Case Study: Amjad's Condition and Nursing Plan - Full Analysis

This case study focuses on the condition of Amjad, who was found unconscious with a head injury and a bleeding left thigh. The assignment outlines a nursing plan that includes a patient assessment, identifying key problems such as pain and low blood pressure. The plan details interventions like neurotherapy and physiotherapy, along with expected outcomes and evaluation criteria. The goal is to reduce pain, stabilize vital signs, and improve the patient's condition. The assignment provides details on the implementation and the expected results of the interventions. The case study emphasizes the importance of a structured approach to patient care, including regular monitoring and evaluation of interventions. This case study shows how the nursing process is applied to provide effective care.

AMJAD CASE STUDY
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Identification
Patient name: Amjad Salemi Age/ DOB: 05/04/19XX Gender: Male
Situation: Admission Diagnosis Found unconscious on pavement.
unresponsive and bleeding heavily.
Background: History Unknown
Objective data Subjective data
Pulse rate: 120 beats per minute
Respiration rate 28 breaths per minute
Blood pressure 90/60
GCS 11
Unable to determine pain score
Temperature: 36.3.
Left thigh wound
Found unconscious
Restless in bed
Moving left leg much
Breathing abnormally
Problems (Actual and potential):
Severe pain in head and in left thigh.
restless on bed
breathing abnormally
Low blood pressure
Priority of problems:
Pain in head.
Low blood pressure
Pain in left thigh
Planning: Recommendations
Expected Outcome Outcome criteria
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Pain in the head should be reduced and should
be brought back to normal
To bring pain scope of head back lower.
Blood pressure should be 120/80 Bring back to normal though medicines and
diet
Pain on movement should also be reduced. to rest stably on bed and move his left leg a bit
less.
Nursing: Interventions
Interventions Rationale
Neurotherapy can be provided to Amjad
Physiotherapy can be proved
Detrition consultation can be provided
To reduce anxiety and depression. With the
help of proper brain fitness exercises pain can
also be reduced
speeding up recovery of left leg injury so that
he can move back normally
bringing BP back to normal, increasing
recovery speed and effectiveness of therapies
provided to him
Evaluation:
This nursing pan can be evaluated in two ways: after 6 hours of nursing interventions, wound
management, therapies vital signs of patients, pain level will be observed. If pain level is 3 or
less then three then patient can be released with provided prescription.
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