Nursing Case Study 1

Pt is a 15 y/o biracial female that presented at NNBHC by her father with a dx of persistent depressive disorder with intermittent major depsressive episode, with current episode, severe; rule out PTSD, chronice; marijuana use disorder, mild; and parent child relational problems. Pt presents appropriately dress, pt eye contact was poor. Throughout the assessment the pt demonstrated intermittent of tearfulness. Pt expressed that she have been feeling worthless, helplessness, and hoplessness. Pt describe that since her mother died she has not seen any motivation for living. Pt states that she has been feeling suicidal for weeks, however lately it has became more intrusive. Pt states that she has a plan to either overdose

Mrs. Wilson is seen in her room at Glenbridge Nursing Home on 02/28/2018. She had an episode last night of chest pain. She is so ebullient and distracted that it is hard to get a straight history, it came on when she was asleep but she may been sitting up. She was seen by a nurse, a sat was taken. I am not sure if there were other orders taken, but there is none on the chart. She says that she spent most of this morning in the bed and still feels tired, but she does not think she broke out in a sweat. She was more short of breath. She is calling it is a "stroke." I had tried to begin tapering her diazepam by discontinuing the morning dose and apparently all daytime clorazepate was discontinued by error and she gets it only at night.

1. Monitor the patient's oxygen saturation frequently (once per hour) at rest and after exertion on room air

DOI: 8/6/2015. Patient is a 51-year-old female licensed vocational nurse who sustained a work-related injury to her back and hips while moving a client. As per OMNI, she was diagnosed with muscle spasm, pain over the low back and thoracic region. She is status post right carpal tunnel release on 02/26/16.

----- Clinic presents a black male 68 years old. Currently experiencing dyspnea and lethargy. For the past week he has been having a increase of difficulty breathing. Complains of alternating periods of sweating and chills. Other symptoms he has been experiencing is a productive cough with expectoration of thick yellow sputum. Patient is a ex- smoker, he was a 40 pack year history, denies smoking, stopped over 10 years ago. Medical history includes chronic bronchitis, hypertension, MI five years ago, has had a angioplasty, and denies chest pain since having angioplasty. Current medication combined albuterol/ipratropium MDI, nebulized albuterol prn, captopril, and hydrochlorothiazide.

The road of a Nurse Practitioner has multiple educational stages including organizations that help the students interested in this field. These professional organizations have played a huge role in supporting their members and the institution they work for. For instance, these organizations use a variety of activities such as communication, education, recognition, advocacy, and research to develop a sense of leadership while making the students able to make decisions that will improve the quality of the healthcare practice. There are many organizations that work on the growth and quality of the healthcare service, however, the following not only are on the top of the list but they also are specifically dedicated to the role of a Nurse Practitioner. A well-known national professional organization that supports the development and encourage leadership skills for the Nurse Practitioner students is the American Academy of Nurse Practitioners (AANP). The American Academy of Nurse Practitioners or (AANP) is the only full-service national professional membership organization for nurse practitioners of all specialties, without mentioning that it is the largest one. As a student, the enrollment

Nursing care is a dynamic field of practice. The way it looks today is far out greater intense and very structured. It advances itself by the use of nursing theories and evidence based practice. Policies and procedures constantly change with the advancement of technology and science. While caring for the patient in the given case studies, a nurse involved utilizes practical knowledge, a culture care model and transpersonal caring relationship to attain a caring environment (Smith & Parker, 2015).

The patient is an 84-year-old female who did stop her iron supplement, which she was taking for a history of iron deficiency anemia thought related to a Mallory-Weiss tear, which was seen on an EGD done in February 2015. Her hemoglobin and hematocrit had been stable. Because of her symptoms, I did ask her to stop the iron supplement. She does tell me her abdominal pain, increased stooling did go away, since that time, although, she does state today that several weeks ago she did have one further episode of it, but none since that time.

Respond to 11 questions to guide your description of the ethical challenge and prompt what you might say and do to make a values based decision. Follow the steps on the rubric to define the conflict, discuss what is at stake, define arguments you have to counter, and indicate responses that create a sound argument. The logistics of presenting your argument ask that you identify who, what time, allies, forum, communication style and support you will solicit when presenting your case.

Mrs. P is a 78-year-old lady with asthma, chronic obstructive pulmonary disease (COPD), a history of myocardial infarct and stroke with no residual deficit. She has been a known hypertensive, has gout, and previously found to have multiple gastric ulcers with no suspicious features, which are likely NSAID induced. She has a long-standing urinary incontinence and has been living in her home, before she became unwell, hospitalized and eventually moved into a rest home.

1. The nurse is asked to implement a new, complex, and invasive procedure and is concerned that this may violate the state’s nurse practice act.

Donna is a registered nurse in the emergency room at Clinton Hospital. She actually went to West Boylston for high school and so did her kids. When she was fifteen she worked as a candy striper at Memorial where she wore a pink dress and pushed a cart with magazines and other stuff on it through the hospital and into the patients’ rooms for them. They don’t do that anymore due to HIPPA but my mom said she used to do it too. Donna then went on to become a CNA (certified nurses aid) at Oakdale for three years. She told me the woman who worked there was very caring and good at what she did. She would make all the meals homemade and gave the place a “homey” feel. The woman had liked Donna a lot and ended up giving her a small scholarship for college. This boosted her confidence since someone believed in her. Donna told me she didn't have a very good

CHIEF COMPLAINT: This is a post op note from a procedure performed July 21, 2015 by David Lin, MD.

The aim of this study is to provide a detailed account of the nursing care for a patient who is experiencing a breakdown in health. One aspect of their care will be discussed in relation to the nursing process. The model used to provide an individualised programme of care will be discussed and critically analysed.

Case Study 2: In case study two, the ethical principles that were violated were bases of assessment and use of assessments because the School Psychologist had no training in dealing with testing and assessment and it is very unethical to create a test and have someone take the test. Obviously test construction, interpreting results, and test scoring and interpretation were also violated because the assessment and test were created from a professional without training. There was no informed consent to see if the child wanted to take the test or not and the explaining of assessment results. Also, only one child took the School Psychologist test and he did not appropriately create and interpret the data. Also, the testing score of the 7th grader was not protected and the school psychologist told many faculty, resulting in the violation of the ethical principle maintaining test security. The School Psychologist violated the ethical principle of assessment by unqualified person, because the School Psychologist administered an assessment which the psychologist had no prior training or experience. As we can see there were many ethical violations that were violated in case study