Question

1. What are some potential health deviations, related factors to the case study?

2. Must have 2 at risk for scenarios

3. What are some diagnostic procedures needed

J.S. is a 52 year old female who is presenting in the ER with frequent bloody stools. J.S. has a history of ulcerative colitis, DM II, CAD, HTN, & hypercholesterolemia. Patient presents pale, short of breath and fatigued. Vitals: T- 99.6 RR- 18 HR- 98 BP-146/76 O2Sat- 93% on room air Develop a care plan for J.S.

Answer 1

1. Potential health deviation in the case study are :-

- pale look

- shortness of breath

- fatigue

2. Two risks for this scenario are :-

- frequent blood stools

- age

- history of ulcerative colitis

3. Diagnosing :-

History

Physical assessment

Psychosocial assessment

Laboratory assessment

Diagnostic tests for ulcerative colitis

1. Colonoscopy

2. CT scan

3. Barium enema

4. Nursing management :-

- Bedrest

- Assess vital signs and monitor for complications

- IV fluid replacement

- Monitor blood transfusions

- Monitor I&O

- Calorie counts

- Monitor for skin breakdown

- Help with coping (Emotional support and support groups available)