Case Study on Patient Situation and Nursing Process

Running Head: Case Study 1
Case Study
Student’s Name
Institutional Affiliation

Running Head: Case Study 2
Case Study
Consider the patient situation
Mrs Cateline was 75 years old women. She was bought to the hospital after she fell
from the stairs at home and admitted to the ward. She was having a problem with her neck
bone of femur, not able to move or bend along with pain. It was suspected that her neck bone
of the femur got fractured and has been placed for rest for further examination using an X-ray
and MRI scan to confirm the actual problem.
Collecting cues or information
From the reports, Mrs Cateline was using enalapril daily. According to drugs.com,
enalapril was used to cure hypertension (high blood pressure). Hence, it means that Mrs
Cateline was having a history of hypertension. Additionally, Mrs Cateline was also injecting
insulin daily. According to drugs.com, insulin was used for the cure of diabetes type II. It
confirmed that she was having diabetes type II. Other than this information, through
observation, more information was collected regarding Mrs Cateline that involved: she was
169 cm tall and had 100 kg weight, scored 36.6 on BMI, blood pressure 160/100 mmHg. T
37C. P 105 bpm, GCS 14 having mild weakness in the right leg, normal power in the left leg
and the water flow score of 16. She complained about the hip and leg pain due to which she
was taking Tylenol, a drug used for pain relief and fever.
Therefore there were more chances that Mrs Cateline was feeling pain in different
parts of the body. She had a pain score of 8/10, at the right hip and leg. Moreover, she didn’t
have bowel movements for the last three days. The factors of depression and stress were also
detected to some extent as Mrs Cateline's husband died three weeks ago. The nurse took care
of the affairs as a nurse before examining her through an MRI scan and X-ray. The nurse
contacted Mrs Cateline's family members to inform about all the medical procedures.
Process Information

Running Head: Case Study 3
Interpretation. The range of normal blood pressure is 120/80 to 140/90, which
makes it clear that Mrs Cateline had high blood pressure. In water flow, Mrs Cateline scored
16, which sited her under the risk of developing pressure sores. Therefore, there was a need
to check the X-rays and MRI scans for any potential fracture. Mrs Cateline is 169 cm tall and
had 100 kg; her BMI score was 36.6. According to the World Health Organization, individual
with score 30 or above 30 on BMI is classified as obese so Mrs. Cateline lied in the category
of obese people. Mrs Cateline's blood pressure was 160/100 mmHg which is higher than the
normal due to which the nurse labelled her with hypertension.
For the temperature, the normal temperature ranges from 36 to 38 and Mrs Cateline’s
temperature is 37, which means that she had normal body temperature. The average pulse rate
for adults should be 60 to 100, which means that Mrs Cateline had the pulse rate away from
normal. She did not have bowel movements for the last three days. Mrs Cateline had GCS 14,
mild weakness in the right leg, normal power in the left leg that implies that as a person she
was having mild dysfunction of conscious state.
Discrimination. As the temperature fell in the normal range, the nurse was not
concerned about it. More concern was about blood pressure and pulse rate. For that, it was
right to measure the oxygen saturation level in blood and the urine outcome. This helped
measure the glucose level of blood. This information was also helpful in correlating the GCS
14, the level of consciousness.
Relating the cues. The integrated effect of high blood pressure and pulse rate may
result in experiencing GCS 14. The reported medication taken by Mrs Cateline mentioned
comorbidities of diabetes type II, hypertension and arthritis were evident. Furthermore, Mrs
Cateline did not have the bowel movement for the last three days may be linked with the two
main factors. First, her husband died a few weeks ago. Therefore, he might be suffered from