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Case study on Nursing - Assignment (PDF)

   

Added on  2021-06-14

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Running head: NURSING CASE STUDYNursing case studyName of the student:Name of the university:Author note:

1NURSING CASE STUDYTable of ContentsPart 1:...............................................................................................................................................2Part 2:...............................................................................................................................................6Nursing care plan:........................................................................................................................6Reflection:....................................................................................................................................9References:....................................................................................................................................13

2NURSING CASE STUDYPart 1:Answer to question 1A medical diagnosis refers to a illness or disease o a medical condition. A medicaldiagnosis is made by the physician that remains the same during the disease process. Thediagnosis is uniform between the clients and remains the same during the process of disease(Ignatavicius & Workman, 2015). Unlike the medical diagnosis, the nursing diagnosis considersthe potential and actual health problems and the human response to them. Nursing diagnosis ismade by the nurses. The response of the nursing diagnosis and the responses vary betweenindividuals. The response changes with the change in the patient response (Gordon, 2014). If aperson had suffered a stroke, then the information about the pathology of the illness is known asthe medical diagnosis. On the other hand, if the nurse explains that the patients have risk of fallafter stroke and the verbal communication has impaired, then it is known as the impact of strokeon the patient. This holistic understanding of the patient is known as nursing diagnosis as ithelps determine the interventions for the patient specific outcomes. In the medical diagnosis thephysician orders the interventions to treat the disease. However, the nurse only conducts thetreatment on the behalf of the doctor and designs interventions for addressing the spiritual,physical, and mental responses to the disease. It is due to this reason that the medical diagnosis isfocused only on illness whereas the nursing diagnosis is multifactorial as it focuses on medicalillness as well as other forces in life that contributes to worsening of the medical condition(Northrop, 2018).

3NURSING CASE STUDYAnswer to question 2 The potential nursing diagnosis for the patient in the given case study is social isolation,depression and obesity. The health data of the patient that led to this diagnosis is the significantincrease in weight which was confirmed not to be related to the thyroid based on clinicalexamination. There was also significant increase in the blood pressure which was also confirmednot to be related with the thyroid functioning. The significant increase in the weight can berelated with the recent change in the lifestyle. The patient reports decrease in physical activity asher daughters have left for Brisbane. She had active lifestyle in their presence, but, presently shespends most of the time watching TV, reading and lying in couch. She had reduced her walkingin the park, which is risk for social isolation. She cooks her meals and eat well. Her lifestyle isbecoming sedentary, which is the cause of her weight gain and risk factor for obesity (Bhurosy &Jeewon, 2014). The patient misses the company of the daughter and dog Theo which might be the causeof her depression although the patient does not admit it. Lack of emotional support and hecticschedule both in workplace and in house may be the cause of loneliness and depression. Thus, itcan be interpreted that the weight gain is due to low physical activity and is interrelated withdepression. According to Ha, Han & Kim (2017) depression is correlated with the increasingbody mass index, and obesity. Obesity is also associated with the weight gain, high bloodpressure, social isolation and subsequent depression (Croezen, Avendano, Burdorf & van Lenthe2015). This justifies the potential diagnosis of obesity, high blood pressure and depressing inSienna.

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