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Case Presentation: pt. D.F.

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emma santiago

on 7 August 2013

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Transcript of Case Presentation: pt. D.F.

VIRGINIA HENDERSON MODEL
Patient D.F.
88Y/F
Diagnosis: Anemia, UTI, CKD
cc: GI bleeding
 M1
 Date of Admission: juLY 27, 2013
 History of Present Illness (HPI): : 2-3 months blood in stool, color range from pink to bright red to brown all with clots from dislodge-seeing GP for ongoing anemia, low sodium, potassium
 Admitting diagnosis: GI Bleeding
 Final Diagnosis: Anemia, UTI, Renal Failure


Presented by: Emmanuelle Anne Santiago
ENVIRONMENT
INDIVIDUAL
NURSING
HEALTH
7 ESSENTIAL NEEDS:
1. light
2. temperature
3. air movement
4. atmospheric pressure
5. appropriate disposal of waste
6. minimal quantities of injurious chemicals,
7.cleanliness of any surfaces coming in contact with individual
MISERICORDIA HOSPITAL
HOME CARE: MEADOWLODGE

14 BASIC NEEDS
HEALTHY patient
INDEPENDENTLY ABLE TO PROVIDE THE 14 BASIC NEEDS
> Action:
*substitute (doing for the person),
*supplementary (helping the person),
*complementary/independently (working with the person)

"the unique function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge. And to do this in such a way as to help him gain independence as rapidly as possible"
• “the nurse is temporarily the consciousness of the unconscious, the love of life for the suicidal, the leg of the amputee, the eyes of the newly blind, a means of locomotion for the infant, knowledge and confidence for the mother and the mouthpiece for those too weak or withdrawn to speak"

> ultimate goal: to let the patients be as independent as soon as possible
> The nurse is expected to carry out physician’s therapeutic plan Individualized care is the result of the nurse’s creativity in planning for care.
>Temporarily Assists and supports the individual in life activities and the attainment of independence/completeness/ wholeness.

> Action:
*substitute (doing for the person),
*supplementary (helping the person),
*complementary (working with the person)



BIOLOGIC
a process or phenomenon connected with life or living organisms
PSYCHOLOGICAL

related to the mental and emotional state of a person.
SPIRITUAL
Beliefs and Values
SOCIOLOGIC
related to ability to relate to others and what is around them
INDIVIDUAL
CONCEPT MAP OF THE DISEASE
Weakness
ALZHEIMER'S DISEASE
HIATAL HERNIA
ESOPHAGUS SHATZI'S RING STRUCTURE
CHRONIC KIDNEY DISEASE
poor nutrition
constipation
poor hygiene
cystitis
ENVIRONMENT
DEHYDRATION
PRESSURE ULCER
GI BLEED
 NCP1:
Risk for Bleeding
 Activity Intolerance
 Risk for Shock
 Imbalanced Nutrition

NCP 2:
 Powerlessness

 Hopelessness

 Depression

 Energy Field Disturbance


1.  Can you identify other nursing diagnosis that could be a priority?
2.  What do you think are the limitations of the use of the
Virginia Henderson model?
3. What other nursing model or theory would you find appropriate?

sOURCES
Bliss, D. and Sawchuk, L. (2009). Nursing Management: Lower Gastrointestinal Problems. In M. A. Barr, S. Goldsworthy & D. goodridge (Eds.), Medical-Surgical Nursing in Canada (Second Edition, pp. 1109-1161. Toronto, Ontario, Canada: Elsevier Canada.
Doegenes, M., Moorhouse, M., and Murr, A. (2010). Nursing Care Plans (8th edition). Philadelphia,PA: F.A. Davis Company
Gray, M.. (2009). Nursing Management: Renal and Urological Problems. In M. A. Barr, S. Goldsworthy & D. goodridge (Eds.), Medical-Surgical Nursing in Canada (Second Edition, pp. 1231-1272. Toronto, Ontario, Canada: Elsevier Canada.
Halloran, E. (1995). A Virginia Henderson reader: excellence in nursing. New York, NY: Springer Publishing.
Heitkemper,M. (2009). Nursing Management: Delirium, Alzheimer’s Disease and Other Dementias. In M. A. Barr, S. Goldsworthy & D. goodridge (Eds.), Medical-Surgical Nursing in Canada (Second Edition, pp. 1659-1679. Toronto, Ontario, Canada: Elsevier Canada.
Heitkemper,M. (2009). Nursing Management: Upper Gastrointestinal problems. In M. A. Barr, S. Goldsworthy & D. goodridge (Eds.), Medical-Surgical Nursing in Canada (Second Edition, pp. 1061-1108. Toronto, Ontario, Canada: Elsevier Canada.
Holechek, M. (2009). Nursing Management: Acute KidneyInjury and Chronic Kidney Disease. In M. A. Barr, S. Goldsworthy & D. goodridge (Eds.), Medical-Surgical Nursing in Canada (Second Edition, pp. 1273-1309. Toronto, Ontario, Canada: Elsevier Canada.
Matteucci, R., & Schub, T. (2013). Shock, hypovolemic. CINAHL Nursing Guide, Retrieved from http://search.ebscohost.com.login.ezproxy.library.ualberta.ca/login.aspx?direct=true&db=nrc&AN=T701249&site=nrc-live
Sommers, M. S. (2010). Hypovolemic/ hemorrhagic shock. (). Philadelphia, Pennsylvania: F.A. Davis Company. Retrieved from http://search.ebscohost.com.login.ezproxy.library.ualberta.ca/login.aspx?direct=true&db=nrc&AN=2011533305&site=nrc-live; http://www.fadavis.com
Strickler, J. (2010). Traumatic hypovolemic shock: Halt the downward spiral. Nursing, 40(10), 34-40. doi:10.1097/01.NURSE.0000388308.45275.3e
Thorne, S. (2010) Theoretical Foundations of Nursing Practice. In P. A. Potter, A. G Perry, J. C. Ross-Kerr & M. J. Wood (Eds.), Canadian fundamentals of nursing (Revised Fourth Edition ed., pp. 64-73). Toronto, Ontario, Canada: Elsevier Canada.

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