Major Case Study In partial Fulfillment of the requirements of NURS-1228

Jun 18th, 2015
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The patient is an 83 year old Caucasian female with NKDA who was admitted on 02/02/2011 with the diagnoses of: pneumonia, confusion, and bile duct cancer on standard isolation precautions. Upon questioning the patient, she states “I fell and woke up here, they said I have pneumonia.” After speaking to the patients’ daughter-in-law, her admission was noted to be the result of a fall in the home of the patient on the day of admission. She had apparently lain in the floor of her kitchen until another family member had concerns for her safety and came over for a visit. When the family member had found her, she was disoriented, and short of breath. The family member called an ambulance and she was admitted to the floor following an x-ray, CT scan, peripheral IV insertion and labs drawn in the emergency room. The results of the labs were supportive of the diagnosis of pneumonia as her WBC is 26.5K/uL on the date of admission. The CXR confirms pneumonia.

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Major Case StudyIn partial Fulfillment of the requirements ofNURS-1228Submitted byChristine Delany SNRSUGroup ASubmitted to Ms. Sarah Tune, BSN RN02/27/2011Rogers State UniversityMajor Case StudyThe patient is an 83 year old Caucasian female with NKDA who was admitted on 02/02/2011 with the diagnoses of: pneumonia, confusion, and bile duct cancer on standard isolation precautions. Upon questioning the patient, she states I fell and woke up here, they said I have pneumonia. After speaking to the patients daughter-in-law, her admission was noted to be the result of a fall in the home of the patient on the day of admission. She had apparently lain in the floor of her kitchen until another family member had concerns for her safety and came over for a visit. When the family member had found her, she was disoriented, and short of breath. The family member called an ambulance and she was admitted to the floor following an x-ray, CT scan, peripheral IV insertion and labs drawn in the emergency room. The results of the labs were supportive of the diagnosis of pneumonia as her WBC is 26.5K/uL on the date of admission. The CXR confirms pneumonia. The patient is a retired LPN who has no religious or cultural requests. She lives at home by herself and has family in the area that check on her frequently. She is of full-code status, has a living will and her drivers license states she is an organ and tissue donor. She enjoys reading and her only response

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