Nursing Case Study

2640 words - 11 pages

This assignment intends to demonstrate the use of the Roper, Logan and Tierney model of nursing for assessment of a patient presenting with an ectopic pregnancy. The discussion begins with a definition of ectopic pregnancy. This will be followed with the introduction to the patient and an explanation of the model used to assess the patient. The assessment is based on pre-operative care. One particular identified need of the patient will be discussed in detail in relation to the care implemented. The care provided will be critiqued along with a critique of model of nursing.Ectopic pregnancy, also known as an extra uterine pregnancy is a potentially life-threatening form of pregnancy. It occurs when the implantation of the zygote is outside the uterine cavity (Walker & Jones 2002). The commonest location is within the fallopian tubes (Abbott 2002). In the UK there are around eleven thousand cases per year resulting in four maternal deaths (DoH 1998). Several predisposing factors increase the potential of an ectopic pregnancy occurring including: previous ectopic pregnancy, tubal damage as a result of abdominal surgery or an infection such as Pelvic Inflammatory Disease, smoking and with increased age. However, in most cases the cause is unknown (Tay et al 2000).Stacy (actual name withheld to maintain confidentiality) the patient, is a twenty five year old female. She lives with her partner of five years. Stacy presented via the ultrasound scan department. The day prior to admission she had discovered that she was pregnant. The scan was requested by her general practitioner due to her previous history of an ectopic pregnancy four months prior. The scan confirmed that there was no evidence of an intra uterine gestation sac. Appearances suggested towards an extra uterine gestation sac adjacent to the right ovary containing an embryo of three millimetres in size with heart pulsations. The conclusion of the scan showed there to be present an ectopic pregnancy in the right fallopian tube. Subsequently, Stacy was admitted as an emergency to a specialist gynaecology ward to which the writer was based. She was introduced to her primary nurse and the members of the team to which she was allocated. The ward uses a team approach to nursing care to provide a consistency in the care given. Stacy was scheduled to have an emergency salpingectomy (removal of fallopian tube) to be preformed by laparoscopy under general anaesthetic which is the passing of an endoscope through the abdominal wall.The nursing model used to plan Stacy's care was based on the Roper, Logan and Tierney Activities of Living Model (Appendix 1). It is the model of use on the ward to provide a holistic approach to care. This model was first published in 1980 as a result of a research project undertaken by Nancy Roper in 1976 (Roper et al 2002). The theories underpinning the model are Maslow's Hierarchy of Needs (1943) and the work of nursing theorist Virginia Henderson (1969).Maslow's...

Find Another Essay On Nursing case study

Nursing Administration Case Study

682 words - 3 pages During the PM change of shift report, an RN calls in ill and the staffing office says she cannot be replaced. This leaves only one RN, Mrs. K. for 26 clients. Mrs. K. says, “If you do not get another RN for this unit, I am going to quit this job. I will not do it this shift, but I will not put up with this constant shortage of help. I don’t care if it is an RN, but I should have people with some skills to get the clients cared for. The reason

Nursing case study

2126 words - 9 pages The aim of this study is to provide a detailed account of the nursing care for a patient who is experiencing a breakdown in health. One aspect of their care will be discussed in relation to the nursing process. The model used to provide an individualised programme of care will be discussed and critically analysed.Jack, the patient presented through Accident and Emergency to Ward D3, an acute medical ward specialising in respiratory medicine. He

Case Study, Dehydration related to multiple medical issues in a Medical Surgical Clinical Setting Nursing 262 Acute Care

6695 words - 27 pages This is a medical case study, it is very indepth with care plan, teaching plan, medication list and medication information, laboratory values and explainations, physical assessment, and medical history. This is not an english paper.Case Study, Pt DPPatient was a healthy hospital administrative aide, began to lose weight one year ago, a doctor at his place of work noticed the weight lose and inquired as to other symptoms, i.e. night sweats, fever

Legal Issues in Nursing for BSN. Case study

1152 words - 5 pages absent, her skin was warm without mottling, and the pupils of the eye were dilated but reacted slowly to light. Cardiopulmonary resuscitation was instituted without success, and Cindy Black was pronounced dead.Departure from professional standards of nursing care:In every nursing malpractice case the defendant nurse's conduct is measured against that of a reasonably prudent nurse under the same or similar circumstances. Departure from the

This is an example of a case study done on a nursing home resident with dementia. Includes physical assessment data

