Case Study: Medical Surgical I Concept Map Hospice Care Case Study…
Question Answered step-by-step Case Study: Medical Surgical I Concept Map Hospice Care Case Study… Case Study: Medical Surgical I Concept Map Hospice Care Case Study Matias Perez, a 78-year-old man with Metastatic Colon Cancer is receiving hospice care. Mr Perez is expected to die within the next couple of weeks. One of Matias’s family members is present with him most of the time. The client suffers chronic pain from the cancer spreading, and the pain is managed with a combination of opioid analgesics, positioning, and occasionally massage. Matias’s pain is increasingly intense, and the opioids used are causing Matias to sleep more than he would like. The client expresses a desire to be awake and talking with his family as much as possible. His grandchildren are planning to visit within the next hour and he wants to be awake to talk with them. He asks the nurse to pray with him for relief from the pain while his grandchildren are visiting. The client further states that he has not been a religious man most of his life but always considered himself spiritual. Physical Assessment: Mr Perez complains of 8/10 total body pain with a desirable pain level 4/10. Blood pressure 90/60 HR 110 RR 28 Temp: 96.6 F O2 92% RA. Patient is weak and needs assistance with ADL such as feeding, bathing, transfers, and turning. Respiratory: On auscultation crackles to bilateral bases of lungs. Cap refill is 10 sec with dusky nail beds. Skin is pale, dry and cool to touch, Skin assessment: Stage II decub to coccyx area, and redness to bilateral heels of feet. Intake and output for 24 hours: Intake 750ml output: 350ml. Pt is requesting prayer from a pastor. Step 1: Complete the following questions1. What do you feel is going on with Mr Perez based on his clinical manifestation? Step 2: Create a plan of care for Mr. Perez Complete the following questions: 1. Identify the relevant subjective and objective assessment information related to the client’s condition and place the findings in the assessment data box below. (Recognizing Cues; Assessment) 2. Based upon assessment information, identify and prioritize the top 3 client problems. Write one client problem in each of the Client Problem boxes below. (Analyze Cues; Analysis and Prioritize Hypothesis; Planning) 3. Below each client problem, determine and enter the relevant assessment information that supports the identified client problem. (Analyze Cues; Analysis and 4. Prioritize Hypothesis; Planning) Identify important nursing interventions that should be taken to address each client problem and enter them in the related intervention box for the associated client problem. (Take Action; Implementation) Step 3: Complete the attached Concept map for your plan of care for Mr. Perez: Image transcription textDisease: Colon Cancer Disease Process Patho 1.Assessment Findings 2. (List 3 Subjective) 3. AssessmentFindings 2. (List 3 objectives) 3. 1. Potential Pr… Show more… Show moreImage transcription textNursing Diagnosis 1. List 3 or more nursingdiagnosis in proper NANDA format: 2. Nanda format:Diagnosis: Related to: (Process causin… Show more… Show more? Total points 20 ? Must use references if references are not stated, 0 point ? Use proper nanda dx Image transcription textDisease: Colon Cancer Disease Process PathoAssessment Findings {List 3 Subjective) AssessmentFindings {List 3 objectives) Potential Proble… Show more… Show more Health Science Science Nursing MEDICAL SURGICAL NURSING VN 30 Share QuestionEmailCopy link Comments (0)
