Comprehensive Case Study
Comprehensive Case Study
The subject of my case study is an alert and oriented Native American male between the age of 60-65, who was admitted to the hospital for abdominal pain with a medical diagnosis of a possible postoperative small bowel obstruction or an ileus. 21 days prior to being admitted, the patient was travelling for work in Mexico when he underwent an emergency open cholecystectomy versus laparoscopic due to formed adhesions from 3 previous colon resection surgical procedures. Patient was placed on Total Parenteral Nutrition (TPN) for 2 days and then discharged to resume work. Patient was readmitted to the hospital in Mexico for abdominal pain and diagnosed with an ischemic bowel in which an exploratory laparotomy was performed removing 50 cm of the small bowel 10 days later. He was placed on a clears diet, but due to poor tolerance resumed TPN for six days. Due to the complexity of his status, the patient requested being transferred to a facility in his native country, U.S.A. The patient was transferred to the current site, admitted with abdominal pain and diagnosed with possible bowel obstruction. Due to complications in translating the medical records from Mexico, TPN was not ordered for the patient until his fifth day of care. The patient is a full code with allergies to Morphine, Penicillins and shellfish.
Background Information
The patient belongs to the San Carlos Apache Reservation, and practices Native American beliefs. He has been married to his wife for 39 years and conceived 3 children who are now of adult age. He is college educated, middle socioeconomic status and is employed as a Regional Sales Manager for an Agriculture company. He is family and career focused, and prides himself on being a “damn good father, grandfather, husband, son, healer and provider.” Based on this information, he is categorized well in Erikson’s psychosocial development of Generativity versus Stagnation. (Wilkinson & Treas, 2011) Patient is
The subject of my case study is an alert and oriented Native American male between the age of 60-65, who was admitted to the hospital for abdominal pain with a medical diagnosis of a possible postoperative small bowel obstruction or an ileus. 21 days prior to being admitted, the patient was travelling for work in Mexico when he underwent an emergency open cholecystectomy versus laparoscopic due to formed adhesions from 3 previous colon resection surgical procedures. Patient was placed on Total Parenteral Nutrition (TPN) for 2 days and then discharged to resume work. Patient was readmitted to the hospital in Mexico for abdominal pain and diagnosed with an ischemic bowel in which an exploratory laparotomy was performed removing 50 cm of the small bowel 10 days later. He was placed on a clears diet, but due to poor tolerance resumed TPN for six days. Due to the complexity of his status, the patient requested being transferred to a facility in his native country, U.S.A. The patient was transferred to the current site, admitted with abdominal pain and diagnosed with possible bowel obstruction. Due to complications in translating the medical records from Mexico, TPN was not ordered for the patient until his fifth day of care. The patient is a full code with allergies to Morphine, Penicillins and shellfish.
Background Information
The patient belongs to the San Carlos Apache Reservation, and practices Native American beliefs. He has been married to his wife for 39 years and conceived 3 children who are now of adult age. He is college educated, middle socioeconomic status and is employed as a Regional Sales Manager for an Agriculture company. He is family and career focused, and prides himself on being a “damn good father, grandfather, husband, son, healer and provider.” Based on this information, he is categorized well in Erikson’s psychosocial development of Generativity versus Stagnation. (Wilkinson & Treas, 2011) Patient is
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