Is This a Difficult Patient,or is it a Genuine Concern?

  1. Ms.M is a 26years patient admitted to the medical/surgical ward for overnight observation RE: complaint of shortness breath since the last two weeks..... there is no significant medical history. The nurse she is assigned to measured her vital signs ....the findings are: BP 130/70, Pulse 82, RR 21 and non-labored, Temp. 98, O2 sat 98% on 2liters of oxygen, no complaint of pain, and no visible distress observed.

    Every 15 mins. Ms. M rings the call bell and reports that she cannot breathe; the nursing assessment reveals no significant deviation from the vital signs above. What action should we take regarding Ms. M's behavior? And what possible nursing diagnosis can we assign to her?



    "I do not have all the answers, but together we can find them."
    (M Ecallawh
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  2. 25 Comments

  3. by   JustBeachyNurse
    Quote from Isis Phoenix
    Ms.M is a 26years patient admitted to the medical/surgical ward for overnight observation RE: complaint of shortness breath since the last two weeks..... there is no significant medical history. The nurse she is assigned to measured her vital signs ....the findings are: BP 130/70, Pulse 82, RR 21 and non-labored, Temp. 98, O2 sat 98% on 2liters of oxygen, no complaint of pain, and no visible distress observed.

    Every 15 mins. Ms. M rings the call bell and reports that she cannot breathe; the nursing assessment reveals no significant deviation from the vital signs above. What action should we take regarding Ms. M's behavior? And what possible nursing diagnosis can we assign to her?


    So....what do YOU think?

    What actions do YOU think should be taking regarding this behavior?


    What potential nursing diagnosis does your data point you towards?

    We are happy to HELP GUIDE you with your assignment but please let us know your thoughts and research ...
  4. by   kiszi
    Were lung sounds assessed? CXR? Chest CT?
    Why wouldn't we take her concerns seriously?
    Anxiety can't be ruled out but at this moment it is more important to look at physiological causes. However, giving an anxiety med with a doctor's order may help her feel better in the interim.
  5. by   Isis Phoenix
    Lung sounds are clear......
  6. by   nurseprnRN
    This is homework. We need to hear more from you, IsisPhoenix, as you must know by now.
  7. by   nurseprnRN
    IsisP, IsisP, IsisP, dear.... You must know by now that we won't do your homework for you. Tell us what you have learned already, let us know what confuses you or what you have questions about, and then we can talk. Posting in multiple fora won't help.
  8. by   meanmaryjean
    ^^^ what tea said ^^^
  9. by   JustBeachyNurse
    Posting the same thread twice won't get someone to do your homework for you...
  10. by   Isis Phoenix
    I have a correction of this post .....please see other. This is a case study, thanks for your kind cooperation.



    “I do not have all the answers, but together we can find them.”
    (M Ecallawh
    Last edit by Isis Phoenix on Jul 2, '14
  11. by   invisiblewounds
    What is the unit or chapter r/t to your case study?


    "I've saved some sunlight if you should ever need a place away from darkness where your mind can feed." - Rod McKuen
  12. by   JustBeachyNurse
    Quote from Isis Phoenix
    I have a correction of this post .....please see other. This is a case study, thanks for your kind cooperation.


    Where is your work? I already graduated. I don't mind helping but I'm not doing your assignment for you.
  13. by   LadyFree28
    Not to belabor the point...but YOU go first...what do YOU think?

    Start with a holistic assessment and go from there.
  14. by   invisiblewounds
    I was thinking anxiety, as well. But, shouldn't there would be other findings in the assessment r/t anxiety? I experience SOB, increased HR, sweating...

    OP - I posted this on your other thread but what unit or chapter is this discussion post assigned along with?


    "I've saved some sunlight if you should ever need a place away from darkness where your mind can feed." - Rod McKuen

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Is This a Difficult Patient,or is it a Genuine Concern?