Pathophysiology and Medical Process | Case Study

Added on -2020-02-17

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COMPLEXCASESTUDY1
TABLEOF CONTENTSCase study........................................................................................................................................3Relevant medical history and present status................................................................................3Describe the pathophysiology underlying the primary reason for the current hospital admission.....................................................................................................................................................4List the medication that has been prescribed for the diseases.....................................................5Discuss relevant and current medical diagnostics/ treatment and its implications on healthaspects of Mary............................................................................................................................6Log of daily activities to the nursing care.......................................................................................7Monitoring and evaluation process for the implementation of nursing intervention................12Identify effectiveness of nursing care provided to Mary and Areas of improvement...............132
CASESTUDYRelevant medical history and present status Mary is a 45 years old women who is suffering from Chronic renal disease from last 8months and instead of getting appropriate treatment her health condition is not getting improved.She works in a supermarket for more than 10 hours a day and she does not live with her husbandas they both were separated 2 years ago. Two days back, she had a chronic attack and lookingtowards the medical condition, her daughter decided to admit her in the hospital. The medicalcondition of Mary is getting affected and as a result, doctors conducted a test wherein it is foundout that Mary has type 2 diabetes as well. Further, it is also analysed that due to prolonged obstruction of the urinary tract, Maryhas the chances to develop kidney stones and some cancers as well (Krum and et. al., 2014).While treating the patient, nurses have her calclum carbonate (Caltrate 600 tums) whichnormalized her phosphate concentrations and this is also used as a supplement in the patient.However, it is also observed that Mary soemtioems drinks too much which targets the bloodpressure and brings chronic pain in the kidney. Due to her busy schedule, she is not taking properdiet which is further hampering her health condition. It is also identified that she is not active inphysical exercises; hence she is losing the stamina as well. While carrying out a discussion session, it is ascertained that Mary feels alone sometimesand due to such isolation, she drinks too much (Roth and et. al., 2015). Moreover, Mary is alsohaving other health complications which restricts her to involve in different activities andpractices. Her daughter also complained that she keeps herself busy in her work most often andshe do not talk or meet with her friends. Hence, due to lack of moral support, she feels emotionalsometimes. According to the current status, she is not discharged as the medical practitionershave recommended rest for few days in hospital only.Thus, according to the details of the case, the present research report is being made togive suitable care and treatment to Mary in all respects. Moreover, in this context researcher hasalso stated pathophysiology and medical processes conducted for Mary along with clearjustification. At the same time, focus has also been laid on nursing care that is being provided toMary when she is hospitalised (Barnett and et. al., 2014). In addition to this, based on the3
outcomes, areas of improvements are also ascertained so that nurses can improve the practices ofnursing intervention. In the process of nursing, monitoring and controlling holds moreimportance because that gives clear idea about the nursing procedure; hence accordingly in thepresent case also researcher has mentioned monitoring and controlling requirements of nurses.Describe the pathophysiology underlying the primary reason for the current hospital admission Chronic renal failure or chronic kidney disease slowly hampers the functioning of kidneyand it also brings other complications in the medical condition. Chronic renal failure is justopposite to acute renal failure in which kidney gets damaged gradually over a period of time.Typically, the progression is slow; hence the symptoms usually do not appear immediately untilit brings major damage to kidney (Andrassy, 2013). It is apparent that chronic renal failure is aworldwide health problem and the cases are increasing at higher rate because people do notidentify the symptoms on initial basis. Medical history states that chronic kidney disease is moreprevalent in elderly population; however it can be treated if proper care and treatment is beinggiven to the patient. Stating about the pathophysiology, it can be said that CKD (chronic kidney disease) hasdirect association with risk of cardiovascular disease; thus it brings more complications in thehealth aspects (Ortiz and et. al., 2014). The patient suffering from chronic renal failure has manysigns of metabolic acidosis in stage 5 which includes protein- energy malnutrition, muscleweakness and loss of lean body mass. At the same time, anemia is also associated with chronic4

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