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Case Study

 

Clair, a 68-year-old woman lives alone and has lived alone since her husband died 20 years ago.  She does not have any children but she lives close to her younger sister, Mary. Clair lives in a small two-storey house in the country. She was recently discharged from the hospital following rehabilitation for a fractured right femur after falling on the ice approximately 6 weeks ago.  She loves to cook.  Her home is small.  She states she has a good appetite, “so I have to cook my own food.” Although she is concerned about how she will manage with meal preparation now that she is home, she refused her sister’s help.  

Since returning home, Clair states that she occasionally feels weak and unsteady on her feet.  She tends to forget things more often now. Yesterday she forgot the pot on the stove and only remembered when the fire alarm went off. She loves to drink tea “I like it piping hot,” she states. Today she fills up the bath tub and steam could be seen coming from the water before she got in. She is still able to do her ADL’s, every other Saturday she irons her sheets before replacing them on the beds. The iron cord looks worn but Clair refuse to replace it, “it works just fine,” she told the nurse when the nurse suggested that she gets a new iron.

Clair has been an active member of her community.  She belongs to a senior’s daily walking group and previously attended water aerobics classes three times a week at her local community pool.  She enjoys attending her weekly church group. Clair states she is worried that she may not be able to continue these activities.

 

Identification of priority need in the case:
Selection of six (6) pieces of data pertinent to the priority need identified for the case study (Give rational why data is relevant to need).

 

Identification of data Cluster that is present in the case study. Clear analysis of what the cluster means to the patient and the nurse. (Analysis must be supported with evidence-based research). 

68 years old, recently discharged from hospital – fractured right femur, feels weak and unsteady on her feet, 

Identification of data Pattern that is present in the case study. Clear analysis of what the pattern means to the patient and the nurse. (Analysis must be supported with evidence-based research).
Identification of Data Gap that is present in the case study. Clear analysis of what the data gap means to the patient and to the nurse. (Analysis must be supported with evidence-based research).
Identification of data Norm that is present in the case study. Clear analysis of what the data norm means to the patient and the nurse. (Analysis must be supported with evidence-based research).
Identification of Cue and inference that is present in the case study. Clear analysis of what the cue/inference means to the patient and the nurse. (Analysis must be supported with evidence-based research).
Selection of One (1) NANDA Priority Nursing Diagnosis with factors and/or evidence that reflects the data analysis.

PNUR104: GUIDELINES FOR CASE STUDY ASSIGNMENT Summer, 2022

Write Two (2) Expected Outcomes (patient goals) which reflects the priority nursing diagnosis (use SMART format).
Write Two (2) Nursing Interventions (nursing orders) to address each expected outcomes/patient goals.
Provide rationales for your nursing interventions with the use of References to support your rationales.

 

Sources of Reference: Course texts, RNAO Best Practice Guidelines, College of Nurses Standards, Peer-reviewed Journals, Government websites etc
SCIENCE
HEALTH SCIENCE
NURSING
PNUR 104

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