Question Answered step-by-step Kindly create your case study analysis basing on the information of a given caase below with the presenting signs and symptoms. Kindly follow this format in creating your case analysisPresent the case of the patient (observe anonymity)Patient’s IdentificationDate of AdmissionTime of AdmissionChief ComplaintAdmitting Diagnosis a. Background of the Chief Complaint (History of Present Illness) (specifically include the experiential perspectives) Chief complaint contains (CC) single complaint and duration; history of present illness has descriptive first sentence that includes CC, relevant critical history, patient age, location and nature of visit (to any health care facility); contains comprehensive description of symptom attribute (PQRST/OLCART). b. Risk Factors (Internal and External Perspectives) Present at least 5 relevant risk factors that could have contributed to the development of the client’s problem; every risk factor must be well-supported by at least one scientific evidence justifying (pathophysiologic perspectives) its link to the client’s problem. AGE. Description, with evidence GENDER. Description, with evidence c. Physical Assessment (behavioral perspectives)Contains a thorough description of all positive and negative examination findings in each of the following areas: General, vital signs (including height and weight), HEENT, Neck, Thorax, Cardiac, Pulmonary, Chest, Abdomen, Rectal/Pelvic/Genital, Neurologic, Musculoskeletal, and Peripheral Vascular. Items in the examination include a positive finding that supports the impression and is consistent with the history. General Appearance: Vital Signs: Height: Weight:HEENT:Neck: Reference: https://www.referencepointsoftware.com/article-write-a-nursing-case-study-paper/ Basis of the Case Study Analysis: Case: The patient is a 41-year-old male who has a long-standing history of hypertension and diabetes mellitus and presents with a complaint of pruritis, lethargy, lower extremity edema, nausea and vomiting. He denies any other medical illnesses. On physical examination the patient is a well-developed, well-nourished male in moderate distress. Blood pressure 180/110, pulse 80, respirations 24 and he is afebrile. Body weight 76.5 kg. Cardiac exam has an S1, S2 and S4. The remainder of the exam is remarkable for 2+ lower extremity edema and superficial excoriations of his skin from scratching. Laboratory Values are as follows ResultsNormal ValuesSodium133136-146 mmol/LPotassium6.23.5-5.3 mmol/LChloride10098-108 mmol/LTotal CO21523-27 mmol/LBUN1707-22 mg/dlCreatinine16.00.7-1.5 mg/dlGlucose10870-110 mg/dlCalcium7.28.9-10.3 mg/dlPhosphorus10.52.6-6.4 mg/dlAlkaline Phosphatase30630-110 IU/LParathyroid Hormone89510-65 pg/mlHemoglobin8.614-17 gm/dlHematocrit27.440-54 % Additional data are as follows:24-hour urine collection at 850 mlRenal ultrasound: right kidney 9 x 6 cm; left kidney 9.2 x 5.8 cmBoth kidneys illustrate hyperechogencity and no hydronephrosis Health Science Science Nursing NUR 697 Share QuestionEmailCopy link Comments (0)
Question Answered step-by-step Kindly create your case study analysis basing on the information of a given caase below with the presenting signs and symptoms. Kindly follow this format in creating your case analysisPresent the case of the patient (observe anonymity)Patient’s IdentificationDate of AdmissionTime of AdmissionChief ComplaintAdmitting Diagnosis a. Background of the Chief Complaint (History of Present Illness) (specifically include the experiential perspectives) Chief complaint contains (CC) single complaint and duration; history of present illness has descriptive first sentence that includes CC, relevant critical history, patient age, location and nature of visit (to any health care facility); contains comprehensive description of symptom attribute (PQRST/OLCART). b. Risk Factors (Internal and External Perspectives) Present at least 5 relevant risk factors that could have contributed to the development of the client’s problem; every risk factor must be well-supported by at least one scientific evidence justifying (pathophysiologic perspectives) its link to the client’s problem. AGE. Description, with evidence GENDER. Description, with evidence c. Physical Assessment (behavioral perspectives)Contains a thorough description of all positive and negative examination findings in each of the following areas: General, vital signs (including height and weight), HEENT, Neck, Thorax, Cardiac, Pulmonary, Chest, Abdomen, Rectal/Pelvic/Genital, Neurologic, Musculoskeletal, and Peripheral Vascular. Items in the examination include a positive finding that supports the impression and is consistent with the history. General Appearance: Vital Signs: Height: Weight:HEENT:Neck: Reference: https://www.referencepointsoftware.com/article-write-a-nursing-case-study-paper/ Basis of the Case Study Analysis: Case: The patient is a 41-year-old male who has a long-standing history of hypertension and diabetes mellitus and presents with a complaint of pruritis, lethargy, lower extremity edema, nausea and vomiting. He denies any other medical illnesses. On physical examination the patient is a well-developed, well-nourished male in moderate distress. Blood pressure 180/110, pulse 80, respirations 24 and he is afebrile. Body weight 76.5 kg. Cardiac exam has an S1, S2 and S4. The remainder of the exam is remarkable for 2+ lower extremity edema and superficial excoriations of his skin from scratching. Laboratory Values are as follows ResultsNormal ValuesSodium133136-146 mmol/LPotassium6.23.5-5.3 mmol/LChloride10098-108 mmol/LTotal CO21523-27 mmol/LBUN1707-22 mg/dlCreatinine16.00.7-1.5 mg/dlGlucose10870-110 mg/dlCalcium7.28.9-10.3 mg/dlPhosphorus10.52.6-6.4 mg/dlAlkaline Phosphatase30630-110 IU/LParathyroid Hormone89510-65 pg/mlHemoglobin8.614-17 gm/dlHematocrit27.440-54 % Additional data are as follows:24-hour urine collection at 850 mlRenal ultrasound: right kidney 9 x 6 cm; left kidney 9.2 x 5.8 cmBoth kidneys illustrate hyperechogencity and no hydronephrosis Health Science Science Nursing NUR 697 Share QuestionEmailCopy link Comments (0)
