Clinical Decision Making: Case Studies in Medical-Surgical by Gina M Ankner

By Gina M Ankner

Reflecting the most recent practices within the box, medical determination Making: Case stories in Medical-Surgical Nursing, second variation bridges the space among thought and scientific program. Emphasizing holistic nursing care, the circumstances aid readers sharpen severe pondering abilities and achieve hands-on event employing what they study. The greater than forty medical-surgical case histories and comparable questions are in keeping with real-life patron events. each case includes an introductory "blueprint" of variables that has to be thought of whereas comparing a specific state of affairs about the purchaser, nursing protocol, and atmosphere of care.

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Thomas that he is HIV positive? If so, discuss. 5. Any loss, such as the loss of one’s health, results in a grief response. Describe the stages of grief according to Kubler-Ross. 6. Discuss which stage of grief Mr. Thomas is most likely experiencing. Provide examples of Mr. Thomas’s behavior that support your decision. 7. What are the laboratory tests used to confirm the diagnosis of HIV infection in an adult? 8. Discuss the function of CD4+ T cells and provide an example of how the CD4+ T-cell count guides the management of HIV.

Aponi’s frequent incontinence necessitates the development of therapeutic communication to facilitate activities of daily living (ADL) care and frequent skin hygiene. The nurse caring for Mr. Aponi for the first time soon learns that talking slowly and softly is the most effective way of focusing the client’s attention and prompting him to follow basic instructions such as turning side to side. The nurse feels uneasy about speaking to Mr. Aponi as if he were a child in some ways. However, the nurse finds that this manner of speech keeps Mr.

9. What is the normal expected recovery time for Mrs. Seaborn? CASE STUDY 2 Mrs. Giammo GENDER SPIRITUAL/RELIGIOUS Female PHARMACOLOGIC AGE SETTING ■ LEGAL Hospital ETHICAL ETHNICITY ■ Atenolol (Tenormin); heparin (Heparin Sodium); atorvastatin (Lipitor) Black American ALTERNATIVE THERAPY CULTURAL CONSIDERATIONS ■ PRIORITIZATION PREEXISTING CONDITION ■ Lifestyle modification Hypertension (HTN) DELEGATION COEXISTING CONDITION ■ Hypercholesterolemia COMMUNICATION DISABILITY SOCIOECONOMIC ■ History of tobacco use for twenty-five years—quit ten years ago; husband smokes one pack per day; positive family history of heart disease; occasionally takes walks in the neighborhood with friends but does not have a regular exercise regimen THE NERVOUS/NEUROLOGICAL SYSTEM Level of difficulty: Easy Overview: This case requires the nurse to recognize the signs and symptoms of a transient ischemic attack (TIA) and define the difference between a cerebrovascular accident (CVA, stroke) and a TIA.

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