Case study mrs j

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Liliane Kouame

casestudyofMrsJ..docx

Summary

 925 Words  

Running head: CASE STUDY OF MRS. J. 1

Case Study of Mrs. J.

Liliane Kouame

Grand Canyon University

05/29/2020

CASE STUDY OF MRS. J. 2

Clinical Manifestations

On account of Mrs. J for the case study being talked about, a few clinical signs exist. The

patient appears to be anxious and will, in general, ask if, at some point, she is going to die. Patients

patient notwithstanding a full set of vital signs and telemetry could help as well if different

innervations, for example, the administered prescriptions were of any significance to the Patient's

wellbeing. To determine other significant nursing interventions, auscultation of Mrs. J's heart, lung

fields, and the mid-region can be critical.

Heart Failure Prevention

An adherence to bodyweight management, having moderate exercises, adoption of a

healthy lifestyle by quitting smoking behaviors, and medication are examples of management and

prevention measures of the majority of cardiovascular disease. For patients to comply with

medication and treatment protocols, nurses are believed to play an essential role in providing case

management strategies as far as patient support is concerned through lifestyle modification and

education. Patients should draw a clear correlation between the increased risk of MI, HTN, and

CAD and physical activities. Hence, patients' risk for heart disease and other comorbidities will

significantly decline when they incorporate physical exercise in their daily program as it will

improve the patient’s rate of blood pressure and reduction in body weight (Brown et al., 2011).

Polypharmacy: Nursing Implications

In the healthcare field, polypharmacy is a collateral application of different medications

prescribed and used by a patient (). Polypharmacy is linked with risks such as potential interactions

between different sets of drugs, non-compliance, as well as falls. Thus, healthcare practitioners are

responsible for preventing polypharmacy by first, ensuring an accurate medicine list, guaranteeing

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with cardiorespiratory and other interminable diseases, anxiety is one of the frequently dismissed

symptoms. Anxiety comes with side effects whereby the patient inhales factor that triggers

secondary effects such as chest pain, fear, and compounded symptoms of cardiovascular disease

(Bafadhel & Russell, 2016).

Subsequently, Mrs. J's breathing problems roots from the anxiety she was undergoing. She

further complained of lacking sufficient air. Some of the most commonly detailed just as

weakening side effects of COPD and cardiovascular conditions include breathing shortness, also

referred to as dyspnea. As our case describes, breathing shortness is characterized by the patients

as breathlessness and routinely self-limiting activity based on the seriousness of the side effects.

Patients frequently describe dyspnea as shortness of breath, and patients routinely self-limit

activity because of the seriousness of symptoms (McCance & Huether, 2018). Mrs. J. further

complained of fever, malaise, nausea, and fatigue. In addition, fatigue is another common side

effect for patients with COPD and cardiovascular disease; the risk of becoming fatigued increases

by concurrent heart disease, a predicament that is probably going to increase the incidences of

COPD intensifications.

Nursing Interventions

As expressed in the case study of Mrs. J, some of the nursing interventions that have been

performed to help her in dealing with the wellbeing conditions she was experiencing include

oxygen at 2 LPM that was managed through the nasal cannula and several other different

prescriptions. Vital signs evaluation, for example, SPO2 and cardiac monitoring, were done on the

CASE STUDY OF MRS. J. 3

customary drug compromise, and facilitating patient education concerning clinical solutions under

which they have a place. Also, trying to prevent drug mistakes, diverse clinical intercessions can

be critical. Aiming to avoid possible medical errors among patients requires a follow-up from

physicians, and the emergency department is required and achieved using a routine medication

reconciliation intervention (Brown et al., 2011).

Health Promotion and Restoration

Looking at the health conditions of Mrs. J. in the case study, before and after her discharge

from the hospital, it is revealed that she requires health education and extensive support. The

primary focus of this education should be directed towards self-care: encourage patient disease

process understanding. In this setting, the health problem affecting Mrs. J., which is COPD, can

benefit from patient education, particularly in the use of inhalants and aspiratory hygiene. This

factor is used to optimize or boost the lungs (McCance & Huether, 2018). Evaluating Mrs. J's

clinical needs at the point of discharge, there is a need for early involvement in the event that

management during the hour of her admission to the facility. This can aid the creation of a

discharge plan.

Medication Education

Nurses are the best practitioners in the facility that provide the best education about

medication adherence. When patients attend a medical education session, the nurse’s priority is to

evaluate their needs for education, readiness, and willingness to learn, specifically, if they are

cognitively, psychologically, and physically prepared to learn. Creating a successful education

program entirely depends on the patient’s health information the nurse has. Enhancing patient

education, in this case, will require the application of the teach-back method. This method is

commonly used across many health facilities because it allows patients to explain their concerns

to healthcare professionals in their language about what they understood in a given health

education program (Bafadhel & Russell, 2016). If patients can explain the care information earned

during the program, then it is believed that they are likely to implement.

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CASE STUDY OF MRS. J. 4

CASE STUDY OF MRS. J. 5

References

Bafadhel, M., & Russell, R. E. (2016). Are COPD and cardiovascular disease fundamentally

intertwined?

Brown, J. P., Clark, A. M., Dalal, H., Welch, K., & Taylor, R. S. (2011). Patient education in the

management of coronary heart disease. Cochrane Database of Systematic Reviews, (12).

McCance, K. L., & Huether, S. E. (2018). Pathophysiology-E-Book: The Biologic Basis for

Disease in Adults and Children. Elsevier Health Sciences.