NSG2101: Understanding of the Pathophysiology - Use of Clinical Reasoning Cycle - Nursing Case Study Assignment Help

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Nursing Case Study Assignment Help

The assessment applies to the following subject learning outcomes:
  •  demonstrates an understanding of the pathophysiology and risk factors of common alterations in oxygenation and perfusion
  • describes methods and techniques used to conduct a comprehensive nursing history and physical examination;
  • demonstrates the use of the clinical reasoning cycle
  • develops a comprehensive care plan for the patient with alteration in oxygen and perfusion using the clinical reasoning cycle;
  • identifies and integrates presenting problems across the lifespan to develop appropriate evidence-based therapeutic treatments and nursing management plans;
  • reflects on the benefits of this method of clinical decision making the potential difference to patient outcomes and clinical safety.
Case Study: M.G, a 68-year-old female with frequent hospital presentations is admitted from the emergency department (ED) with a diagnosis of congestive heart failure (CCF). She was discharged from the hospital 11 days ago (March 12th, 2019) and comes in today stating, “I just had to come to the hospital today because I can't catch my breath and my legs are as big as tree trunks and I am having difficulty walking.” After further questioning, you learn she has not been strictly following the fluid and salt restriction ordered during her last hospital admission and has not been compliant with her medication. You note that she has gained 5 kg since her discharge. Past medical history: Hypertension (HTN) Anterior Myocardial Infarction (AMI) 4 years ago Chronic Renal Failure (CRF) Hyperlipidemia Family History Mother, died at age 65 years of CVA Father, died at age 67 years of AMI Sister, alive and well, age 62 years Brother, alive, age 70 years, have coronary artery disease (CAD), HTN Patient Past History Married for 45 years, two children, alive and well, six grandchildren Cholecystectomy, age 42 years & Hysterectomy, age 48 years Recent Blood Pressure Assessments: January 2: 150/92 January 31: 156/94 (commenced on hydrochlorothiazide [HCTZ] 25 mg PO mane) March 12: 140/90
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