Aetiology & Pathophysiology- Nursing Case Study

Aetiology & Pathophysiology- Nursing Case Study

Aetiology & Pathophysiology- Nursing Case Study

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NRSG258: Kathleen Johnson- Aetiology & Pathophysiology- Nursing Case Study


Kathleen Johnson is 45 years old and works in a library part-time returning books to the shelves. Kathleen is very overweight (BMI 40kg/m2) and has Type 2 diabetes, which she tries to control with diet. Kathleen is the sole carer for her father, who has dementia.
Kathleen admits to up to four bottles of beer a night and several glasses of whisky and smoking a packet of cigarettes a day and drinking several cups of coffee, which she says is to help her cope with stress of managing her father, her diabetes and her appearance.

Kathleen was admitted to hospital for sleeve gastrectomy surgery for weight loss. After 2 hours in the post-anaesthetic recovery room (PARU) and an uneventful recovery, Kathleen was transferred to the ward, where you have been allocated to her care.

On return to the ward Kathleen’s observations are as follows:
1. Respirations 28 breaths per minute
2. BP 190/100
3. Pulse 130 beats per minute
4. Temperature remains 35.1oC
5. Pain score 7/10
6. Indwelling urinary catheter (IDC) 5mls in the last hour
7. Nasogastric tube 50mls of gastric fluid
It is planned for Kathleen to be discharged after two days on the ward.

Questions to be addressed:
In relation to Kathleen Johnson:
Q1. Discuss the aetiology and pathophysiology of the patient’s presenting condition (LO1; LO3)
Q2. Critically discuss the underlying pathophysiology of the patient’s post-operative deterioration. Prioritize, outline and justify the appropriate nursing management of the patient during this time (LO1; LO2; LO3; LO5: LO6)
Q3. Identify three (3) members of the interdisciplinary healthcare team, apart from the primary medical and nursing team, who you would involve in the care of the patient before their discharge and provide justification for their involvement. (LO1; LO4: LO5; LO6)

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.


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