Clinical Case Study Guide Questions - Nurses' Notes on Stress & Coping, Pain, Oxygenation, and Fluids & Electrolytes
Read the N11 Clinical Case Study: The Journey of Nurse Manus and Juan Dela Cruz
Familiarize yourself with the narratives of the clinical case of Patient Mr. Juan Dela Cruz and the care provided by Nurse Manus. The case provides details of the daily progress of Mr. Dela Cruz during his hospital stay, including the medical treatment he received, the nursing management and interaction with the relatives.
As you go through the basic nursing procedures and interventions in this course, questions related to the topics will be posted for you to reflect and answer based on Mr. Dela Cruz's health condition and care management.
Post/Upload your answers in PDF format in the designated Submission Bin. If/when you receive comments on your posts/upload, please incorporate these in the final submission bin to be posted later on. The compilation of all your submitted answers (PDF) will be the basis for the final grading of your Clinical Case Study in N11.
If you have concerns or questions, please contact the faculty in charge of your group.
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Discuss the following:
Fluids and Electrolytes
How do you differentiate the purpose of an intravenous line (IV) line before and after surgery? Will IV therapy help in the support of Mr. Dela Cruz’s nutritional needs? Explain. You can prepare a concept map showing the relationship of the IVF to the condition of the patient. What are the nursing considerations on IV therapy for older patients? How important is the value of integrity in the care of a patient with IV therapy? How will you demonstrate integrity in the care of a patient with HIV?
Nutrition and metabolism
After days of hospitalization, Nurse Manus and Mike noticed that Mr. Dela Cruz’s weight decreased. Is this a normal loss of weight? Whom should they consult about this problem? Will oral feeding be enough to support the patient’s nutritional needs? How will you demonstrate the values of leadership, excellence, and love of learning in the use of a multidisciplinary approach to resolve the nutritional needs of Mr. Dela Cruz?
Oxygenation
Discuss the primary purpose of Oxygen Therapy for Mr. Dela Cruz in relation to the pathophysiology of the disease. Use a paradigm or concept map to illustrate your answer.
Stress, adaptation, and pain
How can Nurse Manus obtain information about Mr. Dela Cruz’s pain if the patient is agitated and uncooperative at that time? How can this affect effective pain management? Also, how can he do his initial assessment?
With regards to Aling Nelia’s concern, what will be the best way to lessen her anxiety? If you are the nurse, how will you express the value of caring for Aling Nelia?