Nursing ethics case study (stroke patient, Hindu)

Ethics are standards of behaviour which nurses act on when caring for patients (Tschudin, 1986; Edwards; Holland et al, 2008, Kozier et al, 2008. Conflict between ethics and moral dilemma is enshrined in the NMC (2015) code ethics their role as nurses and duty to the patient who want to know the truth and the … Read more

Cardiogenic Pulmonary Edema case study

What is your diagnosis for the patient? The diagnosis for Joan is Cardiogenic Pulmonary Edema. According to The Gale Encyclopedia of Medicine, Pulmonary Edema is a condition in which fluid builds up in the lungs which is most likely due to the left ventricle not pumping adequately (Milto, 2011). To start off, Joan’s history shows … Read more

Postoperative care nursing process (case study)

The following essay will demonstrate an understanding of the nursing process; which is a logical, structured approach to planning and delivering nursing care (Holland et al. 2008). Although the process is composed of four main stages namely: assessment, planning, implementation and evaluation (Peate et al. 2014), the focus will mainly be on the final two … Read more

Case study – chronic bronchitis, heart failure & hypertension

1. What clinical findings correlate with M.K.’s chronic bronchitis? What type of treatment and recommendations would be appropriate for M.K.’s chronic bronchitis? M.K. showed lots of characteristics that correlate with chronic bronchitis. Having productive sputum, especially in the morning because of the accumulation overnight, along with a cough and history as a heavy smoker for … Read more

Diabetic foot pathway case study

: PL is a 79 year old man who is 2 days post femoral posterior tibial bypass surgery on a background of a non healing ulcer. Of note his a known vacsulopath with type two insulin dependent diabetes. HPC: He presented via the diabetic foot pathway to Vincent’s on 28/12/16 with an ulcer on his … Read more

Acute scrotum

Introduction An ‘acute scrotum’ is defined as any episode of acute onset of scrotal swelling and pain. It is equivalent to an acute abdomen in general surgery. As the scrotum is a tight space, many structures can be damaged. Patients must be seen immediately to find and treat the cause. There are many medical conditions … Read more

Patient Focused Essay (Communication and Assessment)

Chapelhow et al, (2005) states that when a novice nurse looks to become a competent practitioner all the following enablers are fundamental to excellent nursing care these are: assessment, communication, decision making, managing uncertainty and managing risk. For the purpose of this essay Communication and Assessment are the two enablers of care that will be … Read more

Urinary tract disease (UTI)

DEFINITION: A urinary tract disease (UTI) is regarded as an infection in any part of the urinary systems such as the urethras, bladder, and kidney. Common diseases are a disease such as the urinary tract infection. Intermittent urinary tract diseases are challenging to treat in light of the fact that the fundamental treatment choice is … Read more

Risk assessment on detained service user

According to Martin Rogan, the HSE Assistant National Director, Mental Health “Safety is central to the provision of quality mental health services. However, adverse events do occur, sometimes with tragic personal consequences.” Therefore, protecting patients and others from harm is a key priority and risk assessment and management is an indispensable component of providing such … Read more

Unitary Theory & Meta-paradigms

The best category of Newman’s paradigms which I relate to the most, is the Unitary-transformative. Unitary transformative theory is described as health expanding consciousness. According to Newman, “humans are patterned, self organizing fields within larger patterned, self-organizing fields.” I concur, because humans are in a constant state of motion, continuously changing and evolving. Humans are … Read more

Chronic bronchitis case study

M. K. has recently been diagnosed with chronic bronchitis. A correlation exists between the findings and chronic bronchitis. Before elaborating on the correlation between the findings and chronic bronchitis, it is essential to understand what chronic bronchitis is. Chronic bronchitis is a type of chronic obstructive disease. It is a disease that is known for … Read more

Carotid endarterectomy case study (74 year old lady)

Ms DH is a 74-year-old lady presented to the Vascular team for elective left carotid endarterectomy (CEA). Ms DH was first presented to the team following a transient ischaemic attack in 2011. At workup investigation, her right internal carotid artery (RICA) was found to be stenosed of 90 to 99% and left internal carotid artery … Read more

Perioperative cardiac risk assessment

This patient is presenting for elective orthopaedic surgery with increased risk factors for coronary artery disease. His risk factors for underlying coronary disease and increased cardiac risk factors are: Active smoking Hypertension Hyperlipidaemia Type 2 diabetes Lack of physical activity In addition to identifying pre-existing cardiac disease it is also important to define the severity … Read more

‘Generations’ – the four unique cohorts

The word generation refers to the grouping of individuals born around a span of 15-20 years that share similar life experiences (Stanley, 2010).  Currently, the nursing workforce is a diverse organization being comprised of four generational cohorts for the first time in history (Hahn, 2011).  The Veterans, the Baby Boomers, the Generation Xers, and the … Read more