Diabetes Management Whose Responsibility. Date: November 17, 2004 3. Identify workplace strategies for reducing complication risks in diabetes. 21. 2 …
Prentice Hall Nursing Custom Case Studies
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NURS001
Abdominal Aortic Aneurism Student
Carol Green, PhD, RN
This case study offers an in-depth examination of the spectrum of care for
a patient experiencing abdominal aortic aneurysm Risk factors and
pathophysiologic alterations are reviewed Emergency surgical intervention
is presented, with accompanying nursing care parameters
Course: Adult Health; Medical Surgical; Emergency
NURS002
Acute Lymphocytic Leukemia
Carol Green, PhD, RN
When the laboratory results of a patient presenting to the clinic shows
that there is an increased numbers of immature lymphocytes Further
investigation is quickly required This case study discusses the diagnosis,
complications, and care of a patient with acute lymphocytic leukemia
Course: Adult Health; Medical Surgical
NURS003
Congestive Heart Failure Client with Acute
Pulmonary Edema
Carol Green, PhD, RN
This case study explores emergent care for patients with acute pulmonary
edema secondary to congestive heart failure CHF Application of the
concepts of acid-base balance, hypoxia versus hypoxemia, and fluid and
electrolyte balance are included
Course: Adult Health; Medical Surgical; Emergency
NURS004
The Adult Client with Metastatic Adenocarcinoma of the Colon
Carol Green, PhD, RN
This case study offers the student the opportunity to explore utilization
of the nursing process in end-of-life care for a client with metastatic
adenocarcinoma of the colon It includes focus on evaluation of appropriate
prioritization of end-of-life care issues Analysis of end-of-life issues,
such as liver metastasis and pain management, is incorporated
Course: Adult Health; Medical Surgical; End of Life; Oncology
NURS005
Atrial Dysrhythmia with Digitalis Toxicity
Carol Green, PhD, RN
Digitalis is a medication that has been used for centuries In spite of its
long history, it is a drug with significant side effects One of the
problems in discovering digitalis toxicity is the subtle nature of early
clinical manifestations This case study provides the opportunity to
review
atrial dysrhythmias, medication, and other management strategies
Course: Adult Health; Medical Surgical; Emergency; Pharmacology
NURS006
The Adult Client with Cirrhosis of the Liver and Complicating Esophageal
Varices
Carol Green, PhD, RN
Liver disease nearly always presents with multiple manifestations because
of the complex role of this organ Manifestations may be related to either
hepatocellular failure or portal hypertension Bleeding esophageal varices
are the most dangerous result of portal hypertension In this case study,
the nurses role is directed toward management of bleeding by use of the
Sengstaken-Blakemore tube
Course: Adult Health; Medical Surgical
NURS007
Ductal Adenocarcinoma of the Breast
Carol Green, PhD, RN
Most women fear breast cancer Some women spend much of their adult life
convinced that this will be the disease that takes their life Others are
sure that it can never find them if they have no family history of the
disease The reality is that breast cancer will develop in one in eight
women during their lifetime, and only 10 to 15 of these women will have a
strong family history of the disease Management of potential complications
and assisting the
individual with decisional conflict are essential
components of nursing care for breast cancer clients
Course: Adult Health; Medical Surgical; Oncology; Perioperative
NURS008
A Native American Client with Type II Diabetes Mellitus
Carol Green, PhD, RN
The two most common types of diabetes mellitus used to be categorized as
juvenile and adult onset These two forms of diabetes were also referred to
as insulin dependent and non-insulin dependent Deciding whether the client
has type I or type II based on use of insulin for management often leads
one astray Today, after many years of investigation, it is understood that
there is much more to differentiating the disease than age of onset and
which specific medication is used for management This case study focuses
primarily on critical issues in the development of the acute complication
of hyperglycemic hyperosmolar nonketotic coma HHNK for type II diabetic
clients
Course: Adult Health; Medical Surgical
NURS009
The Adult Client with Congestive Heart Failure
Carol Green, PhD, RN
The client cannot breathe He has gained weight and he refuses to follow
nursing and medical directions This case study offers the student the
opportunity to
explore noncompliance and assessment and intervention
