Case Study Pg 204: Essentials of Critical Care Nursing Mrs. K.‚ A 68 year-old white woman‚ has been admitted to the critical care unit with shortness of breath at rest. Vital signs are BP‚ 218/100 mm Hg; HR‚ 110 beats/min; and RR‚ 3 breath/min. She has run out of her antihypertensive medication for the fourth time this year and only came to the hospital because of her breathing difficulties. On examination‚ Mrs. K. is pale and clammy sitting upright in a chair. She has bibasilar crackles to
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Case Study #1: Chronic Heart Failure Case study #1 (see attached) tells about a patient‚ Maria‚ who has a history of hypertension and high cholesterol and 30 pack a year smoking.i Although normally under control with medication‚ upon traveling by plane she experienced what she thought was new condition with new symptoms which would ultimately be diagnosed as chronic heart failure. Maria’s recent history showed that she was experiencing difficulty breathing on exertion‚ fatigue‚ abdominal bloating
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However‚ there was an additional study that followed up on the SADHART trial 8 years later called the SADHART-CHF trial. The SADHART-CHF trial was a “randomized‚ double blind placebo controlled trial of sertraline 50 to 200 mg/ day versus placebo for 12 weeks” (O’Connor et al.‚ 2010). Patients who were eligible for the study had to be 45 years or older with heart failure and diagnosed with depression according to the DSM IV edition. The sample size of the study was 469 patients and 234 of the patients
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Kate Marsh 04 April 2014 Congestive Heart Failure Heart failure affects almost 6 million Americans. About 670‚000 people are diagnosed with heart failure each year. It is also the leading cause of hospitalization in people older than 65. Congestive heart failure means that the heart is still pumping blood‚ but at a slower rate than normal‚ so the pressure in the heart starts to increase as a result. This slower heart rate causes the heart to be unable to pump enough blood to provide the rest of
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those at risk‚ will be able to gain a better understanding of different preventive measurements that will help promote a healthier life. What exactly is congestive heart failure one may ask? Congestive heart failure also called Coronary Heart failure (CHF) is manifested by the hearts inability to adequately perfuse blood to the rest of the body. Heart failure can affect both the left and right side of the heart. The left side of your heart is responsible for pumping deoxygenated blood into the lungs
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Running Head: NURSING CASE STUDY. AS‚ is a 74 year old male. He is married and has 3 children‚ and a few grand children. He lives in south bend with his wife and his youngest daughter. He seemed to be a family man. His family was in and out of the hospital while he was there. He is a very outspoken person; his family was very supportive.AS‚ formally worked for the city but is now retired. He is a full code with no known drug allergies. He presented to the emergency room with a fever
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Introduction of case study My case study done at ward 3(female ward)‚ Hospital T and the title is bronchopneumonia‚ I choose this title because that is often occur at the ward. Patient L is a 14 years old Chinese girls and she came to hospital complaint of cough with greenish sputum as long as 2 weeks‚ she had fever at home and complaint of chest pain. She came from A&E admitted at ward 3 at 30/4/2012 (Monday)‚ 3.35pm accompanied with PPK. She admitted at the ward 3 as long as 5 days and she
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in this case study would be familiar to most graduate nurses. Feeling overwhelmed with her workload Emily has made a decision not follow hospital policy‚ based on the opinion of a college. This situation leads to Emily being asked to explain her actions to nursing management‚ who in turn raise concerns about staff following hospital policy. The following case review will examine the main concern involved in this case and create an answerable question that will help further analyse this case in the
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Introduction In nursing there are some Fundamental patterns of knowing that help nurses in making informed decisions when in practice (Estabrooks 2005). Barbara Carper identifies the four basic patters of knowing; empiric as the science of nursing‚ aesthetic as the art of nursing‚ personal knowledge and ethics as the moral component (Kingsley 2002).This report will outline the four patterns of knowing and indicate how Melanie should have used them to make an informed decisions while looking after
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model of nursing for assessment of a patient presenting with an ectopic pregnancy. The discussion begins with a definition of ectopic pregnancy. This will be followed with the introduction to the patient and an explanation of the model used to assess the patient. The assessment is based on pre-operative care. One particular identified need of the patient will be discussed in detail in relation to the care implemented. The care provided will be critiqued along with a critique of model of nursing. Ectopic
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