Assignment Case Study : Acute Abdominal Pain

NUR331 : Case Study – Nursing Assignment

Case Study :

Mrs Jane Johnston is a 60 year old female who presented with acute abdominal pain. The pain came on yesterday after eating dinner.
Observations on presentation-
T 37.8, PR 96, RR 28, BP 90/60 Patient is complaining of sudden onset upper abdominal pain, that radiates through to the back and is associated with nausea and vomiting. GCS 15. Past history- appendicectomy at age 20. Does not drink alcohol.
Lipase is elevated at 2000. Mrs Johnson has been given a diagnosis of pancreatitis.

Question :

1.Your Patient from the chosen case studies. You do not know the medical diagnosis of your patient at this point- this is an assessment.However you will write the assessment to fit the case study. Using a systems assessment do a full assessment of your patient. DO not include the primary survey. This is just the secondary assessment of your patient.

Use the following headings:

Central Nervous System- CNS
Cardio vascular system- CVS
Respiratory System- Resp
Abdominal Assessment- Abdo
Renal assessment- Renal
Other-

Allocate approx 800 words for this section. This will include detail based on YOUR PATIENT. For example under CVS- Mr Smith was pale and sweaty. This would fit for thecase study of the MI.

2.Choose the main ACUTE nursing aspects for your patient, for example the case study on pancreatitis you may need to cover the main acute nursing in the first 2 hours of care, for the pneumothorax and MI patient try and just focus on the 3 main aspects. The lectures will identify what these are, and focus on the acute nursing interventions you would provide.

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