2880 words - 12 pages Running Head: Nursing Care StudyNursing Care StudyYour Name Goes HereName of Your College Goes HereGeneral InformationE.S. is a 94 year old female, born July 30, 1909. She is widowed. She is of Catholic religion. She stated that her mother was from Germany and her father was from Ireland. She is an only child, and never finished school because she married at a young age. Her date of admission was July 8, 2002 with the diagnosis of left hip


2987 words - 12 pages allover the world. Nations changed their ways of doing politics, handling economy, military and cultural issues as an outcome of globalisation. Same is the case for nursing. In this paper, efficacy of educational theory and professional guidelines in the practice environment will be discussed. It will compare the modern day change in the complete outlook of nursing industry in pratice environment with the previous years and evaluate what and how

Transcultural Nursing

4399 words - 18 pages different culture backgrounds may appreciate holistic nursing practice and care choices in different ways so is the healthcare provided in different ways (Locsin, 2001). It may also be the case that some individuals may feel embarrassed to mention alternative remedies used in the past, therefore the assessment should be supportive rather than disapproving (Maddalena, 2009). Pearcey (2007) ran a study on clinical practices amongst student nurses to

Nursing Shortage

672 words - 3 pages in the midst of a serious shortage of nurses that will continue to worsen in years to come. A comprehensive study published in 1998 by the Canadian Nurse Association predicts a shortage of 59000 to 113000 nurses by the year 2011; this however is with the exception of Québec who predicts a shortage of 11000 nurses between the years 2001 to 2015. At the same time while the demand continues to rise, fewer individuals are pursuing the nursing

Nursing research.

10154 words - 41 pages both qualitative and quantitative research. However the framework will not be used as a definitive checklist. In this assignment the first article that will be discussed is a qualitative piece of research by Simons J., Franck L. &Roberson E (2001). Titled : Parent involvement in children's pain care: views of parents and nurses. Journal of Advanced Nursing, 36(4), 591-599.This study looks at the views of parents and nurses about the

Nursing research.

5107 words - 20 pages both qualitative and quantitative research. However the framework will not be used as a definitive checklist. In this assignment the first article that will be discussed is a qualitative piece of research by Simons J., Franck L. &Roberson E (2001). Titled : Parent involvement in children's pain care: views of parents and nurses. Journal of Advanced Nursing, 36(4), 591-599.This study looks at the views of parents and nurses about the

Nursing ethics

2165 words - 9 pages benefits may be such that treatment would causes distress for a short time not such that her life is intolerable. If the decision is to give the injection, then once again respect for Betty's wishes and concerns should influence the approach to treatment so that her fears are mitigated as much as possible. All medication given covertly must, be recorded in Betty's case notes for future reference this shows good nursing practice.According to

Similar Essays

Family Health Nursing Case Study

3071 words - 12 pages the dynamics of the system causes a change in the equilibrium. The purpose of this paper is to demonstrate the application of family health nursing theory to practice through a case study. The Perez family’s culture and environmental factors as they impact the family’s health will be discussed. Using the Calgary Family Assessment Model, the Perez family will be examined for their structure, development and function. Subsequently, Neuman’s

Nursing Case Study: Psychiatric Patient

1981 words - 8 pages In this case study, one day of care for a 28 year old, male patient on a low secure psychiatric unit will be examined and discussed. The main focus will be on implementation and evaluation of the nursing process. These areas will be covered under; physiological, psycho-sociological and pharmacological aspects of the patient’s care. Although, the case study is discussed using third person expression, the care discussed is what was implemented

Legal Issues Case Study For Nursing

1069 words - 4 pages Legal Issues Case Study for Nursing Case 2 Nursing Situation: Cindy Black (fictitious name), a four-year-old child with wheezing, was brought into the emergency room by her mother for treatment at XYZ (fictitious name) hospital at 9:12 p.m. on Friday, May 13. Initial triage assessment revealed that Cindy was suffering from a sore throat, wheezing bilaterally throughout all lung fields, seal-like cough, shortness of breath (SOB), bilateral ear

Nursing Ethics Case Study

1148 words - 5 pages ). Ethical Dilemmas in Nursing. Journal of Medical Ethics. Retrieved on 12th July 2010 from Fry T. Sara Veatch and M. Robert (2006 ). Case Studies in Nursing Ethics Jones and Barlett Learning Timby, Kuhn Barbra (2008). Fundamental Nursing Skills and Concepts. Lippincott Williams and Wilkins