Peter O Case Study Examples
Nursing Process Peter O. Case Study
The purpose of this paper is to provide the care plan and nursing process associated to the Peter O. case study. The objective is to examine the patient case and devise a nursing care plan specific to the needs of the patient. The paper will demonstrate the nursing process and provide reasoning for the chosen method of interventions. Highlighted in this paper is the priority nursing diagnoses and its associated goals and interventions.
Care Plan
Nursing Diagnosis (Priority): Impaired gas exchange related to altered oxygen supply, alveolar-capillary membrane change and unbalanced ventilation-perfusion as evidenced by shortness of breath, wheezing with cough, and dyspnea.
Data Cluster: Subjective: …show more content…
O accurately demonstrated safe habits in using respiratory devices and verbalized the purpose for each prescribed medication and its expected side effects prior to discharge. Plan will be to follow up with Mr. O to evaluate the effectiveness and compliance to the drug regimen.
Nursing Diagnosis (Long-term): Imbalanced nutrition: less than body requirements related to lack of socialization, inability to procure adequate types of food, and loss of appetite as evidenced by abnormal blood pressure and restlessness.
Data Cluster: Subjective:
Decreased appetite
Last meal (PTA): soup and cup of coffee
Experiencing constipation
Last bowel movement: 6 days ago
Stool brown, hard, no obvious melena/gross blood
Attempts to reduce salty and fried foods, but not attentive when eating alone (Mostly eats alone)
Groceries bought on sale or easy to prepare (mostly canned items-high salt content)
Buys canned foods (high salt) Objective:
Blood pressure 168/90
Mucous membrane dull red and moist
Slightly injected eye
Normal bowel sounds
Goal #1: (Short-term)
The client’s appetite will gradually improve by lunchtime. Interventions:
1. Encourage client to have friends or family bring foods that may be more appealing (Doegnes et al., 2013, p.
The purpose of this paper is to provide the care plan and nursing process associated to the Peter O. case study. The objective is to examine the patient case and devise a nursing care plan specific to the needs of the patient. The paper will demonstrate the nursing process and provide reasoning for the chosen method of interventions. Highlighted in this paper is the priority nursing diagnoses and its associated goals and interventions.
Care Plan
Nursing Diagnosis (Priority): Impaired gas exchange related to altered oxygen supply, alveolar-capillary membrane change and unbalanced ventilation-perfusion as evidenced by shortness of breath, wheezing with cough, and dyspnea.
Data Cluster: Subjective: …show more content…
O accurately demonstrated safe habits in using respiratory devices and verbalized the purpose for each prescribed medication and its expected side effects prior to discharge. Plan will be to follow up with Mr. O to evaluate the effectiveness and compliance to the drug regimen.
Nursing Diagnosis (Long-term): Imbalanced nutrition: less than body requirements related to lack of socialization, inability to procure adequate types of food, and loss of appetite as evidenced by abnormal blood pressure and restlessness.
Data Cluster: Subjective:
Decreased appetite
Last meal (PTA): soup and cup of coffee
Experiencing constipation
Last bowel movement: 6 days ago
Stool brown, hard, no obvious melena/gross blood
Attempts to reduce salty and fried foods, but not attentive when eating alone (Mostly eats alone)
Groceries bought on sale or easy to prepare (mostly canned items-high salt content)
Buys canned foods (high salt) Objective:
Blood pressure 168/90
Mucous membrane dull red and moist
Slightly injected eye
Normal bowel sounds
Goal #1: (Short-term)
The client’s appetite will gradually improve by lunchtime. Interventions:
1. Encourage client to have friends or family bring foods that may be more appealing (Doegnes et al., 2013, p.