Client Profile Emmanuel is a 37-year-old male with a history of Crohn’s Disease and hypertension. He is two days postop small bowel resection. Subjective Data ?? Reports typically drinks 3-4 be
Client Profile Emmanuel is a 37-year-old male with a history of Crohn’s Disease and hypertension. He is two days postop small bowel resection.
Subjective Data ?? Reports typically drinks 3-4 beers every evening which he states, “helps me cope with my high stress job.” ?? Reports vapes 5 ml per day ?? States “I get short of breath moving from the bed to the chair” ?? When asked he tells you his pain level is 2-3, and he slept well all night ?? Reports relationship challenges, stating his partner wants him to look for a less stressful job so he can reduce his alcohol intake and vaping per day
Objective Data ?? Vital signs: T – 37.6 ?C, P – 90 and slightly irregular, R – 28, BP – 160/94, pulse oximetry – 94 % ?? Has nasogastric (NG) tube to continuous low wall suction ?? Abdomen soft, bowel sounds present in 4 quadrants ?? Lung sounds diminished in right lower lung ?? Foley to straight drainage; draining clear, yellow urine
Collaborative Care ?? IV D5/0.45 NS 1000 ml with 20 mEq KCl infusing at 125 ml/hr into right forearm (RFA) #20 g with 300 ml left in the bag ??
Medications o Hydromorphone 10 mg/100 ml (0.1 mg/ml) 0.2 mg q10 minutes, total max dose 1.2 mg/hour
Find the answers of following based on the above mentioned scenario
a. Missing information – what is not found in the assigned case scenario that is needed to fully develop the concept map. Include rationale for each item of missing information the group decides to include in the concept map.
b. Major issues – once the missing information is developed, identify ALL the major issues in the case scenario.
c. Nursing Actions – identify and describe ALL the nursing actions required to provide comprehensive patient/client and family centered care
d. Health promotion – identify and describe all communication related to health promotion taken with patient/client and family e. Conflict and conflict resolution – identify and describe how this will be addressed based on the assigned semester case scenario f. Culturally safe care – identify and describe how cultural safe care is provided for patient/client and family. Also identify and describe how the culture of the individual nurse impacts on the case scenario
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