Complex Nursing Case Study Example | Topics and Well Written Essays - 3000 words

Complex Nursing - Case Study pillowcase adult respiratory distress syndrome is the primary diagnosis bringing with it many languish term and short term problems that get out be assessed throughout the paper. Nursing judgment stimulates with heart and lung status including the review of best in pull studies novelly done to animation decisions made, as well as determinations of c atomic number 18. This status includes the discussion of copious unfledged sputum which has developed in this client and the most recent license ground practice from research.colon resection is discussed in its own right but also as part of the possible cause of ARDS. at that place are assessment skills discussed related to this surgery and the possible outcomes including ARDS. Nursing skills related to this assessment are discussed. there are also discussions related to the neurological and sedated state of the client and what is include in that assessment as well as nursing plan for care.This c lient has skin integrity issues both related to the ARDS and to the fact that the patient is sedated and on a ventilator. There are very specific assessments discussed here as well as research of evidence based practice that is included to support this assessment and plan. Medications and the assessment as well as practice needed as an integrated part of care is included in this discussion and last but not least, the psychosocial impact for this client is enormous. This client has a novel family and a business that he must run. Mortality rates for ARDS related to colon resection are quite heavy. This is discussed as part of the nursing assessment in the sense of both short and long term impact.ICU Case ReviewIn all cases the ICU nurse must begin the shift with a complete assessment of what the status of the client is. The history of the last twenty quadruplet hours is presented in the transfer report from one nurse to the other. A full physical assessment is thus done on the clie nt from head to toe. In this case the assessment begins with the chest and lungs assuring attach ventilation and cardiac status for this patient. This assessment continues by assessing output affected by both cardiac and pulmonary status as well as abdomen with the consideration that this client is a recent surgical client with a colon resection. Medications that the patient is receiving are assessed as well as the concomitant sedation from at least one of those. Skin integrity is an important issue for this patient based on his ARDS diagnosis as well as ventilatory and sedation status. There are then ethical and psychosocial considerations for this client. All of these assessments allow be discussed in this paper in combination with studies and evidence based practice research found to support them. The resultant nursing plan for the day will then be presented. At 0700 this client is ventilated at SIMV 8, Tidal Volume 1000, and pressure support 10 cm.H2O. A 500ml bolus of Normal Saline has just been administered. Last vital signs recorded