Nursing Students Student Assist
Published May 19, 2014
kenee23
106 Posts
I have to write a case study on a pt in my clinical site. I have the basic info but I need help putting it into a format and what info should go where, also it is about geriatric and I have to include Erikson. Can anyone give me some ideas or websites on how to set it up?
Esme12, ASN, BSN, RN
1 Article; 20,908 Posts
Thread moved for best response.
Your school gave you no format to follow?
Tell me about your patient
My School did give me a format but it is very basic and I thought that it should contain more but I could be wrong.
Demographic
Psychosocial Hx: role in fam, support system, length in facility, future plan and goals.
Physical asses: head to toe asses, 3 problems or potential problem, at leat 2 interventions for each problem
Functional asses:
Spiritual asses:
Nutritional asses:
Erikson developmental stage:
My pt is a 64 y/o female with a Hx of DM, Cirrhosis of the live(non alcohol), Ascites, CKD, Obesity depression, esophageal varices along with some other disorders. She is divorced, 3 children who all passed away. She is also retired. She is in a long term care facility for a little over a year but her goal is to get better and move into an assisted living facility. She is a Protestant who feels that God can heal her. She was also on a transplant list for a liver but was taken off 2 months ago for noncompliance.
nurseprnRN, BSN, RN
1 Article; 5,115 Posts
"Asses" is the plural of "ass."
"Assessment" is probably what they mean :)
We don't use the word "noncompliance" in nursing anymore, haven't for, well, ass's years. Complying is what you do when someone gives you an order and you must obey; patients always have the choice to adhere or not to adhere to any component of a medical or nursing plan of care.
Otherwise that's a perfectly reasonable outline of what to include in a case study. What else did you have in mind?
My School did give me a format but it is very basic and I thought that it should contain more but I could be wrong. DemographicPsychosocial Hx: role in fam, support system, length in facility, future plan and goals.Physical asses: head to toe asses, 3 problems or potential problem, at leat 2 interventions for each problemFunctional asses:Spiritual asses:Nutritional asses:Erikson developmental stage:My pt is a 64 y/o female with a Hx of DM, Cirrhosis of the live(non alcohol), Ascites, CKD, Obesity depression, esophageal varices along with some other disorders. She is divorced, 3 children who all passed away. She is also retired. She is in a long term care facility for a little over a year but her goal is to get better and move into an assisted living facility. She is a Protestant who feels that God can heal her. She was also on a transplant list for a liver but was taken off 2 months ago for noncompliance.
You are in your last semester of a LPN program. You need to use your assessment data
Demographic Psychosocial Hx: role in fam, support system, length in facility, future plan and goals. Physical asses: head to toe asses, 3 problems or potential problem, at least 2 interventions for each problem Functional asses: Spiritual asses: Nutritional asses:Erikson developmental stage: My pt is a 64 y/o female with a Hx of DM, Cirrhosis of the liver(non alcohol), Ascites, CKD, Obesity depression, esophageal varices along with some other disorders. She is divorced, 3 children who all passed away. She is also retired. She is in a long term care facility for a little over a year but her goal is to get better and move into an assisted living facility. She is a Protestant who feels that God can heal her. She was also on a transplant list for a liver but was taken off 2 months ago for noncompliance.
Physical asses: head to toe asses, 3 problems or potential problem, at least 2 interventions for each problem
My pt is a 64 y/o female with a Hx of DM, Cirrhosis of the liver(non alcohol), Ascites, CKD, Obesity depression, esophageal varices along with some other disorders. She is divorced, 3 children who all passed away. She is also retired. She is in a long term care facility for a little over a year but her goal is to get better and move into an assisted living facility. She is a Protestant who feels that God can heal her. She was also on a transplant list for a liver but was taken off 2 months ago for noncompliance.
Demographic: 64 y/o female with a Hx of DM, Cirrhosis of the liver(non alcohol), Ascites, CKD, Obesity depression, esophageal varices along with some other disorders. (what disorders?)
Functional asses: you have given us no data to help you
Spiritual asses: She is a Protestant who feels that God can heal her.
Nutritional asses: you have given us no data to help you
Erikson developmental stage: http://psychology.about.com/library/bl_psychosocial_summary.htm
[TABLE]
[TR]
[TD]Stage[/TD]
[TD]Basic Conflict[/TD]
[TD]Important Events[/TD]
[TD]Outcome[/TD]
[/TR]
[TD]Infancy (birth to 18 months)[/TD]
[TD]Trust vs. Mistrust[/TD]
[TD]Feeding[/TD]
[TD]Children develop a sense of trust when caregivers provide reliabilty, care, and affection. A lack of this will lead to mistrust.[/TD]
[TD]Early Childhood (2 to 3 years)[/TD]
[TD]Autonomy vs. Shame and Doubt[/TD]
[TD]Toilet Training[/TD]
[TD]Children need to develop a sense of personal control over physical skills and a sense of independence. Success leads to feelings of autonomy, failure results in feelings of shame and doubt.[/TD]
[TD]Preschool (3 to 5 years)[/TD]
[TD]Initiative vs. Guilt[/TD]
[TD]Exploration[/TD]
[TD]Children need to begin asserting control and power over the environment. Success in this stage leads to a sense of purpose. Children who try to exert too much power experience disapproval, resulting in a sense of guilt.[/TD]
[TD]School Age (6 to 11 years)[/TD]
[TD]Industry vs. Inferiority[/TD]
[TD]School[/TD]
[TD]Children need to cope with new social and academic demands. Success leads to a sense of competence, while failure results in feelings of inferiority.[/TD]
[TD]Adolescence (12 to 18 years)[/TD]
[TD]Identity vs. Role Confusion[/TD]
[TD]Social Relationships[/TD]
[TD]Teens need to develop a sense of self and personal identity. Success leads to an ability to stay true to yourself, while failure leads to role confusion and a weak sense of self.[/TD]
[TD]Young Adulthood (19 to 40 years)[/TD]
[TD]Intimacy vs. Isolation[/TD]
[TD]Relationships[/TD]
[TD]Young adults need to form intimate, loving relationships with other people. Success leads to strong relationships, while failure results in loneliness and isolation.[/TD]
[TD]Middle Adulthood (40 to 65 years)[/TD]
[TD]Generativity vs. Stagnation[/TD]
[TD]Work and Parenthood[/TD]
[TD]Adults need to create or nurture things that will outlast them, often by having children or creating a positive change that benefits other people. Success leads to feelings of usefulness and accomplishment, while failure results in shallow involvement in the world.[/TD]
[TD]Maturity(65 to death)[/TD]
[TD]Ego Integrity vs. Despair[/TD]
[TD]Reflection on Life[/TD]
[TD]Older adults need to look back on life and feel a sense of fulfillment. Success at this stage leads to feelings of wisdom, while failure results in regret, bitterness, and despair.[/TD]
[/TABLE]
Fyi 98% on my case study. Thanks for all the tips
YEAH!!!!!!!!!!!!
Anytime!