Nursing Case Study | Answers

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

CASE STUDY1
ANSWER NO.1
The patient in the case had is an older adult who underwent surgery and is in the
postoperative period and also has a condition of temporary colostomy. The patient also had a
history of a malignant mass in the body, which also affects the condition. The patient is
grasped with other symptoms as well, which also deteriorated the state, such as obesity, heart
failure, and, most importantly, diabetes mellitus. The Roper Logan Tierney model is a
nursing care planning model that is based upon the activities and identification of factors that
affect the life and activity of any individuals (Williams, 2015). The issues mainly
psychosocial that are usually faced by the patients are undesirable discernment of stoma,
feeling of loneliness, and also the age factor. A patient is an older person who survives alone
and is grasped with many diseases. It is also referred to as social isolation, which leads to the
development of many diseases like anxiety, depression, and also post-traumatic disorder (Ge
et al., 2017). According to this model, the daily activities of Ted will be affected due to his
psychosocial issues. The continuum of dependence and independence shows that he will have
complete dependence on others because he will not be able to fulfil his daily activity as he
had a complicated medical history. His lifestyle will also get affected because he is in the
post-operative stage, so he needs help from his family for his mobility. The patient also lived
in a remote village alone, which can be considered as the main reason of being socially
isolated. The spiritual distress that is present in the patient is also because of the lifestyle that
the patient was having, which integrated with the psychological nature resulting in a
deterioration in health condition. The patient had many challenges in life, such as dealing
with chronic diseases such as heart disease, obesity, trauma, diabetes mellitus (Xia & Li,
2018). The patient moved away from the city due to a feeling of shame and avoidance by
society due to the development of malignant. All these factors affected the patient's life
terribly.

CASE STUDY2
Answer No. 2
The clinical reasoning process helps in planning the treatment of the patient. It
involves problem-solving and clinical judgment after collecting information about the
patients. The 3 priority goals that will be focused on will be controlling his pain that is rated
4-5/10, decrease his risk of infections because he has a weak immunity due to his old age,
and reduce his anxiety so that he can have a positive mental health. The patient was in a state
of the post-operative period. The patient had a history of diabetes mellitus, obesity, gout, and
heart failure. The patient also has cancer, which was confirmed after the biopsy test. The
patient's current medication was metformin for controlling the diabetes mellitus and captopril
for controlling and preventing the heart problem (Wang et al., 2017). The patient developed
this state due to bowel syndrome; as a result, the consumption of allopurinol, which produces
an allergic reaction in the body such as rashes and intestinal upset (Stamp, Day & Yun,
2016). Bowel syndrome is prevalent after any surgery. It is common when the small intestine
is removed from the body (Moayyedi et al., 2017). The patient was an elderly one with a low
immune system and also suffering from many chronic diseases (Pinti et al., 2016). The lower
immune function must have resulted in the development of infection in the lungs, which can
be hospital-acquired as well. The patient also had abdominal pain with a pain score of 4 to 5
out of 10. The pain rises after palpitation, which indicates which was identified after
observation. The palpitation is caused due to stress in the body as well as the mind, which
results in an increase in heart rate and can even cause a heart attack (Alijaniha et al., 2016).
He also had a symptom of abdominal distention. It was also observed that the opening of the
organ where the colostomy bag was injected was slightly pinkish, moist, and warm. It did not
pass any output after surgery but has a sluggish bowel sound. The pus output with the help of
the medivac drain is also minimum. The vital signs of the patient indicate that he was
suffering from fever, and the temperature was 38.1-degree centigrade. The heart rate was also