strategies for clients with acute exacerbation of congestive heart failure
CHF
Course: Adult Health; Medical Surgical; Ambulatory Care
NURS010
Ketoacidosis in the Client with Type I Diabetes Mellitus
Carol Green, PhD, RN
The two most common types of diabetes mellitus used to be categorized as
juvenile and adult onset The issue is significantly more complex Clients
may be overweight or they may be thin Today, after many years of
investigation, it is understood that there is much more to differentiating
the disease than age of onset and size of the client Years of research,
however, have not changed the knowledge that type I diabetic persons nearly
always have absolute insulin deficiency and require exogenous insulin This
case study focuses primarily on critical issues in the development of the
acute complication of diabetic ketoacidosis DKA for type I diabetic
persons
Course: Adult Health; Medical Surgical
NURS011
Fluid Retention of Unknown Etiology
Carol Green, PhD, RN
An older woman is concerned that she has recently gained unexplained weight
and is feeling short of breath with activity She saw her physician who
admitted
her to the hospital for assessment of her weight gain
Course: Adult Health; Medical Surgical;
NURS012
Hepatitis B
Carol Green, PhD, RN
A young man with multiple risk factors for infectious disease was admitted
to the hospital reporting fatigue, abdominal pain, and anorexia He needed
diagnosis and treatment for his infection He also needed information to
avoid infections in the future
Course: Adult Health; Medical Surgical; Pathophysiology
NURS013
Acquired Immune Deficiency Syndrome AIDS
Carol Green, PhD, RN
A woman was admitted to the hospital for management of symptoms that
suggested pneumonia The client reported weight loss, fatigue, and
diarrhea The client was concerned that symptoms had not gotten better
despite frequent rest and antidiarrheal medication
Course: Adult Health; Medical Surgical
NURS014
Hyperthyroidism
Carol Green, PhD, RN
A middle-aged woman has been experiencing nervousness, irritability, and
pounding heart She was admitted to the hospital for I131 therapy to treat
hyperthyroidism and has expressed great apprehension about the treatment
and possible consequences
Course: Adult Health; Medical Surgical; Community; Ambulatory Care
NURS015
Living with a
Cardiac Pacemaker
Carol Green, PhD, RN
A patient with symptomatic bradycardia and second-degree heart block had a
demand pacemaker inserted The patient and his wife were apprehensive about
the pacemaker and the lifestyle changes that may be required
Course: Adult Health; Medical Surgical; Pathophysiology
NURS016
Multiple Sclerosis
Carol Green, PhD, RN
A middle-aged woman in whom multiple sclerosis was diagnosed 3 years ago
experienced an increase in symptoms over the past month She has had
difficulty performing at work and was admitted to the hospital for
reevalualation and symptom management
Course: Adult Health; Medical Surgical; Community; Ambulatory Care
NURS017
Renal Calculi
Carol Green, PhD, RN
A middle-aged man experiences sudden acute pain on his left side while he
is working Self-care measures bring no relief and he asks a coworker to
take him to the local emergency department He is in excruciating pain and
tells the physician that he has never before experienced such pain
Course: Adult Health; Medical Surgical; Pathophysiology
NURS018
Respiratory Compromise Following Hip Surgery
Carol Green, PhD, RN
An older woman has undergone a total hip replacement as a result
of
osteoarthritis She has a history of congestive heart failure that was
stable before surgery Two days postoperatively, she suddenly reports of
shortness of breath and a tight feeling in her chest and appears very
anxious
Course: Adult Health; Medical Surgical
NURS019
Spinal Cord Injury
Carol Green, PhD, RN
A young man with a spinal cord injury at C5 is in the rehabilitative phase
of his injury He and his wife have been coping with bowel retraining and
intermittent catheterization for a neurogenic bladder and assisted
ventilation He is now reporting a severe headache
Course: Adult Health; Medical Surgical; Rehabilitation; Pathophysiology
NURS020
Type II Diabetes Mellitus
Carol Green, PhD, RN
A young adult male finds he has Type II diabetes mellitus He is unhappy
with his sudden diagnosis and unprepared to manage the necessary life-style
changes and the medication regimen necessary to control his diabetes
Course: Adult Health; Medical Surgical; Ambulatory Care
NURS021
Cerebrovascular Accident
Kellie J Glendon, MSN, RND and Deborah L Ulrich, PhD
A middle-aged African-American male was admitted to the hospital with
symptoms suggesting a cerebrovascular accident Preliminary
