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12 Unit I Nursing Within the Context of Contemporary Health Care CASE STUDY: Putting It All Togethe

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12 Unit I Nursing Within the Context of Contemporary Health Care CASE STUDY: Putting It All Togethe

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  • 13 de marzo de 2024
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  • 2023/2024
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  • 12 Unit I Nursing Within the Context of Contempora
  • 12 Unit I Nursing Within the Context of Contempora

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12 Unit I Nursing Within the Context of Contemporary Health Care
CASE STUDY: Putting It All Together
Subjective Data
A 66-year-old woman is brought to a clinic by her female partner because of increasing shortness of breath
and fatigue. The patient was reluctant to come to the
clinic, but her partner insisted. The patient reports being
diagnosed with emphysema 10 years ago and states, “I’ve
been smoking since I was 15 years old, but I can’t stop.
The smoking finally got the best of me. I guess I should
have stopped smoking when I was diagnosed with emphysema. If I had to do it over I would do a lot of
things differently. I have so much phlegm; I cough all the time. I can hardly breathe, and I’m exhausted all the
time. My partner hates that I always smell like smoke,
and my fingers and teeth have turned yellow.”
Objective Data
Vital Signs
Temperature: 100.2°F, orally
Pulse: 88 beats/minute, regular
Respirations: 26 breaths/minute
Blood pressure: 138/84 mm Hg
Case Study Questions
A.Which of the following concerns identified by the nurse is the patient’s primary problem and why. And why are the other con-
cerns not the priority?
1.Impaired oxygenation due to retained secretions
2.Potential for falls because of overwhelming fatigue
3.Diminished self-esteem related to an inability to stop smoking
4.Impaired relationship with partner associated with changes in appearance
1.
2.
3.
4.
B.What additional objective data should the nurse collect in relation to the patient’s respiratory status? Explain why each abnor -
mal clinical indicator may have occurred by exploring its relationship to the patient’s respiratory problem.
1.
2.
3.
4.
5.
6.
7.
8.
C.What statement indicates that the patient is struggling with one of the age-related tasks associated with Erikson’s and Havighurst’s developmental theories and why?
D.Considering the concepts of the health belief model, what factors in the scenario indicate that the patient may be ready to
make behavioral changes and why? 3706_Ch01_001-018 08/10/13 4:16 PM Page 12

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