NU 302 Case Study Assignment Instructions
As you are learning this semester, the role of the nurse is to integrate and apply knowledge from your general education background, health-related sciences, and evidence-based nursing science in the application of the nursing process to the nursing care of patients in the acute care setting.
The nurse uses knowledge from pharmacology, anatomy and physiology, pathophysiology, microbiology, nutrition, psychology, and other sciences to build a plan of care according to the health assessment findings generated by the nurse.
Nursing is practiced within an interdisciplinary health care system, and it is important for the nurse to understand the perspectives of other disciplines in their contribution to the patient plan of care. For this assignment, you will use the case study provided or choose a client from your clinical rotation. You will complete an in-depth analysis of the nature of their health alterations, the pathophysiological and psychosocial aspects of their health needs, and how the interdisciplinary team contributes to the treatment plan while the patient is in the hospital and as plans for discharge are put into action.
- Read the information about the case study with the chart materials provided or gather the necessary information from one of your patients. Do this FIRST. You need to understand the case study before you can write about it. Research your topic
- Review the patient assessment information. What other assessments might you do in addition to those provided? What findings would you anticipate with this patient? Here is an example of how to layout your paragraph for assessments….
PERRLA: pupil equal, round, reactive to light and accommodation.
The conjunctivae are clear and show the normal color – pink over the lower lids and white over the sclera.
Vital signs: 162/84, 124, 36, 102° F (38.9° C), and Spo2 88%. An IV of D5W at 50 mL/hr,
Skin: Skin tone is even and consistent with genetic background. Color tan- pink, even pigmentation, with no suspicious nevi. Warm to touch equal bilaterally, dry, smooth, and even. Turgor good, no lesions. Mucous membranes look smooth and moist. No edema presents.
- Develop a care plan (use the template below) based on the highest priority problem (1 nursing diagnosis, 1 goal, 3 interventions for each goal, 1 rationale for each intervention and evaluation for each goal).
- Include selected references for your case study paper/care plan and use APA format. Nothing over years old, peer-reviewed articles, journals, books, websites etc…
- Use the care plan template that you use in clinical
Complete an in-depth analysis reflecting your ability to prepare a case study based on principles derived from pharmacology, pathophysiology, psychology, nutrition, and evidence-based nursing practice guidelines etc…. If you don’t find enough information in the case study that you feel should be included, you may add more information to it. In other words, you can make it up and add it as long as it would be something pertaining to your case study person.
Your paper MUST be in APA 7 format!!!
Title page, introduction to the patient, the pathophysiology of your disease, patient history past and present, complete nursing assessment (given information and any additional), diagnostics, labs, and related treatments, a conclusion to the paper, and your references. You can use these as your paragraph headers.
References can be from your book, an article, a medical journal etc… but they MUST be no older than 5 years and they must be peer-reviewed. If using the internet to pull research you cannot use .com or .net pages, only .org and you must cite your work.
Citing your work. If you have not learned how to appropriately cite your writings, then you need to get in touch with the library for help. They have a sample paper for you so you can see how to format your professional paper and how to properly cite your work in your paper. There are also great youtube videos on this as well.
Case study is specific, analytical, conceptually sound, and based on scientific principles and application of knowledge, reflects evidence-based nursing care approaches and science, and is holistic in its approach to understanding the patient and his/her nursing care needs.
James is a 50 years old African American male. James complained about a sharp epigastric pain in his abdomen arising from his back. He also experienced some vomiting and nausea. James said that he doesn’t have any history of pancreatitis or illegal abuse of drugs. However, he admitted to having a history of abuse of alcohol and his last consumption of alcohol was a few hours before being presented to the hospital.
Past medical history of the patient
Appendectomy at the age of 27
Tonsillectomy at the age of eight
High blood pressure three years ago
Pre-diabetic one year ago
James sister who is 40 years old was diagnosed with cholelithiasis three years ago
His brother who is 58 years old was diagnosed with cholecystectomy for acute cholelithiasis and cholecystitis six years ago.