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(PDF) Clinical Case Study

Added on - 23 Nov 2020

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CLINICAL CASESTUDY
Table of ContentsINTRODUCTION.................................................................................................................................3MAIN BODY........................................................................................................................................3CONCLUSION.....................................................................................................................................6REFERENCES......................................................................................................................................7
INTRODUCTIONClinical case study is based on case of 50 year old man suffering fromCholecystitisfor which he has been presented in hospital for immediate surgery. It will outline nursingproblem to his case and three appropriate interventions to it.Apart from this, it will outlineevidence based effectiveness of analysed nursing intervention.MAIN BODYNursing practices plays an important role in managing patient services. It is importantfor practitioners to follow every step of defined procedure in order to serve best clinical andmedication services to service users. Darren Roberts is 50 year old married man whosmokes30 per day from approximately last 20 years and also is a alcoholic despite of the factthat he is sidelined from major health problems like, hypertension, Hyperlipidemia, minordepression and also from Gastric Oesophageal Reflux.He continuously takes medication forall these issues and now is been experiencing upper abdominal pain specifically at night withvomiting and nausea.He ignores his medical visits and therefore in last one month heexperienced major upper abdominal pain due to which Darren was admitted in emergencydepartment. However, after diagnosis health professionals found out that he is suffering fromCholecystitis, due to which he was immediately shifted to surgical ward. Cholecystitis isacute redness around the walls of gallbladder, which is small digestive organ of body beneathliver. It is the situation caused by stones in bladder that blocks the tube which is connected tosmall intestine. Darren is presented in surgical ward for elective LaparoscopicCholecystectomy which is severe surgery to remove gall bladder performed by specialistmedical professionals. In this surgery, the professional make few small incisions instead toone large. Incisions are surgical cut and generally small incisions are 4 which vary in lengthby inch. Therefore, the nursing problem with Darren is Potential for pain due to incisionswhere he can experience pain of >3 /10, as per Numeric pain rating scale. Apparently, it canbe risky for Darren for at least four hours after surgery because it is a critical situation wherethe incisions wounds are fresh and very sensitive due to which person go through acute pain.The nursing problem of pain increases because it comprise risk of inflammation, bile leakage,bleeding and infection due to wrong touch, temperature etc. Acute pain is nursing problembecause it is the situation where person turns vulnerable and is unable to resist pain. Theincisions are deep and therefore as per habits of Darren, it is important for the health
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