We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.
Nobody downloaded yet

Nursing Asssessment-Focus scenario - Case Study Example

Comments (0)
Assessment is an essential step of the nursing process as all the other phases will depend on data gathered about the client. A nurse can not proceed to planning interventions, implementing and evaluating without first having baseline information. This essay discusses a clinical case in which assessment is very important.
Download full paper

Extract of sample
Nursing Asssessment-Focus scenario

Download file to see previous pages... His diet includes organic food from animals, fruits and vegetables present in his farm. He is also a frequent alcoholic beverage drinker, with two to three bottles of beer every evening. No history of cigarette smoking had been mentioned. Mr. "S" has a family history of heart attack, breast cancer and hypertension. Occasionally he complains of shortness of breath which is relieved by rest. He thinks that he is in good health considering the time he spends outdoors.
A thorough health history must be established in order to provide a comprehensive nursing assessment. This may be done through interview or reviewing past medical records. Components of a nursing health history include biographic data, such as age, gender, occupation and usual source of medical care, chief complaint or the reason for visit, history of present illness, past history and family history. Lifestyle, social data like economic status, ethnic affiliation and neighborhood conditions, and psychological data are also considered. When assessing the history of the present condition, the onset of the symptoms, characteristic of the complaint, activity in which the patient was involved when the problem occurred and any aggravating or alleviating factors are noted.
Proper physical examination using effective tools are vital to come up with a diagnosis and to establish nursing care. A common method to identify problems is the review of systems. In this process, each body system is assessed for specific signs and symptoms that may be attributed to a deviation in the normal functioning of that organ system. In the case of Mr. "S", vital signs would have to be taken to acquire baseline data. Blood pressure is obtained using a sphygmomanometer and a stethoscope, heart rate and respiratory rate through a stethoscope, and temperature reading through the use of a thermometer. Baseline height and weight should also be measured using a tape measure and a weighing scale. Mr. "S" complained of shortness of breath relieved by rest and has a history of cardiovascular disease; therefore, data regarding cardiovascular and respiratory system must be reviewed. Aside from the heart rate, rhythm and heart sounds are also assessed, again through auscultation using a stethoscope. These are some of the parameters used in evaluating cardiovascular function. Assess for presence of edema, which is evident in Mr. "S". Perfusion can also be obtained by noting if he is warm, dry, or diaphoretic. Respiratory system review consists of observing the breathing pattern and breath sounds, presence of secretions and cough. Shortness of breath may suggest, but is not limited to, a pulmonary problem. Since Mr. "S" is having edema, pain will also have to be assessed. If pain is present, he could use a pain rating scale to be able to determine its severity. Genitourinary system must also be evaluated. His intake and output must be monitored. Ask when he last voided. Assess also for signs and symptoms of anuria, hematuria, dysuria or incontinence. This could reflect whether his edema and weight gain are brought about by a genitourinary problem. Skin assessment is done by noting presence of warts, moles, unusual discoloration, jaundice, scars and skin color. Jaundice may reflect hepatic dysfunction, in which edema may also be attributed. His lifestyle, involving drinking two to three beers every night, makes him at high risk for renal and hepatic diseases. ...Download file to see next pagesRead More
Comments (0)
Click to create a comment
Case Scenario 2
Since this field has a cast of unique issues, ways of making ethics interesting, informative and engaging for even the students have been generated and hence there is clear relevance seen on the cautious approach used in this field when handling patients.
3 Pages(750 words)Case Study
Court Case Scenario
Next, he is willing to arrange replacement of the machine, but still insists that the fault is not on the part of the seller. He even advises Walt Winters that the fact that the defendant had installed inadequately tested machine, need not be publicly acknowledged.
5 Pages(1250 words)Case Study
Cost Scenario
However, she is adhering to ClearHear's statement of values of "Providing our customers with products on time that reliably meet or exceed customers' expectations' (Fiona Kotvojs and Bradley Shrimpton). Take the order and keep the order for 70,000 in house.
3 Pages(750 words)Case Study
Focused Scenario
Pt often "eat out" with his roommates and play softball on the weekends. Occupational Hx> Pt currently works in his first position in Marketing since graduating from college with his Public Relations degree last year. The subjective on this focused scenario is very lacking in the pertinent information that should be asked from the patient.
2 Pages(500 words)Case Study
Ethical Scenario
In this scenario, the issue of confidentiality arises when the softball coach asks the sports psychologist to reveal what happened during the meeting. However, the APA’s ethical guidelines state that psychologists have an obligation to
1 Pages(250 words)Case Study
Thus, the condition can be efficiently managed with weight loss, diet modification, and oral anti-diabetic agents. Specifically, sulfonylurea and metformin enhance the
1 Pages(250 words)Case Study
Investigator Scenario
The suspects abandoned the vehicle after it developed a mechanical problem. The Ipad boxes and computer cheques provide evidence that connects the vehicle with the robbery. This information serves as corpus evidence as it provides a basis for further
1 Pages(250 words)Case Study
Library Assignment - Case Scenario
There are various issues that may create the feeling of powerlessness among the staff. Not getting respect and motivation from the management of the hospital, the physician and other health care staff is one of the reasons that may make the nursing staff may feel
5 Pages(1250 words)Case Study
Case Scenario, Final Discussion
There are those things that are obviously learnt from books and literature. There are also guidelines that are in the discipline. On the other hand, there are those things that are not taught in
5 Pages(1250 words)Case Study
Case Scenario, Final Discussion
ided, the significance of gaps between what is taught in a nursing textbook is that different RNs get the chance to learn different things from each other while in practice as compared to depending on the information provided in the nursing textbooks. For example, if one RN was
5 Pages(1250 words)Case Study
Let us find you another Case Study on topic Nursing Asssessment-Focus scenario for FREE!
Contact us:
Contact Us Now
FREE Mobile Apps:
  • About StudentShare
  • Testimonials
  • FAQ
  • Blog
  • Free Essays
  • New Essays
  • Essays
  • The Newest Essay Topics
  • Index samples by all dates
Join us:
Contact Us