Question

case study

CASE STUDY You are caring for an 82-year-old woman who has been hospitalized for several weeks for burns that she sustained on her lower legs during a cooking accident. Before the time of her admission, she lived alone in a small apartment. The patient reported on admission that she has no surviving family. Her support system appears to be other elders who live in her neighborhood. Because of transportation difficulties, most of them are unable to visit frequently. One of her neighbors has reported that she is caring for the patient's dog, a Yorkshire terrier. As you care for this woman, she begs you to let her friend bring her dog to the hospital. She says that none of the other nurses have listened to her about such a visit. As she asks you about this, she begins to cry and tells you that they have never been separated. You recall that the staff discussed their concern about this womans well-being during report that morning. They said that she has been eating very little and seems to be depressed 1. Based on Nightingale's work, identify specific interventions that you would provide in caring for this patient. 2. Describe what action, if any, you would take regarding the patient's request to see her dog, Discuss the theoretical basis of your decision and action based on your undenstanding of Nightingale's work 3. Describe and discuss what nursing diagnoses you would make and what interventions you would initiate to address the patient's nutritional status and emotional well-being. 4. As the patient's primary nurse, identify and discuss the planning you would undertake regarding her discharge from the hospital. Identify members of the discharge team and their roles in this process. Describe how you would advocate for the patient based on Nightingale's observations and descriptions of the role of the nurse.

Answer 1

Q. No. 1. Answer :

Specific interventions caring for this patient :

Florence nightingale has given environmental theory, according to that the environment should be clean and clear, then on the patient can recover earlier.

* provide fresh air to the client.

* clean dressing should be done at the site of burns,

* provide high protein diet to get wound cure.

* provide calm and quiet environment to the client.

* provide adequate warmth ness to the client.

* provide adequate lightening to the client.

Q. No. 2. Answer :

Patient request is to see her dog. It is animal and it is one of the infectious one because the patient is already old old-age, and she is having burns and low immune power and she has admitted in hospital, during hospitalization the client need good and adequate cleanliness and good environment, the dog may be cause some more infection to the client, because it is an animal.

So according to the nightingales work there is no need to allow her dog.

Q. No. 3. Answer :

Nursing diagnoses for nutrientional status and emotional well-being includes :

* imbalanced nutrition less than body requirements related to depression state as evidenced by poor dietary intake.

Interventions :

# Assess the weight of the client daily,

# educate client regarding her status and importance of nutrition,

# provide high protein and nutritious diet.

# administer vitamins supplementation with intravenous fluids.

* depression and anxiety related to loss of loved one (dog) as evidenced by client verbalization and facial expressions.

Interventions :

# educate client regarding complications of allowing animals.

# provide psychological and emotional support.

# educate client to importance of cleanliness and nutrition by eating adequate diet.

Q. No. 4. Answer :

Discharge plan :

The client should be cure from the burns,

She can able to perform her daily living activities,

The discharge team includes dermatologist, general physicians, orthopeditian, physiotherapist, nutritionist, psychiatrist ect.

The clearance should be come from all staff to discharge from hospital.

As a nurse advocate the client regarding diet, cleanliness, proper lightening, environmental hygiene, nutrition regarding all these the nurse has to educate the client.