radiographic
studies confirmed the diagnosis He was prescribed medication and
rehabilitation was started
Course: Adult Health; Medical Surgical; Rehabilitation;
NURS022
Coping with a Hip Fracture and Parkinsons Disease
Kellie J Glendon, MSN, RND and Deborah L Ulrich, PhD
An older client with Parkinsons disease had an open reduction and internal
fixation of his right hip He began physical and occupational therapies to
improve his mobility and other self-care abilities After a short stay at a
long-term care unit for extended therapy, he was ready for discharge home
Course: Adult Health; Medical Surgical; Rehabilitation; Gerontology
NURS023
Acute Myocardial Infarction
Kellie J Glendon, MSN, RND and Deborah L Ulrich, PhD
A middle-aged black man is admitted to the Coronary Care Unit to rule out a
myocardial infarction He has been experiencing severe substernal pain that
radiates to the back and neck and down the left arm Pain control and
prevention of complications are priority goals
Course: Adult Health; Medical Surgical; Critical Care
NURS024
Care of Severe Chronic Obstructive Pulmonary Disease
Kellie J Glendon, MSN, RND and Deborah L Ulrich, PhD
A middle-aged white man is
admitted to the hospital with chronic
obstructive pulmonary disease complicated by a respiratory infection He
experiences severe dyspnea, which is unrelieved by nebulizer therapy A
mechanical ventilator is used to assist his respiratory efforts
Course: Adult Health; Medical Surgical; Pathophysiology
NURS025
Care of a Patient Experiencing End-Stage Renal Disease
Kellie J Glendon, MSN, RND and Deborah L Ulrich, PhD
An older woman with type 2 diabetes mellitus is admitted to the hospital
with symptoms that suggest she is in renal failure Conservative measures
are begun to control her fluid and electrolyte balance but she continues
deteriorate Her physician discusses renal replacement strategies with her
Course: Adult Health; Medical Surgical; Pathophysiology
NURS026
A Patient with Breast Cancer
Kellie J Glendon, MSN, RND and Deborah L Ulrich, PhD
A young woman confides that she has found a small lump in her right breast
She is diagnosed with breast cancer and, after a mastectomy, begins
adjuvant chemotherapy She is anxious about the chemotherapy and its
potential side effects
Course: Adult Health; Medical Surgical; Community;
NURS027
Assessment of a Patient with Cancer of the
Prostate
Kellie J Glendon, MSN, RND and Deborah L Ulrich, PhD
An elderly black man is admitted to the Day Surgery Unit for an inguinal
herniorrhaphy During the preoperative examination, moves with difficulty
and, when questioned, mentions that he has been having back pain for a
week, but he can recall no injury to his back
Course: Adult Health; Medical Surgical; Pathophysiology; Perioperative
NURS028
Assessing a Chronically Ill Home Care Patient
Kellie J Glendon, MSN, RND and Deborah L Ulrich, PhD
A nurses first home care visit to an elderly black man with a history of
colon cancer, chronic obstructive pulmonary disease COPD, cerebrovascular
accident CVA, stage III sacral decubitus ulcer, and atrial fibrillation
initiates a series of observations and questions about the health status of
the patient, and about the documentation of previous care
Course: Adult Health; Medical Surgical; Community; Home Care; Gerontology;
Fundamentals
NURS029
Unexpected Heart Failure
Kellie J Glendon, MSN, RND and Deborah L Ulrich, PhD
A middle-aged man is recovering from a laproscopic cholecystectomy when he
experiences fatigue and an elevated heart rate Because he has a history of
congestive heart
failure, his discharge is postponed for further
observation One hour later, he is experiencing heart failure
Course: Adult Health; Medical Surgical; Pathophysiology
NURS030
The Client with Inflammatory Bowel Disease with Surgical Intervention
Kellie J Glendon, MSN, RND and Deborah L Ulrich, PhD
Inflammatory bowel disease can affect every phase of an individuals life,
including needing to map out driving routes so that the nearest bathroom is
always known The intent of this case study is to explore the
pathophysiologic changes associated with inflammatory bowel disease and
application of the nursing process to care of this client
Course: Adult Health; Medical Surgical; Pathophysiology
NURS031
Home Care of the Adult Client with AIDS
Carol Green, PhD, RN
The first question confronted by the individual who has just discovered
he/she tested human immunodeficiency virus HIV positive may be, How do I
tell my family and significant other? However, this question is quickly
followed by a myriad of questions Will I die and how soon? Do I want to
fight this? Will my quality of life be satisfactory? How do I stay healthy?
