Case
HSNS 2118 Urinary Tract Infection Case Study
- Course
- HSNS 2118
- Institution
- Rose State College
This is a comprehensive and detailed case study on Urinary Tract Infection for HSNS 2118. Am Essential Study Resource!!
[Show more]
Content preview
Urinary Tract Infection/UrosepsisPrimary Concept
Infection
Interrelated Concepts (In order of emphasis)
1. Perfusion
Jean Kelly, 82 years old
UNFOLDING Reasoning Case Study: STUDENT
Sepsis History
of Present Problem:
Jean Kelly is an 82-year-old woman who has been feeling more fatigued the last three days and has had a fever the last
twenty-four hours. She reports a painful, burning sensation when she urinates as well as frequency of urination the last
week. Her daughter became concerned and brought her to the emergency department (ED) when she did not know what
day it was. She is mentally alert with no history of confusion. While taking her bath today, she was weak and unable to get
out of the tub and used her personal life alert button to call for medical assistance.
© 2016 Keith Rischer/www.KeithRN.com
, Personal/Social History:
Jean lives independently in a senior apartment retirement community. She is widowed and has two daughters who are
active and involved in her life.
What data from the histories are important and RELEVANT and have clinical significance for the nurse?
RELEVANT Data from Present Problem: Clinical Significance:
Feeling fatigued the last three days. Clinically significant when clustered with the other symptoms of fever
this is indicating that there is a likely an infection present
Fever the last 24-hours Fever reflects the systemic inflammatory response initiated by the
immune system to help the body fight off infection
Reports painful burning when urinating as
well as frequency for the last week The patient’s symptoms are classic with a UTI.
Suspecting a urinary infection, the nurse needs to know that if a patient
meets the SIRs criteria, they should suspect sepsis. Request for a UA is
indicated
Did not know what day it was, with no
history of confusion New onset of confusion is always a clinical red flag in the elderly, and
when combined with other symptoms it is not usually a neurologic
problem. Confusion is commonly seen with a UTI infection.
While taking her bath today, she was weak
and unable to get out of the tub and used the This confirms the weakness and fatigue she has had the past 3 days. It is
help button to call for medical assistance. severe weakness if she is unable to get out of the bath tub and needed to
call for assistance
RELEVANT Data from Social History: Clinical Significance:
Jean lives independently in a senior The patient is able to function at a high level for her age and capable of
apartment retirement community. independent living. Therefore, her current symptoms are abnormal.
She is widowed and has two daughters who Jean has a supportive family and will have a is a positive influence that
are active and involved in her life. will increase her ability to maintain her independence and freedom.
What is the RELATIONSHIP of your patient’s past medical history (PMH) and current meds?
(Which medications treat which conditions? Draw lines to connect)
PMH: Home Meds: Pharm. Classification: Expected Outcome:
-Diabetes type 2 1. Allopurinol 100 mg PO 1. Antigout agent 1. Patient had decreased
-Hyperlipidemia bid (Gout) (Gout) production of uric acid to
-Hypertension (HTN) reduce gout flares
-Gout
DM2 2. ASA 81 mg PO daily
© 2016 Keith Rischer/www.KeithRN.com
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller anyiamgeorge19. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.39. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
51036 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 15 years now