Question: Case Study Example For Beginning Concept Mapping Patient Is A 76-year-old Female Who Lives With Daughter. She States That Her Breathing Was Becoming More Difficult These Past Few Days And She Began To “sweat”. Her “boyfriend” Finally Showed Up At The Apartment And Was Able To Call 911 With His Cell Phone. Patient Reports That Her Phone And Tv Had Been …
Case Study Example for Beginning Concept Mapping Patient is a 76-year-old female who lives with daughter. She states that her breathing was becoming more difficult these past few days and she began to “sweat”. Her “boyfriend” finally showed up at the apartment and was able to call 911 with his cell phone. Patient reports that her phone and tv had been turned off past week, leaving her totally dependent on help. Patient states that her daughter hasn’t been home in a few days and patient is dependent on daughter for obtaining medications, ADL’s, meals. Patient also states that her daughter has “stolen all my money” and that she is destitute. XRAYS: Show bilateral infiltrates with an admitting diagnosis of COPD/pneumonia. PMH: COPD, AFIB, CAD, Hypertension, DM 2, GERD, depression, dementia, macular degeneration, heart failure, anxiety. PHYSICAL ASSESSMENT: Pt is A & O X3, able to follow commands and verbalize needs • VS: Temp: 99.4, HR: 96, RR: 28, BP: 158/76, SPO2 88%, Pain: left outer chest pain 8/10 (when she takes a deep breath) LS: coarse crackles t/o, • Multiple ecchymotic areas on upper extremities from chronic use of steroids Continent of urine and bowel (last BM today). Up with one assist and walker. CBG this am: 219. . MEDS: Amlodipine, bisoprolol, bupropion, diazepam, Heparin, Glimepiride, mag oxide, methylprednisolone, Humalog sliding scale. NS 125 cc/hr., oxycodone IR 5 mg Q4 hours for pain LABS: BNP 156 K 3.8 Platelets 188 H & H 10.1/32 • WBC 14.3 Albumin 2.6 BUN 36 . . . CR 1.8 TOP 3 Priority Concepts: 1. Oxygenation 2. 3. Identify the care team members and their involvement with this patient and why? All care members Patient Diagnosis: Disorder/Disease Process Concept (1): 1. Describe how the pathophysiology and concept relate to this patient. ✓ How it agents oxygenation. person an 2. Identify specific risk factors evident in this patient, and why? & Past Medical History (Modifiable & non-modifiable 3. What assessment findings connected this concept to the patient? Why? ✓ out for oxygenation 4. What specific laboratory tests and diagnostic tests would you anticipate for this patient related to the concept? Why? exigention only 5. What is the worst complication this patient might experience related to this concept? Why? How would you tell? v Comptonggenation 6. What medications is this patient taking related to the concept? Why? Concept Oxygenation. 7. What safety considerations do you have for this patient related to the concept and why? Concept or 8. What nursing interventions did/would you provide for this patient related to the concept? Why? ✓ Concept 9. What patient specific outcomes would you have based on your interventions? Why? Concept a 10. What patient specific education did/would you provide based on this concept? Why? OV Corupt & de KEY-V FOCUS YOUR DISCUSSION (ANSWER) ON OXYGENATION CONCEPT ONLY Revised 12/2019
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