Quote from donfaj90
our CI told us to make case study and NCP about our pt. who has hpn. this pt. has only undergone delivery but unfortunately her child died coz of prematurity. i dont have enough knowledge to solve this problem. help me.!
You have lots of knowledge that gives you clues about the problems this patient would have. Whether you are doing case studies on hypothetical patients or real patients you are, in effect, being a detective collecting clues (making an assessment, separating out the abnormal data), then putting the clues together to come up with the problems (determining the patient's problems, determining their nursing diagnoses), and finally solving the problems (performing nursing interventions to treat the problem). That's what nursing, and the nursing care plan specifically is all about.
For nursing, we look at how the patient responds to their situation. For your assignment, the patient has
- just gave birth
- the baby that she gave birth to died
To find the problems a person with hypertension would have, the first thing you do is look at the signs and symptoms (clues) of hypertension:
- B/P over 140/90
- fatigue and/or confusion
- blurred vision
- bounding pulse
- S4 heart sound
- in the late stages
- peripheral edema
- papilledema of the eye due to hypertensive retinopathy
- possible formation of an abdominal aneurysm
- bruits over the abdominal aorta, femoral arteries and/or carotid arteries
Those symptoms (clues) are the abnormal data that you would look for in a real patient and they would form the foundation of this patient's nursing problems (nursing diagnoses). Deceased Cardiac Output, Ineffective Tissue Perfusion: cerebral, Disturbed Sensory Perception, visual and Deficient Fluid Volume.
You also look at the complications of the disease for things the person could be at risk for and either teach the patient how to avoid those things or develop strategies to help the patient avoid experiencing them altogether:
- other heart disease
- renal failure
- loss of sight
Think of the typical problems and complications a lady who goes into labor and delivers a baby is going to have. If you don't know, look it up and read about it in an OB nursing textbook because for a normal delivery there are still a lot of problems and complications a new mother can have. It wasn't so long ago that women regularly died in childbirth or of massive infection after delivery.
What kind of problem(s) would you think a new mother would have if her baby has died? How would you feel?
Do you still think you don't have enough information to write this case study and nursing care plan?