Nursing Assignment: Case Study Analysis

Running head: NURSING ASSIGNMENT
CASE STUDY ANALYSIS
Name of the student
Name of the university
Author NOTE

1NURSING ASSIGNMENT
Considering the patient condition
While working with terminally and critically ill patients, the primary concern of
healthcare professionals is to understand the needs and requirements of the patients and their
health condition by observing, and assessing the healthcare condition of the patients (Dalton,
Gee & Levett-Jones, 2015). In this aspect, prioritization of care interventions becomes most
important and to determine this healthcare professionals conduct clinical reasoning cycle so that
prioritization of care could be achieved (Hockenberry & Wilson, 2018). As pre this clinical
reasoning cycle, healthcare professionals consider patient condition to collect the cues and then
after processing the information identified the priorities and then develops goals for the
healthcare process. Therefore, through this process, holistic cares for the patients are achieved
(Green et al., 2016)
This paper discusses one such care process of a 77 year old woman Violet Paterson who
is admitted to the healthcare facility after the concern of Acute Myocardial Infarction or AMI
and after the effective treatment of the healthcare professionals, she is stable. Her past medical
conditions indicated that hypertension and osteoarthritis are the main healthcare conditions due
to which her health was affected. Further, due to these healthcare conditions she was unable to
manage these properly and severely impacted her quality of life. In the case study, it was noted
that the patient is residing at her home, which is a three storey building and does not have a lift,
due to which h=she is unable to move out of her home as osteoarthritis has decreased her
movement abilities. Therefore, due to her osteoarthritis and hypertension, her quality of life has
been hampered and she is not being able to communicate socially. Hence, this ultimately affects
her mental strength and abilities due to limited movements and abilities.

2NURSING ASSIGNMENT
Nursing assessment procedure
The first assessment method that would be conducted in the care process assessment of
the nurse would be the electrocardiogram or ECG that would provide a detailed and accurate
assessment of the heart. The ECG method helps to assess the ability of the heart and its pulses,
through the usage of electrical impulses which is provided to the heart thorugh an electrode
attached to the skin surface. As per Ishikawa, Ishikawa & Kari, (2015), ECG is the most
prominent and effective assessment tool for the patients suffering or having high risk factor for
chronic heart condition. It also reveals that for patients suffering from or has a history of
suffering related to myocardial infarction, then conducting ECG could easily reveal the risk or
the current status of their heart condition. This is because as per Belfort et al. (2015) weaker of
injured heart muscles are unable to react to electrical impulses and hence, the ECG is unable to
detect their activities and the report shows blank results. Because this conducting of a complete
blood test for the identification of her blood status as in myocardial infarction condition, patients
heart starts losing or releasing a specific protein due to which the protein content of the blood
increases. Hence, blood test for the identification of high protein content could provide them
with the indication that the blood has increased level of proteins. Hence, these tow healthcare
assessment test would help the healthcare professionals to assess the patients healthcare
complication related to myocardial infarction (Chauhan & Vig, 2015).
Another assessment that would be conducted for the healthcare process of Violet
Paterson would be identifying the current status of her osteoarthritis related health condition.
This is an important assessment so that the status of her past and history of healthcare
complications could be identified. Hence, the pain status of the patient would be assessed first as
per the healthcare assessment for osteoarthritis. The pain assessment process would be conducted

3NURSING ASSIGNMENT
thorugh a pain scale assessment in which 0 would be the lowest pain and 10 would be the highest
pain. Further, Violet Paterson is 77 year old and is suffering from osteoarthritis and due to which
her risk of fall increases. Hence, the second assessment process should be conducted for her fall
related risk factors so that through the assessment of fall conditions with the help of fall risk
assessment tool, her level of risk could be determined. As per Ishikawa, Ishikawa and Kario
(2015), conduction of fall risk assessment would help the nursing professionals to understand the
level of patient’s pain and determining and measuring the additional harm of the patients. Hence,
through these above- mentioned assessment plans the nursing professionals would be able to
identify the risk factors that currently affect the healthcare condition of Violet Paterson. Further
her temperature, blood pressure, heart rate, oxygen saturation rate, respiratory rate and other vital
signs would also be conducted. As the patient is suffering from risk factor of recurrence
myocardial infarction, assessment of her healthcare condition would be helpful in determining
the care plan and interventions that would be implemented for her health improvement (Chauhan
& Vig, 2015).
Care planning
Nursing goals Nursing interventions
and nursing rationale
Evaluation
In the case study it is
seen that Violet Paterson is
suffering from osteoarthritis and
hence, suffering from pain
related condition. Further it is
seen that her crucial health
condition, this might also
Physiotherapists would be
included in the care process so
that would help the patient to
overcome her pain and agony.
Further, thorugh exercises, she
would be able to maintain
A well developed pain
assessment scale would be
included in the care process of
the patient so that. Reduction of
pain could be achieved and
patient could be provided with