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What is nursing case study?
The purpose of this nursing case study course is to aid nursing students in developing critical thinking. Experienced nurses with first-hand knowledge of the “real-world” disease process wrote each case study. Each unfolding nursing case study includes answers laid out by Blooms Taxonomy to assist you realise that you are advancing to clinical analysis, which will help you improve your nursing clinical judgement (critical thinking). Since this is where the true learning takes place, we strongly advise you to read the case study and thoroughly complete the “critical thinking checks.” No worries if you become stumped by a particular issue; just review the relevant lesson to reaffirm your grasp.
Growing in your clinical judgement is ultimately the goal of nursing case studies. The better you are at analyzing and solving problems, the better off your patients will be. Nursing case studies are a great way to see how theoretical knowledge can be apply in real-life situations. You can use these studies to improve your own clinical judgement by thinking about what you would do in the same situation.
Nursing Case Study Example
Mary, the case manager, was extremely important to Randall’s healing during his stay. She came to the conclusion that his history of medical noncompliance and his unhealthy lifestyle were the main causes for concern. The case manager spoke with Dietary and asked them to inform Randall about a healthy eating plan. She also gave him information about quitting smoking. Mary decided that social services should speak with Randall because he hasn’t been taking his medicine as prescribed in order to ascertain the cause of his noncompliance. Randall claimed that he didn’t really understand why he had to take the medication, Social Services informed Mary. He had obviously not had a sufficient education.
Since Mary recognised that Randall’s ability to attend the rehab centre would have a significant impact on his final outcome, she also needed to work with his insurance to make sure he could. Last but not least, the case manager gave Randall and his wife access to resources on stroke education materials throughout their stay. With the help of the nurses, the couple was reminde of the advantages of quitting smoking, medication compliance, lifestyle changes, and stroke awareness. After Randall was release, the write my nursing assignment followed up with him to make sure he attend his follow-up visits with the neurologist, physical therapist, and speech therapist.
- What risk elements played a part in Randall’s stroke?
- What kinds of contraindications would have stopped Randall from receiving t-PA?
- What aspects led to Randall’s overall successful outcome?
Example of a Solved Nursing Case Study
Patient for the situation underneath created sepsis because of a UTI. Patient, Mrs. June Peters (84), was discovere by her little girl Mary Jones in a serious state of bewilderment inside her loft. With sickness, retching, outrageous disarray, shuddering, extreme right flank torment (8/10), pale and mottle skin, tachypnea, tachycardia, and a hoist temperature,
The patient in the case below developed sepsis as a result of a UTI. Patient, Mrs. June Peters (84), was discovere by her daughter Mary Jones in a severe condition of bewilderment inside her apartment. With nausea, vomiting, extreme confusion, shivering, severe right flank pain (8/10), pale and mottle skin, tachypnea, tachycardia, and an elevate temperature, she was taken to the emergency department. Her vital signs were 102°F, 112°R, 28°R, 85°P, and 92% SaO2 on room air. The doctor thought there might be a UTI.
What should be done in light of this knowledge?
Code When sepsis was suspected, the following tests and diagnoses were ordered: CBC, lactate level, ABGs, CMP, coagulation screen, C-reactive protein, Procalcitonin, Gram stains/cultures, blood culture, urinalysis & urine culture, ultrasound of the abdomen & pelvis, and 2 L O2 with nasal cannula. Patient was start on Zosyn while findings were await (Piperacillin-tazobactam 4.5g IV Q8H extend infusion).
Significant findings were as follows when lab and diagnostic test results were available: WBC 13.5, Lactic Acid 9.8, CRP 120, ProCT 8.7, Blood Culture Positive for E. Coli, Creatin 2.0, BUN 45, and the ultrasound revealed evidence of right kidney infection. Transferring Mrs. Peters to the ICU.
Mrs. Peters’ standing has gotten worse over night. She was move to a non-rebreather mask at 10 L O2 since her SpO2 remain constant at 76% on 6 L NC. The doctor was contact since the SpO2 remaine at 77% and the respiratory rate was at 10. Before intubating the patient, he opted to place him on a ventilator and gave him a propofol sedative. A chest x-ray was taken, and it verify that the ET was position correctly. The ventilator’s A/C setting was select for the patient, and continuous ABG monitoring was mandating. Additionally, the crystalloid that was ordered the day before as part of the 3-hour sepsis bundle failed to lower her blood pressure.
How did the caseworker use therapeutic communication in this conversation, second? What channels of communication for therapy did she employ?
After being extubate for two days, Mrs Peters was finally release from the hospital on day 10. She would go to a neighbouring assisted living facility, she and her daughter decided. The nurse gathered all the papers for discharge and educated Mrs Peters on UTIs and how to avoid them.
Subsequent to being extubate for two days, Mrs Peters was at last delivery from the clinic on day 10. She would go to an adjoining helped living office, she and her girl chose. The medical caretaker accumulated every one of the papers for release and taught Mrs Peters on UTIs and how to keep away from them.
Question no 1. The beginning of code sepsis.
Question no 2. The caseworker defused a difficult conversation by using therapeutic communication. She was able to assist the daughter in accepting her mother’s changing circumstances and in keeping her attention on what was best for her mother. She applied the focusing, restating, recognising, and silent strategies.
The case manager stopped a troublesome discussion by utilizing helpful correspondence. She had the option to help the girl in tolerating her mom’s changing conditions and in keeping her consideration on what was best for her mom. She applied the centering, rehashing, perceiving, and quiet methodologies.
These are some of the case study examples that have been share by the best nursing case study writers. Hope these help you in reaching the right answer for your case study. All the best.