Nursing Care Case Studies

Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients. In addition, she is most frequently assigned any change of shift admissions. While she understands that she is part of a team, she often feels that the consistency of the inequity of these assignments is not fair. She is self-aware of how this is affecting her. As she starts her shift today she is again assigned to the

A 75 year old female patient alert and oriented X 3, weigh 115 Lbs, her height 5?8??, has a hearing aid and wear glasses for reading. The presented Patient has a history of hypertension diagnosed with CHF on 2013, positive for Hepatitis B due to contaminated blood transfusion. Had a cervical dysplasia on 1994 resolved by a total abdominal hysterectomy and bilateral oophorectomy the following year. The patient was diagnosed for polyps and multiple diverticula at the age of 68. The Patient suffers of painful osteoarthritis of both knees, shoulder hips. Patient?s mother deceased at the age of 79 from breast cancer and her father deceased at the age of 54 from heart attack.

The patient is a 68-year-old gentleman who had a fall from a standing position. The history is vague, however he details it better with the neurologist. He relates to the neurologist that he was sitting on the couch, he felt dizzy, he got up to go to the bathroom and then had loss of consciousness found himself on the floor with laceration to his head. He could not get up, but he was able to call his daughter on the cell phone to help him. The patient in the fall, dislocated his right shoulder which was taken care by orthopedics.

The two major discs damaged in the incident was the fourth and fifth lumbar vertebra. Being that the two disc were severely herniated, the vertebra could no longer properly support the weight of my body and coupled with nerve damage, caused me to drag my left leg. Corrective procedures and operations were required to return mobility. The numerous surgeries and spinal epidurals were arduous, physically and mentally. Each painful procedure required bed rest for a prolong period of time, with many follow up appointments. However, partnered with several hundreds of hours of physical therapy the surgeries have

Her PCP order radiographs and an MRI both which appeared unremarkable.2 Due to the negative radiographs, her PCP referred her to an orthopedic who linked her back pain to lifting boxes at work, prescribed analgesics, and referred the patient to physical

DOI: 06/05/12. Patient is a 50-year-old male construction laborer who sustained a work related injury to his back due to lifting heavy objects off a conveyor.

Right shoulder pain. He reports that this pain has worsened with his activity recently. He is going to hold off on the yoga poses and the golf for now and try to give his shoulder a rest. I wrote him for naproxen 500 mg one p.o. twice daily #30 with no refills to use a scheduled basis for the next five to seven days and then p.r.n. from there and he plans on following up with Dr. Thut. Consideration for further investigation can be done then. We will assist him in helping to get this scheduled. Should he have any new injury or concerns in the meantime, he will update me.

Within the first minutes of her appointment, Dr. Tehrany was able to diagnose her shoulder. However, in order to form the accurate diagnosis and provide the suitable treatment, Dr. Tehrany ordered an urgent MRI Scan.

He opts for the chiropractic care and seeing the massage therapist. We agree that if he is not better in several visits he will see his primary care doctor. We discuss that imaging is not indicated at this point as the pain is reproduced with palpation of the area and the exam is essentially normal. Clinically it is reasonable to assume that subjectively and objectively the area is a strain and would likely resolve in a 5-7 days. The patient consents, he is treated in our office and receives chiropractic care and massage therapy and leaves the office “feeling better” and the pain now being “+4/10”.

DOI: 5/14/2015. Patient is a 48- year old male machine operator who sustained a cumulative injury from 12/15/14 through 05/14/15 due t normal job duties.

Patient was diagnosed with impaired vision, cervical spine sprain/strain/herniated cervical discs, lumbar spine sprain/strain/herniated lumbar disc at L4-5 and L5-S1, right shoulder sprain, right elbow sprain and right hand sprain/strain rule out tendonitis and carpal tunnel syndrome.

proposed that given the predictability of the shape of the thorax, anterior movement of the scapula and posterior acromial angle is a predictable, valid index of scapular abduction-adduction.10 They used a computer-assisted slide digitizing system called Postural Analysis Digitizing System (PADS) to determine characteristic values for head and shoulder girdle posture and characteristic range of motion for head protraction-retraction and shoulder protraction-retraction in 20 male subjects with a mean age of 29 years. The PADS system is considered sufficiently accurate for posture assessment. However, these slide photographs that provide an objective record of posture are rarely used in a clinical

S: TM is here complaining of his left shoulder. TM been having shoulder pain for some time but for the past several days the pain has gotten greater and it seems like his shoulder is about to come out of his shoulder. He reports his pain is about 5 to 6 out of 10 in daily bases. TM denies any numbness or tingling sensation in his arms or hands, but his grip strength in his left hands are not strong as it has been. TM denies any acute injury to left shoulder, denies any previous injury to left shoulder. After ice X 20 minutes, the TM reports his pain at 4/10.

ROLAND, M. & FAIRBANK, J. C. T. 2000. The Roland–Morris Disability Questionnaire and the Oswestry Disability Questionnaire. Spine, Volume 25, 3115–3124.

Adrienne is a single 50-year-old female, weight 220, height 5’7 inches tall Adrienne present occupation is Teacher in the NYC public school system and a sign language Teacher in the evening. Adrienne still resides in Harlem New York with her son who is 13 years old.