Question

Nursing Process - Case Study
Please read the following case study and complete the questions below.

Daniel is a 16 year old boy who is an identical twin. He and his brother Jeff are very close and do most things together. While Daniel excels at sports he believe his brother is much better at most everything. Daniel, his brother, and their two sisters live with their parents in the Midwest. Recently Daniel has been feeling more tired than usual. He thought it was because of his schedule and school work, which he is fairly good at. He gets mostly Bs, but his grades have been slipping of late. One day he fainted while getting ready for a game. His coach called his parents to let them know Daniel was taken to the Emergency Room. While there the doctor decided to admit Daniel to the hospital for observation. At the time he was running a slight fever, his breathing was shallow, and he was sweating. He was also very sleepy and his blood pressure was high. He did have some abnormal laboratory work, but his doctor was not too concerned at present. Daniel also stated that he felt achy.

You are assigned to take care of Daniel today and when you walk into his room, his mother and brother Jeff are there. Daniel appears to be sleeping. In your written assignment, respond to the following questions applying the nursing process:

Assessment: What type of objective and subjective data can you collect with what you know? How will you collect these data? What further evidence do you need?

Analysis and Identification of the Problem: What do you believe Daniel's problem(s) are? What might be the nursing diagnoses? Use the following for identification.

Planning: Identify two goals and one nursing intervention for each, based on your nursing diagnoses.

While you will not be able to implement or evaluate, how well do you think your nursing interventions might help with Daniel's care.

Answer 1

1) abstract information:

Customer perspective side effects:

1) breathing trouble.

2)sweating.

3)tiredness.

4) shortcoming.

Target information: recognizable and quantifiable information:

1) fever.

2)high circulatory strain.

3)sweat.

4) strange lab examination.

Objectives:

1) to forestall inconveniences.

2)to lessen fever.

3) give comfort.

4)provide mental help.

5) keep up ordinary circulatory strain.

Conclusion: asthma.

Nursing conclusion:

1) ineffectual breathing example is identified with infection condition.

2) disabled skin trustworthiness is identified with malady condition.

3) hypertension is identified with over the top perspiring as prove by checking imperative signs.

4) tiredness is identified with excercise as prove by perception.

5) fever is identified with disease in the body as confirm by lab examination.

Planinng:

It is relies upon patient side effects...

1)administer oxygen to keep up breathing example.

2)cold wipe ought to be given to lessen temperature.

3) organization of anti-microbials to avoid disease.

4)to give bed rest to alleviate tiredness.

5)to check crucial signs Every hour.

6) to keep up admission and yield outline.

7) to give mental help to the relatives.

Usage:

1) regulated oxygen to soothe breathing trouble.

2)cold wipe is given to Daniel to mitigate fever.

3) fundamental signs are checked each hourly.

4)maintained admission and yield diagram.

5) gave mental help to the relatives.

6) if bed rest to soothe tiredness.

7) regulated anti-toxins to forestall contamination.

Assessment:

Tolerant assuaged from fever , tiredness,breathlesness.

Remark

1) abstract information:

Customer perspective side effects:

1) breathing trouble.

2)sweating.

3)tiredness.

4) shortcoming.

Target information: recognizable and quantifiable information:

1) fever.

2)high circulatory strain.

3)sweat.

4) strange lab examination.

Objectives:

1) to forestall inconveniences.

2)to lessen fever.

3) give comfort.

4)provide mental help.

5) keep up ordinary circulatory strain.

Conclusion: asthma.

Nursing conclusion:

1) ineffectual breathing example is identified with infection condition.

2) disabled skin trustworthiness is identified with malady condition.

3) hypertension is identified with over the top perspiring as prove by checking imperative signs.

4) tiredness is identified with excercise as prove by perception.

5) fever is identified with disease in the body as confirm by lab examination.

Planinng:

It is relies upon patient side effects...

1)administer oxygen to keep up breathing example.

2)cold wipe ought to be given to lessen temperature.

3) organization of anti-microbials to avoid disease.

4)to give bed rest to alleviate tiredness.

5)to check crucial signs Every hour.

6) to keep up admission and yield outline.

7) to give mental help to the relatives.

Usage:

1) regulated oxygen to soothe breathing trouble.

2)cold wipe is given to Daniel to mitigate fever.

3) fundamental signs are checked each hourly.

4)maintained admission and yield diagram.

5) gave mental help to the relatives.

6) if bed rest to soothe tiredness.

7) regulated anti-toxins to forestall contamination.

Assessment:

Tolerant assuaged from fever , tiredness,breathlesness.

Remark