Nursing Case Study Assignment Sample: Analysis of Four Medical Conditions
Examine the four medical cases listed below and respond appropriately to the questions for this nursing case study assignment.
Solve issue 1 Situation:
The first scenario from this sample nursing case study assignment is provided below.
Aged 78-year-old Antasia Kyrillos was admitted to the rehabilitation unit after a cerebral vascular accident that affected the left side of her brain. The patient experienced right-sided hemiparesis due to trauma to the left side of the brain. Since the event occurred two weeks, the patient has made some progress with his or her condition. She is given a wheelie walker for safe transportation, which will help her to transfer from bed to chair and cover a short distance. The patient's lack of English language proficiency and inability to communicate nonverbally due to her hemiparesis and aphasia make interactions with her extremely difficult. According to the information provided by her family, the patient is in a situation of knowing everything but is unable to communicate her ideas. The patient shared a home with her daughter up until her CVA. Her family is anticipating her quick return following therapy.
According to the patient's medical file, the patient had a history of untreated hypertension, which finally led to a haemorrhagic stroke. The current condition of the patient's blood pressure is stable. The student receives the prescribed dosage of antihypertensive medications to maintain an appropriate blood pressure level.
Anastasia is recovering. Her health must be monitored. Diabetic Anastasia Therefore, her blood glucose levels must be carefully analysed. The patient should take the required prescription to maintain glucose levels (Lammert, 2008). He has hypertension. Monitor and record her blood pressure frequently. Blood pressure test is crucial since she's having a haemorrhagic stroke.
Anastasia's medical difficulties make her exposed to health risks. Type 2 diabetes and hypertension have killed the patient (LeMone & Burke, 2008). Changing blood pressure or glucose levels put the patient at danger. If blood pressure increases, another stroke or CVA may develop.
Challenge 2: The second circumstance in this sample nursing case study assignment is provided below.
22-year-old James Moorland was in an accident three weeks ago and had a fractured right femur. Soon after the accident, the patient was brought to the orthopaedic department, where his legs had two surgeries. The first procedure involved employing plates and screws for internal fixation, while the second involved cleaning the wound using the delayed closure technique.
The patients' bandages and closures were removed after two weeks, but now the incision has begun to separate and is seeping foul-smelling pus from the stitched region. The patient's history reveals a severe case of undernourishment, chain-smoking, and high alcohol consumption regularly. Since last month, a patient has experienced this MRSA disease three times in a row.
Situation: Gordon Freemason, a 53-year-old man in his middle age, fell into a gutter while working at home from a ladder. The person's occipital bone in his head was cracked, and his L4 and L5 vertebrae were broken. The patient also has an epidural hematoma in addition to the skull fracture. He underwent surgery, and the occipital fracture's state was elevated surgically to drain the bleeding that had developed in the skull. After his operation, he was under surveillance in the Intensive Care Unit for 12 hours.
Additionally, the patient has a disease where fluid is constantly running via the intravenous system. Since he frequently suffers from asthma episodes, he is given preventative inhalers. Long before the accident, the patient was taking antibiotics daily for a respiratory illness he was being treated with.
Problem: 4: The fourth circumstance in this sample nursing case study assignment is provided below.
Due to an appendix rupture, Louise Young, a 30-year-old lady in her middle age, underwent laparoscopic surgery. She has since been admitted back to the ward. Her data were later recorded as follows: blood pressure 140/75, respiration 28, pulse 112, and temperature 38.96°C. Louise has four abdominal incisions hidden beneath the skin and covered with clear occlusive bandages. The surgical sutures are all still releasing fluid, and the incisions are all completely intact.
The patient's abdomen is swollen, and she rates her pain as 8/10 on the pain scale. The patient has an intravenous line in the left cubital fossa, which lies within the elbow. Saline fluids and maintenance dextrose are being given to the patient at a rate of 125ml/hr. Louise is fitted with a nasogastric tube, allowing easy drainage because she does not take any medicine orally. During the convalescent period, the patient received the intravenous fentanyl dosage, and an extra prescription of intravenous morphine was completed.
The patient's health worsened after spending a half-hour in the ward. Following the deterioration of the situation, her medical measurements are pulse 160, temperature 40.1 °C, blood pressure 100/55, and respiration 36. The patient's abdomen has become more distended and swollen. The patient is unconscious and does not become cognizant again until she gets startled.
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