Click here (I COPIED AND PAST IT ON BELOW) to download and analyze the case study for this week. Create a holistic care plan for disease prevention, health promotion, and acute care of the patient in the clinical case. Your care plan should be based on current evidence and nursing standards of care.

The RN is developing a plan of care for an 86-year-old patient who was admitted after falling at home. The patient is confused to place and time and has a right hip fracture that will be repaired tomorrow. The patient has an intravenous infusion of normal saline infusing at 100mL per hour, and is NPO after midnight. The patient?s vital signs are stable. The RN has included these nursing diagnostic labels in the plan of care:
January 24, 2019
Reflect on the comments made by Dr. Mauk in this week?s media presentation on the value of qualitative research in nursing. Locate the journal Qualitative Health Research in the Sage Premier database in the Walden Library
January 24, 2019

Click here (I COPIED AND PAST IT ON BELOW) to download and analyze the case study for this week. Create a holistic care plan for disease prevention, health promotion, and acute care of the patient in the clinical case. Your care plan should be based on current evidence and nursing standards of care.

CASE STUDY

Week 2: Respiratory Clinical Case

Patient Setting:

65 year old Caucasian female that was discharged from the hospital 10 weeks ago after a motor vehicle accident presents to the clinic today. States she is having severe wheezing, shortness of breath and coughing at least once daily. She can barely get her words out without taking breaks to catch her breath and states she has taken albuterol once today.

HPI

Frequent asthma attacks for the past 2 months (more than 4 times per week average), serious MVA 10 weeks ago; post traumatic seizure 2 weeks after the accident; anticonvulsant phenytoin started ? no seizure activity since initiation of therapy.

PMH

History of periodic asthma attacks since early 20s; mild congestive heart failure diagnosed 3 years ago; placed on sodium restrictive diet and hydrochlorothiazide; last year placed on enalapril due to worsening CHF; symptoms well controlled the last year.

Past Surgical History

None

Family/Social History

Family: Father died age 59 of kidney failure secondary to HTN; Mother died age 62 of CHF

Social: Nonsmoker; no alcohol intake; caffeine use: 4 cups of coffee and 4 diet colas per day.

Medication History

Theophylline SR Capsules 300 mg PO BID

Albuterol inhaler, PRN

Phenytoin SR capsules 300 mg PO QHS

HTCZ 50 mg PO BID

Enalapril 5 mg PO BID

Allergies

NKDA

ROS

Positive for shortness of breath, coughing, wheezing and exercise intolerance. Denies headache, swelling in the extremities and seizures.

Physical exam


 

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The post Click here (I COPIED AND PAST IT ON BELOW) to download and analyze the case study for this week. Create a holistic care plan for disease prevention, health promotion, and acute care of the patient in the clinical case. Your care plan should be based on current evidence and nursing standards of care. appeared first on STUDENT HOMEWORKS.

 
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