Multisystem Case Study
Running head: MULTISYSTEM CASE
Multisystem Case Scenario
Demis Russu
Section Instructor: Josanne Christian
Florida Hospital College of Health Sciences
July 22, 2010
Abstract
Mr. Jones presents to the ED with a complex combination of symptoms. Clinicians must swiftly evaluate and treat his conditions. Air way protection as well as hemodynamic stability is extremely important. Mr. Jones’s case requires rapid intervention as his condition has been worsening for the past week. Pathology and treatment options are explored to enrich the educational component. Emotional support and long term treatment options must be discussed with Mr. Jones in order to meet his needs.
Multisystem Case Study Heart failure (HF) is approaching epidemic levels. The statistics are staggering. Approximately 5 million people are currently diagnosed with HF in the U.S. with 550,000 being diagnosed yearly; health care cost is approaching an exorbitant $28 billion annually (Rasmusson & Renlund, 2006). Chronic obstructive pulmonary disease (COPD) is presently the fourth leading cause of death world wide (Kara, 2005). As nurses it is imperative that we educate patients and their family members on risk reduction, identifying early signs and symptoms and latest treatment advances made towards controlling chronic conditions such as HF and COPD.
Scenario
Mr. Jones 68 y/o male arrives at the Emergency Department (ED) with complaints of increased dyspnea with exertion for the past three days, weight gain of 6 lbs in the last week, swelling to legs and feet and a noticeable decrease in urination. Mr. Jones does have a history of congestive heart failure (CHF), emphysema, hypertension, Type II diabetes and rheumatic fever as a child. The patient admits to a long history of cigarette smoking having decreased his smoking to ½ a pack daily since being diagnosed with emphysema five years ago.
On initial assessment Mr. Jones appeared stated age but fatigued, was alert
Multisystem Case Scenario
Demis Russu
Section Instructor: Josanne Christian
Florida Hospital College of Health Sciences
July 22, 2010
Abstract
Mr. Jones presents to the ED with a complex combination of symptoms. Clinicians must swiftly evaluate and treat his conditions. Air way protection as well as hemodynamic stability is extremely important. Mr. Jones’s case requires rapid intervention as his condition has been worsening for the past week. Pathology and treatment options are explored to enrich the educational component. Emotional support and long term treatment options must be discussed with Mr. Jones in order to meet his needs.
Multisystem Case Study Heart failure (HF) is approaching epidemic levels. The statistics are staggering. Approximately 5 million people are currently diagnosed with HF in the U.S. with 550,000 being diagnosed yearly; health care cost is approaching an exorbitant $28 billion annually (Rasmusson & Renlund, 2006). Chronic obstructive pulmonary disease (COPD) is presently the fourth leading cause of death world wide (Kara, 2005). As nurses it is imperative that we educate patients and their family members on risk reduction, identifying early signs and symptoms and latest treatment advances made towards controlling chronic conditions such as HF and COPD.
Scenario
Mr. Jones 68 y/o male arrives at the Emergency Department (ED) with complaints of increased dyspnea with exertion for the past three days, weight gain of 6 lbs in the last week, swelling to legs and feet and a noticeable decrease in urination. Mr. Jones does have a history of congestive heart failure (CHF), emphysema, hypertension, Type II diabetes and rheumatic fever as a child. The patient admits to a long history of cigarette smoking having decreased his smoking to ½ a pack daily since being diagnosed with emphysema five years ago.
On initial assessment Mr. Jones appeared stated age but fatigued, was alert
References: Brashers, V.L. (2008). Alterations of cardiovascular function. In S. Huether, & K. McCance, (Ed.), Understanding pathophysiology (4th ed.) (pp.606-675). St. Louis: Mosby Elsevier. Brashers, V.L. (2008). Alterations of pulmonary function. In S. Huether, & K. McCance, (Ed.), Understanding pathophysiology (4th ed.) (pp.693-713). St. Louis: Mosby Elsevier. Kara, M. (2005). Preparing nurses for the global pandemic of chronic obstructive pulmonary disease. Journal of Nursing Scholarship, 37(2), 127-133. Retrieved from CINAHL database. Rasmusson, K., Hall, J., & Renlund, D. (2006). Heart failure epidemic: boiling to the surface. Nurse Practitioner, 31(11), 12. Retrieved from CINAHL database Redderson, L., Keen, C., Nasir, L., & Berry, D. (2008). Diastolic heart failure: state of the science on best treatment practices [corrected] [published erratum appears in J AM ACAD NURSE PRACT 2008 Nov;20(11):576]. Journal of the American Academy of Nurse Practitioners, 20(10), 506-514. Retrieved from CINAHL database. Roodpeyma, S., Kamali, Z., & Zare, R. (2005). Rheumatic fever: The relationship between clinical manifestations and laboratory tests. Journal of Paediatrics & Child Health, 41(3), 97-100. doi:10.1111/j.1440-1754.2005.00557.x.