CASE STUDY ANALYSIS.

Running head: CASE STUDY ANALYSIS
CASE STUDY ANALYSIS
Name of the Student
Name of the University
Author Note

1CASE STUDY ANALYSIS
Introduction
Nursing care is focused on the improvement of the patient’s health condition and
developing the knowledge of the patient as well. The focus of the nurse should be on the
effective management of the care of the patient and supporting the patient. Hence, the nurse
should evaluate the medical history and the medication off the patient. Moreover, the nurse
should also focused on developing effective communication skills and therapeutic relationship
with the patient for better evaluation of the condition and also providing improved support to the
patient. Moreover, it can be stated that the change in the situation can be developed by
implementing the patient centred care approach and the evidence based practice as well. Thus,
the nursing care is one of the most important aspects in the care regimen of a patient. It can also
be found that the nursing care strategies should be developed with the consideration of the
assessment of the patient and prescribed treatment of the doctor. In the following section, the
Mrs. Grace case study will be discussed with details with the consideration of the nursing care
and process of nursing and the medication management of the patient.
Discussion
Mrs. Grace is an 80 year old patient admitted to the emergency department with the
complaint of fall. It has been seen that the patient’s leg was internally rotated and shortened as
well. The vitals were tending to be deviating however, the deviation seen to be very negligible.
For example, her blood pressure is 147/77 mmHg which is normal in her age. On the other hand,
heart rate is irregular and the rate is 112 per minute which can be termed as higher than normal
as well. The respiratory rate is in normal range that is 24 breaths per minute. Her oxygen
saturation level is in good condition as well. The range is in the normal range. However, her
temperature is higher than normal range and it can be highlighted as the result of the

2CASE STUDY ANALYSIS
inflammation occurred in the body after the fall and the pain. Her pain has not been rated with
the pain measurement scale however, as per the patient it is very high and she could not been
stand up after admission to the emergency department. Other than all these, her GCS scale was
13/15 which shows that her cognition is not in normal condition. Thus, based on the views of
Wald and Garber (2018), it can be stated that her vital signs needed to be observed and also
should be prioritised as the condition is fluctuating. Based on the case study it can be stated that
the heart rate, temperature, cognition level and the pain level are deviating and should be
considered for further investigation. In this context, it can be stated that the proper planned care
should be provided as the X-ray report showed that she is experiencing the neck of femur
condition after the fall.
Based on the data and the assessment of the patient the nurse should identify the issues of
the patient and should also ask some questions to the patient and the family members for better
understanding. The nurse should ask the patient about the pain and the feeling of the patient. The
nurse should also ask the questions about the life style of the patient and the past medical history
(Abbott et al., 2018). Other than this the nurse should also ask the family members in this case
son of the patent about the medication, her eating habit, her daily routine and her physical issues
along with the medical issues of the patient as well. Moreover, social history and the family
history of the patient should be asked to the family member for better assessment of the patient’s
condition and treatment procedures. Furthermore, it has been seen that the patient could not
remember of the fall and thus, the nurse should ask the son of the patient for better understanding
of the causes of the fall. All these questions would help the nurse to understand the situation of
the patient and also the providing the support to the patient accordingly (Koenig, Perno, &
Hamilton, 2017).