Case Study

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Assignment topic: Case Study

Number of Pages: 1 pages / 275 words

Format: APA

Description

For this assignment, you will be required to read a case study on a patient and determine the correct nursing process components for this patient’s individual needs. Please read the following case study and then provide the requested information. Case Study: B.W. is a 45-year-old Chinese man hospitalized for bladder/prostate surgery. This procedure was done because he had an enlarged prostate and occasional urinary incontinence that caused embarrassing incidents while he was out in public. When the doctors performed the surgery, a cancerous lesion was found in the peritoneal cavity. When the doctors went to report this to the patient’s wife after surgery, she begged the doctor not to tell the patient because “His heart couldn’t take that news. He will worry too much.” The doctors found him healthy enough to have this current surgery. The doctors informed B.W. about the cancer diagnosis and what treatments are in his immediate future on the day after surgery. The patient did not take the news well. He is now sullen, refuses to see visitors, and has not told his children yet. It is now post-operative day two. He has refused to get up and move except to use the restroom. He asks for pain medication every 4 hours. His incision and dressing appear clean and intact. His indwelling catheter is draining urine tainted with blood. His wife is at his bedside, but B.W. does not speak with her. Answer these questions: What are at least four (4) assessments that should be made on B.W. at this time? What are three (3) appropriate nursing diagnoses for B.W. (written in three-part nursing diagnostic statements; i.e., diagnosis related to “X” as evidenced by “Y”)? What are three (3) correctly worded goals for this patient to accomplish before he is discharged to go home? What are six (6) interventions you would perform to help accomplish these goals? Do you need the assistance of any other interdisciplinary team members to assist this patient? If so, whom and what will they address?

ESSAY WRITTEN SOLUTION

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Example of Diagnosis statement

Nursing Interventions

Interventions are the backbone of nursing. The term describes any action nurses may take to improve the health and comfort of their patients. For those considering advancement in the field, nursing interventions are a crucial concept to master.

  • Any task that a nurse does to or for a patient.
  • Anything a nurse does that leads directly to a patient outcome.

Examples of SMART Goals for Nursing

  • Simple goal: I want to show more compassion and empathy to my patients.
  • SMART nursing goal: I will spend an extra five minutes with each new patient and ask questions about their lives to learn at least three interests we can discuss to distract them from stress about their condition.
  • Any task that a nurse does to or for a patient.
  • Anything a nurse does that leads directly to a patient outcome.

These tasks may be general or specific and direct or indirect. Examples of areas of patient care interventions include:

  • Sleep pattern control
  • Mobility therapy
  • Compliance with diet
  • Infection control
  • Alcohol abuse control
  • Positioning therapy
  • Bedbound care
  • Energy conservation

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