Case Study of a 23 year old Canadian aboriginal woman in the healthcare facility

Running head: NURSING ASSIGNMENT
NURSING ASSIGNMENT: CASE STUDY ANALYSIS
Name of the Student
Name of the University
Author note

1NURSING ASSIGNMENT
Part 1: case study
Background information
X (pseudo name)is a 23 year old Canadian aboriginal women who came to the healthcare
facility’s prenatal care unit at 18:30 Hrs. after having moderate cramps and pain in her left lower
abdomen. This is her first pregnancy and no one from her family accompanied her to the
healthcare facility as she started feeling these cramps when she was en route to her workplace.
She belongs to non-English speaking background and speaks broken English. She conveyed that
her husband Y (31) is a diabetic type 2 patient and are on regular Medication. Her father and
mother both are obese and suffer from hypertension and elevated blood pressure. The patient is
also obese and performs regular activities on her own to control her elevated weight.
Presentation
02-02-19 18:30 Hrs.: patient came to visit the healthcare facility without any family member
and mentioned that she is having severe cramps in the lower left abdomen.
02-02-19 18:45Hrs.: Maternity nurse came to visit the patient and asked about the week of her
pregnancy. However the patient was not sure about her pregnancy weeks and replied: “not know,
the fifth month”. The nurse further asked about her husband’s name and contact details to which
she responded, “Heworksfar from this city and I contacted him this morning about my pain and
he said he will come soon”. Maternity nurse further asked: “is any of your family Members
suffering from any disorders or health conditions?” to which she said: “husband is diabetic and
father mother suffering from hypertension, high blood pressure. They both obese”. During this
primary assessment her obese body type, and bruises in her right knee was noted. Upon asking

2NURSING ASSIGNMENT
about those bruises the patient replied: “I fell yesterday climbing stairs but this not first time, I
prone to falls because my heavy weight”.
After conducting the primary assessment of the patient, the maternity nurse called the
healthcare physician to conduct further assessment and after that conducted the vital signs of the
patient. The vital signs included:
 Blood pressure: 137/87, Body temperature:37 degree Celsius
 Respiratory rate: 20 breaths per minute and Heart rate: 70 beats per minute,SpO2
levels: 97%
 External appearance of the pain site: sore and swollen appearance of the pain site
 Height: 5 ft. 8 inches, Weight: 83 kg, Body mass index: 27.7
02-02-19 19:30 Hrs.:
Healthcare physician came to visit the patient and conducted pain assessment. The
physician asked: “what do you think your pain score is on a scale of 1?” to which the patient
replied; “I think it is 9 as I cannot sit properly”. The healthcare physician further asked the
maternity nurse to conduct ultrasonography, blood test and urine test of the patient and within
this touched the lower abdomen of the patient to assess any bloating or gastric situation which
generally causes cramps in pregnant women. After conducting the assessment the conveyed to
the patient:
Doctor: “you should stay under observation of our nursing professionals overnight so that
after receiving your diagnostic reports we can assess your pregnancy condition and the reason of
your pain as well as we want to consult with your family members about your pregnancy