Anonymous
Feb 15
What about nursing process for this medical history ?
Your patient, Harriet Zoose, has a medical diagnosis of Acute
exacerbation of ulcerative colitis. When you obtain her health
history, she tells you that she’s currently experiencing painful
abdominal cramps and has had very frequent bowel movements
containing blood and pus for the past few days. She rates her
discomfort level at a 7 on a 10-point scale. She also states she has
recently had trouble sleeping and feels extremely fatigued. She
says the colitis has drastically decreased her sex drive, which is
causing tension within her marriage.
On physical examination, you assess:
• hypotension
• low-grade fever
• hypoactive bowel sounds
• abdominal distention and tenderness
• pallor.
When you review her diagnostic data, you note that she has
a moderately elevated white blood cell count; slightly elevated
blood urea nitrogen (BUN) level; decreased hemoglobin level,
hematocrit, and total protein level; and a prolonged bleeding time.
An upper GI series performed the previous day found scarred
and stenotic bowel segments, which are obstructing the intestinal
flow.
exacerbation of ulcerative colitis. When you obtain her health
history, she tells you that she’s currently experiencing painful
abdominal cramps and has had very frequent bowel movements
containing blood and pus for the past few days. She rates her
discomfort level at a 7 on a 10-point scale. She also states she has
recently had trouble sleeping and feels extremely fatigued. She
says the colitis has drastically decreased her sex drive, which is
causing tension within her marriage.
On physical examination, you assess:
• hypotension
• low-grade fever
• hypoactive bowel sounds
• abdominal distention and tenderness
• pallor.
When you review her diagnostic data, you note that she has
a moderately elevated white blood cell count; slightly elevated
blood urea nitrogen (BUN) level; decreased hemoglobin level,
hematocrit, and total protein level; and a prolonged bleeding time.
An upper GI series performed the previous day found scarred
and stenotic bowel segments, which are obstructing the intestinal
flow.
1 view
1 view
1 answer
Sort By
ChatGPT
Feb 15
Without specific details about the medical history, it is difficult to provide a comprehensive nursing process. However, the nursing process generally involves the following steps:
1. Assessment: Gathering information about the patient's medical history, current condition, and any relevant symptoms or concerns.
2. Diagnosis: Analyzing the collected data to identify actual or potential nursing diagnoses. This involves identifying the patient's health problems and potential complications.
3. Planning: Developing a plan of care that includes goals, interventions, and expected outcomes. This plan should be individualized to address the patient's specific needs and concerns.
4. Implementation: Carrying out the planned interventions, which may include administering medications, providing treatments, educating the patient and their family, and coordinating care with other healthcare professionals.
5. Evaluation: Assessing the effectiveness of the interventions and determining if the patient's goals and expected outcomes have been met. If not, adjustments to the plan of care may be necessary.
It is important to note that the nursing process is highly individualized and should be tailored to the specific medical history and needs of each patient.
1. Assessment: Gathering information about the patient's medical history, current condition, and any relevant symptoms or concerns.
2. Diagnosis: Analyzing the collected data to identify actual or potential nursing diagnoses. This involves identifying the patient's health problems and potential complications.
3. Planning: Developing a plan of care that includes goals, interventions, and expected outcomes. This plan should be individualized to address the patient's specific needs and concerns.
4. Implementation: Carrying out the planned interventions, which may include administering medications, providing treatments, educating the patient and their family, and coordinating care with other healthcare professionals.
5. Evaluation: Assessing the effectiveness of the interventions and determining if the patient's goals and expected outcomes have been met. If not, adjustments to the plan of care may be necessary.
It is important to note that the nursing process is highly individualized and should be tailored to the specific medical history and needs of each patient.
-1
