NR 536 Week 5 Assignment Develop an Evolving Case Study NR 536 Week 5 Assignment Develop an Evolving Case Study The Developing an Evolving Case Study assignment is due on Sunday of Week 5 at 11:59 p.m. MT. The guidelines and rubric are listed below, as well as in the downloadable document. Developing an Evolving Case Study Guidelines and RubricPreview the document Developing an Evolving Case Study Template (Links to an external site.)
Template for Week 5’s Assignment: Development of an Evolving Case Study for Clinical or Classroom Setting
| Overview of Evolving Case Study | |
| Learning Objectives | |
| Description of the Evolving Case Study:
· Purpose · Identify type learner · Concept to be presented |
The purpose of this case study is to use an actual case in a clinical setting to engage all the clinical skills such as psychomotor, cognitive, and communication to facilitate learning. The type of learner that will benefit from this case study will be a will be a student on internship or apprenticeship. The concept that will be used for the demonstration is involving the student the evaluation an actual case in a clinical environment and in making decisions concerning therapeutic strategy. . |
| Description of the Setting: | The setting takes place in a healthcare facility which the access to various departments such as the consultation room, wards, and theatre room. |
| Description of Patient | |
| Name | Ms. Elena Atieno |
| Gender/Age/Weight/Height | Caucasian female /age 35/weight65Kg |
| Allergies | Spring season (seasonal allergy) |
| Past medical history | Infertility (for 15 years) and hypertension |
| History of present illness | Deterioration of nutritional status and severe continuous vomiting |
| Social history | Drinks hard-drinks on Saturdays |
| Primary medical diagnosis | Change in behaviors, confusion, and drowsiness (Gasalberti et al. 2017) |
| Surgeries and/or procedures with dates | Urgent operation for brain decompression |
| Report that Learners receive to prior start of the Evolving Case Study using SBAR Format | |
| Time of report | 8 am |
| Person providing the report | The patient, nurses in charge of the patient, student, and physician monitoring the patient pregnancy. |
| Situation | Ms. Atieno woke up with so much nausea and vomiting continuously despite the fact that her pregnancy was almost 31 weeks. She prepared herself to go to the hospital because she had been instructed to do so in case of any changes since her pregnancy was a high risk one. On the way she experience some seizure and lost her way to the hospital. A motorist found her and rushed her to the hospital. She was emaciated and vomiting. The neuro surgery team decided for urgent operation |
| Background | The patient has had problems with her pregnancy since the first month. She normally uses fexofenadine for her seasonal allergies. She had to seek doctor’s advice whether to continue with her normal medication for the allergies or not. Doctors evaluated her situation and concluded that fexofenadine was not fatal to her and the baby but she had to avoid pollen grains by closing windows, staying indoors, and using air conditioning whenever necessary (Presa et al., 2016). She had been keeping weekly check-ups with her physician. For the last two days, her condition was unstable, she was dizzy, drowsy, frequent nausea, and kept getting confused. That morning she kept vomiting and decided to go for medical checkup |
| Assessment | The patient struggles to vomit but nothing in coming out. She is not speaking but when asked questions she gives answers which make no sense. Her doctor is reporting that she is thin and her weight has been reducing. She is hypertensive 150/90 and has a normal kidney function. Her Hb. is 6,5gm/dl and the baby is nearly mature though underweight. Liver enzymes were 2 fold, 2,5, albumin, and 65% prothrombin |
| Recommendation | Blood transfusion for 4 units of human albumin, 4 units of packed RBCs, and 4 units of fresh plasma two days prior to surgery. Obstetric preparation for an emergency cesarean section. Pediatric on standby in case of an urgent cesarean section. |
| Evolving
Order a similar paper
|