Pages

    African American man named K.O. came to the clinic for a head to toe assessment. Patient has no present illness and has seasonal allergies to grass pollen and lactose intolerance. Patient states that they had all childhood immunization. Patient stated in 1999 he had surgery n his right ankle at NYU hospital. Patient states that their health is okay and denies fever, weakness, weight loss and weight gain. Patient current medication regimen is an occasional over the counter ibuprofen (Advil) for headache. Reports smoking marijuana at least 2-5 times weekly. Reports that he has been smoking for more than 16 years and currently smoke one and a half a pack of cigarette a day. Family medical history of hypertension, drug and alcohol dependency on mother's side and father died of end stage renal failure (ESRF). Review of systems patient states he has occasional migraines.

    Read More

More about Nursing Case Studies

Open Document