Pediatrics

Case Study 2

        Ms. Richards is a 53 year old female. She weighs 210 pounds and she is 67” tall. She has been a smoker for ten years; she is currently a social drinker, and wears glasses for driving. She is not very active and has difficulty walking for long distances. Her father had a myocardial infarction (MI) and rheumatic fever. Her mother has hypertension (HTN), cancer, arthritis, and asthma. Ms Richards is a homemaker, married to a police officer, and has grown children that are out of the house, which has four bedrooms and two levels. Her medications are Prozac 20mg/PO/0D for depression

Hydrochlorothiazide 25mg/PO/OD for HTN, and a multivitamin 1 dose PO/0D.

         Ms. Richards was admitted to the hospital for degenerative joint disease (DJD), otherwise known as osteoarthritis (OA) in both knees, and she had gotten to the point where she felt she needed to have right total knee replacement (TKR) surgery. She had right knee arthroscopy in 2005, but she has not had much relief from the pain. The surgeon explained to her the risks and benefits of the procedure.

            On assessment sources revealed that she has a drug allergy to codeine, and develops a rash from adhesive tape. She has no known food allergies. She has arthritis in her knees and back. She has a chronic cough in the morning usually

productive. She currently has an eleven year old nephew living with her and her husband. She is concerned about his behavior because is bipolar.

Urinalysis: Color: yellow, Appearance: clear, Protein: negative, Glucose: negative, Ketones: negative, Blood:Trace. B/p 140/90  TPR- 37. 60.16

Assignment

1.        Identify and list the Ms Richard’s problems based on your assessment 6 (mks)

2.        Fill in the area- brief Summary of Nursing Assessment and demographics 5 (mks)

3.        Formulate two actual and one potential nursing diagnosis based on two actual and one potential identified problem.  9 (mks)

4.        State the desired outcomes for these nursing diagnoses 6 (mks)

5.        List five interventions 15 (mks)

6.        State an evaluation for each outcome 6 (mks)

7.        Sign and Date  3 (mks)

Case Study 3

Mr. Y is a 50-year-old certified public accountant who was discharged from the hospital three weeks ago after amputation of the left great toe related to complete loss of circulation in his extremity. Mr. Y is married and has a 20-year-old daughter in college. His wife is an elementary school teacher. He and his family own a three-bedroom town house in a newly developed neighborhood.