Question

Here is my Nursing case study. For my analysis, I need to come up with 10 actual/potential problems from a NURSING STANDPOINT. So, Im needing a Problem, Data, and an intervention for all 10. You do not have to write any questions. The patient was Diagnosed with Meningitis.

Example:

Problem: impaired gas exchange

Data: patient complained of shortness of breath, difficulty breathing, and coughing

Nursing Intervemtion: Place bed in semi fowler position, and also check her oxygen is on at all times

D.H., a 54-year-old resort owner, has had multiple chronic medical problems, including type 2 diabetes mellitus (DM) for 25 years, which has progressed to insulin-dependent DM for the past 10 years; a kidney transplant 5 years ago with no signs of rejection at last biopsy; hypertension (HTN); and remote peptic ulcer disease (PUD). His medications include insulin, immunosuppressive agents, and two antihypertensive drugs. He visited his local physician with complaints of (C/O) left ear, mastoid, and sinus pain. He was diagnosed with sinusitis and Candida albicans infection (thrush); cephalexin and nystatin were prescribed. Later that evening he developed nausea and vomiting (N/V), hematemesis, and weakness, and he was taken to the emergency department (ED). He was admitted and started on IV antibiotics, but his condition worsened throughout the night; his dyspnea increased and he developed difficulty speaking. He was flown to your tertiary referral center and was intubated en-route. On arrival, D.H. had decreased level of consciousness (LOC) with periods of total unresponsiveness, weakness, and cranial nerve deficits. His diagnosis is meningitis complicated by an aspiration pneumonia and atrial fibrillation. D.H. has continued fever and leukocytosis despite aggressive antibiotic therapy.

Answer 1

Problem:developement of bed sores

data:patient complained of light headedness,tingling numbness of one side of the body,slurred speech and weakness on one side of the body.

medical history:patient came to the hospital with the following complains on emergency basis.brain CT nd MRI was asked.the reports revealed infarct in the middle cerebarl artery..The patient was started on anticoagulants and physical therapy was started for further rehabilitation.After this incident patient is quite demotivated for the rehabilitation and has developed bed soress since he is bed ridden for most of the times.

nursing intervention:prevention of bed sores,changing position of the patient every two hours,keeping the wounded area clean and dry.