Nursing Case Study (H-Mole)

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.

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.

Mission: One church, one heart one purpose advancing health awareness and providing people with tools to take responsibility for their health through early detection and prevention. The project is a public health intervention event with interactive and educational information with screenings and basic preventive medicine for the community.

The profession of nursing includes: promoting health, preventing illness, as well as providing care. NUR 102 teaches student nurses, like myself, a wide range of information and knowledge needed in order to become a successful nurse and also aids in the preparation for clinical placement. Nonetheless, this course teaches essay writing, critical thinking, nursing theories, as well as the roles and responsibilities that I will have as a nurse.

R.O. is a 43-year-old female Latino patient who has been living at home alone since she got divorced three months ago. She does not have any living or available family in the United States. She is the oldest of three children. Her parents died of an accident when she was little. Two of her sisters live in Mexico. She has lost contact with her family in Mexico when she got married and move to the United States. She also has stopped communicating with her ex husband since they got divorced. Although she does not have any support from her family, she states that her church member has been very supportive. Moreover, R.O. states she was a homemaker until the divorce. Currently, she has been working as a dishwasher near her house.

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.

Joshua is a 31-year old who presents from CRU from UPC. He is ACOT for wanting to leave valley hospital against medical advice. He was admitted to Valley Hospital on voluntary basis for increased depression and anxiety. BHR have a hx of OD and hanging. He is allergic to vicodin. Upon admission, his vital signs were within normal limits. He is partially cooperative, he stated, "I just want to go to bed." He will benefit from meeting with the provider and discussing medication management.

Mr. Brann is a 42-year-old male here today for followup from his left cerebellar stroke and left vertebral artery dissection, status post hospitalization in May of 2015

----- 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.

Ms. Thomas is a 58-year-old Caucasian female. She was born and raised in Brooklyn, New York. Ms. Thomas is the maternal grandmother and legal guardian of the child Lisa. Ms. Thomas came to FAP with Lisa, her 14-year old granddaughter, to state that she could no longer continue to be a caregiver for the identified child because of two reasons: one, the child was getting increasingly ungovernable under the adverse influence of a putative boyfriend, and two, her health condition was deteriorating and following the diagnosis of cancer she was scheduled for a surgery on February 19, 2017, when there would be no back-up plan for the subject child to be supervised. Lisa who is fair-skinned, dark-brown eyed, black-haired, 5 feet 4 inches tall child

The Female Reproductive System structures are the egg / ovum. Its created and stored inside the ovaries. The vagina is an elastic, muscular tube that connects the cervix of the uterus to the exterior of the body. The uterus is a hollow, muscular, pear-shaped organ located posterior and superior to urinary bladder. The Fallopian tubes are a pair of muscular tubes that extends from the left and right superior corners of the uterus to the edge of the ovaries. The ovaries are a pair of small glands about the size

Urine comes from a different place then where intercourse occurs although the urethral opening is close to the vaginal opening. It is important for women to be aware that during sexual activity it can become infected from bacteria. The female vagina is where the menstrual flow and babies are birthed from. It is also the area where the penis enters during intercourse. The vagina changes shape during rest, sexual arousal, and child birth. The vagina regulates its acidity through normal secretions. It is important for the female and partners to be aware the secretions can vary in odor and taste during the menstrual cycle and of a condition called vaginitis which requires medical attention

The system is comprised of a variety of different parts. The first part is the ovaries. The ovaries contain thousands of immature ova at first that eventually mature during puberty. The ovaries produce estrogen and progesterone which allow the ova to mature. Next are the fallopian tubes. They are tubes that carry the ova from the ovaries to the uterus. The uterus is a pear shaped organ. It shelters and nourishes a developing baby, or fetus. The endometrial lines the uterus. It thickens during pregnancy. The opening of the uterus is the cervix. The vagina is the muscular passage from the uterus to the outside of the body. It serves as a passing place for menstrual fluid and other discharge.

the middle of the fallopian tube curves around the ovary. The fallopian tubes have muscular walls

Testes are kept in the scrotum sac and are two oval shaped glands, about 8,5cm long and 2.5cm wide. A midline septum divides the scrotum into two halves and each testical is covered in two tunics; the Tunica vaginalis from the peritoneum and the Tunica albuginea which is a deeper tunic and a fibrous capsule. The septa from this layer then divides the testes into 250 – 300 wedge shaped compartments or lobules. It is in these lobules that seminiferous tubules are found, where sperm is made. Each lobule contains about 1 – 4 seminiferous tubules. The network into which seminiferous tubules empty is called the Rete testis. After which, the epididymis receives sperm from the rete testis network.