Case Studies on Nursing PDF

Running Head: Case Study
NURSING CASE STUDY
Name of the Student
Name of the University
Authors Note

NURSING CASE STUDY1
Response to Question 1
Ted was admitted to the hospital for bowel resection surgery and the surgery took
place 4 days ago. He is now admitted in the post-operative management. He is suffering from
various issues such as respiratory distress, high blood pressure and pain. Ted did not show
any bowel movement after the surgery. Body temperature of the patient was high. As Ted
was an elderly patient, he might show the drug withdrawal or post-operative withdrawal
symptoms. The patient vomited after having break-fast and regular metformin. Vomiting and
nausea might be occurred due to the transition of the diet from liquid to light . The person has
hypertension, high blood glucose and is an obese patient . Therefore the complications might
increase in him in higher rate.
Socio-demographic condition of Ted William is very critical also. As he lives alone
in a retirement village and his wife died 3 years ago. He has a son and a daughter but they
lived separately. His son lives in another country where as his daughter lives with her
husband and 33 children in the city. Therefore, emotional and psychological distress might
be observed in him. He has a partner , named Gwen in the village. Therefore he might have
regular and frequent communication Gwen , which is very important for an elderly patient.
Although the retirement village is quite far from the city.
Response to Question 2
Process information
The patient has temporary colostomy after the surgery and has shown no bowel
movements. He is feeling sever pain in the surgical site with the scale of-4-5/10.
Additionally, the person had worse pain during palpation and the pain scale is 7/10 which is
severe pain. His body temperature is elevated than the normal range. He has right sided
inspiratory coarse and crackle sound. The person was producing unknown mucous and the

NURSING CASE STUDY2
colorations of the cough must be checked. The heart rate was 98 bpm which is under the
normal range. Moreover, his respiratory rate is 26 bpm in 94% O2 saturation and respiratory
rate is quite higher than normal rate (Papazian et al., 2019). The oxygen saturation rate is less
than the normal physiological range which must be 98%-100%. The person has pre medical
history of congestive heart failure and the heart rate of the person has given. Therefore,
nurses should check the heart rate regularly. Blood pressure of the patient is 135/85 which is
higher than normal rate of blood pressure. The patient has diabetes mellitus and has to take
regular metformin.
Identify problems
Respiratory rate of the patient is higher than the normal range and during inspection a
coarse crackle sound can be observed. Therefore the person might have fluid accumulation in
his lungs. Ted is suffering for respiratory distress or dyspnea (Baston et al.,2019). The
oxygen saturation rate and cough production should be taken under consideration.
The post-operative pain is another major problem in the abdomen of the patient. The
patient’s abdomen appeared to be distended. Moreover, the pain intensity gets increased
during performing palpation in the abdomen (Goodman, 2019). The pain is 7 out of 10 on the
pain scale.
Fever might be caused by infection in the operative site and the accumulation of
cough and fluid in lungs. Post-operative stress due to severe pain and respiratory distress are
the causes of fever. Infection might be another cause of fever in the patient.
Absence of bowel movement is another significant issue in the case scenario. There is
no signs of bowel movement and flatus passing. Therefore, the patient’s abdominal status
must be checked by the examinations whether accumulation of gas or some symptoms of