The development of a nursing care plan steps developed from the nursing process which includes: 1. Any opinions, findings, conclusions or recommendations expressed in this material are those of the authors and do not necessarily reflect the views of NursingAnswers.net. Mr. Bruce is a 93 year old former high school principal residing in your long term care neighborhood. As Mrs Win has just had a Laparoscopic Cholecystectomy her mobility would be significantly affected due to a number of reasons. – Read through each section together, discuss and try to answer all the Critical Thinking Checks, and proceed through the entire case study 13th Feb 2020 Impaired mobility has a substantial affect on body functioning and the ability to perform acitivities of daily living. She is at risk of developing atelectasis due to surgery, lack of nutritional intake and immobility (Hatfield & Tronson, 2009). The specialized role of nursing in the care and education of people with diabetes has been in existence for more than 30 years. These books provide students with possible nursing scenarios that are common in different practical settings. She may also be drowsy and fatigued due to the anaesthetic given in surgery. Exploration of the importance of this issue was addressed along with what impact immobility has on other nursing issues. 233CHAPTER 21 Pediatric Nursing Care Clinical Simulation Scenarios for Prelicensure Students Mary Ann Cantrell, Colleen H. Meakim, and Kathryn M. Reynolds A. Case Study – Nursing Care for a Patient Scenario (Mrs. Jones) Nursing Care Plan Area(s): Nutrition and Hydration Nursing diagnosis (1). She is experiencing pain and nausea which would discourage her from attempting to ambulate. Teaching Files : The Nuclear Medicine division of Washington University in St. Louis offers teaching … As Mrs Win has a history of osteoarthritis, recovering from surgery and travelling in a caravan, an assessment by an occupational therapist may be beneficial in her treatment. Scenario Number 1. Collaborative roles of other health professionals would be beneficial in the holistic care of Mrs Win. Nursing care plan . This brief outline offers a basis on which to plan and implement suitable nursing care for Mr. Robbins. This is my scenario: You are a registered nurse employed by a residential aged care facility to undertake comprehensive nursing assessments, develop plans of care and monitor the implementation and evaluation of this care in the facility. Initially the patient’s medical diagnosis was explored, following by identification and examination of the top seven prioritised nursing issues. Mrs Win is also being administered morphine which could also potentially cause respiratory depression (Porth & Matfin, 2009). Critical care nursing is a complicated and rewarding field in which to work. Focus is made on the key nursing problem-immobility, and discussion is made as to why this issue is important to address and what impact immobility has on other nursing issues. Crisp and Taylor (2005) state that the activities of daily living are the activities usually performed in the course of a day, necessary for adequate self-care. NURSING CARE PLAN CASE SCENARIO M.M is a 68-year-old Caucasian female, who arrived to the emergency room with severe shortness of breath, bilateral lower extremity edema, poor endurance, and lethargy. As exercise increases skeletal muscle blood flow this would also affect Mrs Win as she is receiving intramuscular analgesia and this improves absorption of the drug after injection. I have ordered a care plan book, though! Additionally, Mrs Win is at increased risk of developing pressure ulcers and/or deep vein thrombosis due to her immobility. She is a no-code and no allergies. As independent nursing intervention, patient was placed on bed safely in high back rest and hooked to O2 inhalation at 5 Lpm via face mask. PATIENT BACKGROUND 1. 1 0 obj Registered Data Controller No: Z1821391. Mental status confusion and View Case Scenario 4.docx from MEDICAL SU 033 at San Jose City College. Mrs Win also has a history of hypertension, which is defined as persistent blood pressure readings above the normal range (above 120mmHg systolic; 80mmHg diastolic) (Berman, et al., 2008). Free resources to assist you with your nursing studies! She is a no-code and no allergies. Nursing Points General Mrs. T is an 89-year-old woman that arrived in the emergency room by ambulance from her assisted living facility. Also, a large proportion of students start preparing the assignment one day before the due date. Acute cholecystitis is generally due to diffuse inflammation of the gallbladder, usually secondary to obstruction of the gallbladder by gallstones. Eating and drinking are essential constituents in maintaining body homeostasis and a well balanced diet is crucial to her recovery as it impacts on her ability to perform all activities of daily living. Company Registration No: 4964706. Mrs.Priss. She has a higher than normal respiratory rate and blood pressure which may be signs of anxiety. IMPLEMENTATION OF SIMULATION-BASED PEDAGOGY IN YOUR INDIVIDUALIZED TEACHING AREA As experienced in other areas of clinical practice, pediatric clinical sites are becoming sparse in health care systems that are dedicated exclusively to… x����n�0��H��Yڋ8�;�H)�U�)� ]�] J)�� Walk through a sample case study on trauma nursing to see how to care for a patient with multiple injuries, emergent situations and changing priorities. Their aim is to improve a patient’s ability to participate in these activities by modifying the environment to support participation. evidence-based nursing care you’ll provide. The patients are critically ill and require specialized care for the best outcomes. Diabetes education carried out by nurses has moved beyond the hospital bedside into a variety of health care settings. Their role is to improve the quality of life by helping them cope with and solve issues in their everyday life. A dietician would have an important role in the postoperative care of Mrs Win as she has just had surgery and it is crucial that she consumes a diet suitable to her needs to facilitate a good recovery.