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Integrated Nursing Practice : Case Study
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Added on 2020-01-21
Integrated Nursing Practice : Case Study
Added on 2020-01-21
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Integrated Nursing Practice 2
TABLE OF CONTENTINTRODUCTION...........................................................................................................................3Nursing Problem 1..................................................................................................................3Nursing Problem 2..................................................................................................................5CONCLUSION................................................................................................................................6REFERENCES................................................................................................................................8
INTRODUCTIONNursing profession is an integral part of health and social care (HSC) organisations wherethe delegated nurses are required to take a vital care of the individuals, community people andfamilies so as to provision an optimum quality of health to them. This is specially in case theyare going through some sort of traumatic disorder and are suffering from it. Recovering them is aprompt targeted of the nurses handling them with the help of some effectively incorporatedmeasures for their betterment (Sandri & et. al., 2016). The current report is based upon apresented case study of an elderly patient named Giovanni who is aged 72 years and has beenfound to suffer from chronic heart failure. For which, he has been admitted to the emergencydivision of a hospital at midnight 3. This was mainly followed by his two major complains ofbreathlessness along with a choking sense. After further investigations, he was detected to sufferfrom intense indication of heart failure. Nursing Problem 1This section has referred to an identified issue of Impaired gas exchange that has in turnindicated the state of dyspnoea in Giovanni which is basically a problem related to breathlessnessor shortness of breath. It is where dyspnoea is referred to be a symptom rather than a disease thatin turn indicates a critical existence of some sort of illness in individuals (Enjuanes & et. al.,2014). Likewise, on referring to the conferred case of Giovanni, a vital presence of dyspnoea inhim has precisely indicated the syndrome of lungs in heart failure. It is basically referred to be asense of difficulty in breathing. Wherein, it could either occur due to excessive exertion in somepatients or with no such cause of exercise and merely due to some other afflicted cause such as incase of Giovanni. Into which, he is hereby referred to suffer from the second most reason wherehe is dealing with severe heart related issues.As a result to which, the pumping of blood and oxygen to his heart are not gettingpumped-up in an adequate manner. Due to which, he is hereby referred to suffer from the state ofdyspnoea which has together been proven from the carried diagnosis of his health condition(Zannad & et. al., 2015). Apart from this, dyspnoea is together considered existing from someother major habits of a patient suffering from it such as smoking, consumption of alcohol andfood with high content of fats, etc. It is therefore on relating to the present case of Giovanni, he
together accepted to be a chain smoker who smokes a minimum of 20 cigarettes a day withproven results in his prescriptions as well.Beside this, in Giovanni's case, shortness of breath termed as dyspnoea is mostly whilesleeping or at the time of taking rest where it is with a sudden interference that in turn distractsthe patient by creating a sense of suffocation. After which, the patient often wakes up in a tiredstate with a fretful and anxious feeling (Camm & et. al., 2014). Normally, this happens inpatient's like Giovanni at the time of lying in a flat position where on facing this traumatic issue,they may need to take the support of more than one pillow to balance their upper body part witha special concern of levelling their head to an upper position. However, Giovanni too tried to dothe same but got failed and his sense of dyspnoea was not gone completely (McKelvie & et. al.,2013). However, it happens due to yet another substantial reason where the blood of the patienttends to get back into the veins of respiratory organ which means that the tubes returns the bloodfrom the respiratory organ such as lungs to patient's heart. It is mainly because of the heart thatcould not hold the supply which causes the fluid to leak into the respiratory organ of Giovanni(Ahmad & et. al., 2014). With reference to which, some leading interventions of nursing arebeing demonstrated over here with a foremost measure to administrate the medication andoxygen therapy given by together monitoring the body temperature of Giovanni who is at ahigher risk of heart failure over here. It is where the measurement of body temperature isrequired to be done in context to low level of oxygen in his body where he is referred to dealwith a lower level of metabolism (Lok & et. al., 2013).Henceforth, the body temperature of Giovanni is likely to be at a subnormal state wherethe nurse must tend to promote bed rest to him by together provisioning his elementary needs.This is basically to avoid any sort of straining or energetic activities that may in turn increase thedemand of oxygen in his body (Smart, Dieberg & Giallauria, 2013). Moreover, the nurse istogether advised to preserve the body temperature of Giovanni by rendering warm beddingmaterial and cloths to him along with an administered therapy of oxygen as a way of alleviatinghis driving impulsion in support of his lowered metabolism. This type of nursing intervention isreferred to be independent in nature where the nurses must also refer to identify any abnormalfindings. It is where in case of any such identification, the nurse must tend to notify the physician
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