We would like to thank these people for making this case study a successful one:
• Our ever-supportive and loving parents, for imparting their trust to us and providing us financial support to come up with this kind of activity.
• To SPO4 Joel A. Balio, for welcoming us and allowing us to stay in their residence.
• To our client, who trusted us and allowed us to conduct a case study about her condition and being open to all the necessary things that we need to know.
• To the hospital personnel, for permitting us to use their confidential documents about our client to be our source of information.
• To our clinical instructor, Ms. Josefina Balote, RN, MN, for guiding us throughout our duty; and
• Lastly, to the almighty God, the Father, who guides us always and gives us good health and open mind for us to be able to finish this said study. Without these people, we won’t be able to do the things that we need to do and we won’t be able to learn from this case study. From the bottom of our hearts, thank you so much! May God bless us always.
Table of Contents
Title Pages
Acknowledgement ii
CHAPTER 1
I. Introduction 1
II. Objectives of the study 4
III. Assessment 5
IV. Course in the Ward 15
V. Laboratory and Diagnostic Examination 25
CHAPTER 2
I. Anatomy and Physiology 31
II. Etiology 40
III. Symptomatology 44
IV. Pathophysiology 49
V. Written Pathophysiology 54
CHAPTER 3
I. Nursing Care Plan 56
II. Discharge Plan 69
III. Pharmacological Management 74
CHAPTER 4
I. Conclusion 82
II. Patient’s Prognosis 82
III. Recommendation 83
IV. Evaluation 84
V. Bibliography 85
List of Figures
Figures Pages
1. Vital Sign 11
2. Course in the Ward 15
3. Hematology Report 25
4. Urinalysis 26
5. Blood Test 28
6. Blood Chemistry: Test
Bibliography: Birthday: August 24, 1944 Birthplace: Sugod, Cebu City Religion: Catholic Date of Admission: July 08, 2012 C. History of Present Illness Nanay Hika was admitted on June 8, 2012 at 09:06 in the morning at Bishop Joseph Regan Memorial Hospital, Tagum City F. Patient Need Assessment Date: July 09, 2012 Date/ Admission Time: July 08, 2012 at 09:06 AM, Arrived on Unit by: stretcher From: Emergency Room