Will my partner leave? Can I still be a sexual being? How do I
protect my
partner? The questions seem endless The purpose of this case study is to
facilitate the nurses ability to respond to many of these client concerns
Course: Community
NURS032
Home Care of the Client with Alzheimers Disease
Carol Green, PhD, RN
Alzheimers disease overwhelms families, both financially and emotionally
Safety is a significant consideration from earlier stages of the disease,
when wandering and poor judgment are usual behaviors, to later stages, when
physical violence against caregivers can occur The home health nurse is in
a critical position to recognize progression of the disease and provide
family guidance for coping
Course: Adult Health; Medical Surgical; Community; HomeCare
NURS033
Home Management of Central Line Care in the Client with Substance Abuse
Carol Green, PhD, RN
The individual with diabetes mellitus already has multiple challenges and
significant potential for complications Add alcohol and drug use to the
equation and the risk for co-morbidities grows exponentially This case
study offers the opportunity to look at some of the unsolved mysteries of a
client who chooses, after 6 weeks of intensive antibiotic intravenous
therapy, to
discontinue care in a way that may erase care received for the
past many weeks
Course: Community; Adult Health; Medical Surgical
NURS034
End of Life and Right to Die Issues in Home Care
Carol Green, PhD, RN
The medical model of health care promotes fixing people Often it is a fix-
at-all-costs mentality For those nurses practicing outside the traditional
medical model, there is recognition that there is a time to die and good
death possibilities This case study explores the home health nurses role
in supporting a family during a clients end-of-life journey
Course: Adult Health; Medical Surgical; End of Life; Community; HomeCare
NURS035
Home Care Management for the Client with Congestive Heart Failure
Carol Green, PhD, RN
The client is 86 years old and suddenly is faced with inability to do her
usual daily activities She gained 10 lb, has been prescribed new
medications, and stated she just feels awful She wanted to know why she
feels this way and why she should take her medications if they are not
helping her This case study allows the student the opportunity to assess
and plan interventions for the client with congestive heart failure CHF
Education for home management,
including medication management, is
emphasized
Course: Adult Health; Medical Surgical; Community; HomeCare; Pharmacology
NURS036
Community Nursing Management for the College Student in Crisis Due to
Mental Health Problems
Carol Green, PhD, RN
Which career? Sports or academics? Both? Alcohol or not? Sex, when? The
college student is confronted with many new decisions, experiences and
demands Most find new coping strategies and many opportunities for
personal growth and maturing to young adulthood In a select few, however,
mental disorders develop during this stressful life stage This case study
explores the concept of crisis for the college student with a newly
diagnosed mental health disorder
NURS037
Community and Home Care Nursing for the Client with a Decubitus Ulcer
Carol Green, PhD, RN
Decubitus ulcer or bed sore, regardless of the name, the result is the
same, a lesion that results from unrelieved pressure Decubitus ulcers are
expensive and frustrating to manage Home care management of the client who
has or is at risk for decubitus ulcer includes assessment of risk factors
and decision making regarding management techniques
Course: Adult Health; Medical Surgical;
Community; Home Care; Gerontology;
Fundamentals
NURS038
Management of a Fecal Impaction in the Home-Bound Client
Carol Green, PhD, RN
Get up, pour a cup of coffee, and get the daily paper, followed by quality
bathroom time When these normal activities are interrupted, constipation
often results This is especially true for the frail elderly individual
whose usual diet and mobility are altered The purpose of this case study
is to discuss constipation: its risk factors and management
Course: Adult Health; Medical Surgical; Community; Home Care; Gerontology;
Fundamentals
NURS039
Breast Cancer Screening for the Elderly Adult
Carol Green, PhD, RN
When a woman reaches the age of 72 years, the assumption is that she has
been obtaining mammography screening for 20 to 30 years This is not always
the reality The purpose of this case study is to describe the process of
nursing management for the client who has discovered a breast lump
Course: Adult Health; Medical Surgical; Community; Home Care; Gerontology;
Fundamentals
NURS040
Home Management of Hypoglycemia
Carol Green, PhD, RN
The client with type I diabetes mellitus has a low blood pressure and a
high pulse Skin is cold and
diaphoretic Does the client have hypoglycemia
or hyperglycemia? Careful assessment is needed to differentiate between the
two so that nursing care management is accurate and appropriate
Course: Adult Health; Medical Surgical; Community; Home Care; Gerontology;
Fundamentals; Pathophysiology; Pharmacology
NURS041
Home Care Management of an Infected Foot Wound
Carol Green, PhD, RN
The clients are sent out from acute care facilities and clinics with
instructions for managing their health care The clients ability to
implement these instructions is not always considered The purpose of this
case study is to discuss application of the nursing process to management
of an infected wound in an unclean environment
Course: Adult Health; Medical Surgical; Community; Home Care
NURS042
Role of the Community Health Nurse in Neighborhood Analysis and
Intervention
Carol Green, PhD, RN
The role of the professional nurse is multifaceted This is especially true
of the community health nurse who is caring not just for individuals, but
also for communities This case study will explore the role of the
community health nurse
NURS043
End-of-Life Palliative Care in the Home
Carol Green, PhD, RN
The
medical model of health care promotes fixing people Often it is a fix
at an all-cost mentality For those nurses practicing outside the
traditional medical model, there is recognition that there is a time to
die This case study explores the home health nurses role in supporting a
family during a clients end-of-life journey
Course: Adult Health; Community; Home Care; End-of-Life; Oncology
NURS044
Home Care Management of the Client with End-Stage Parkinsons Disease
Carol Green, PhD, RN
The client with Parkinson disease is confronted with 10 to 20 years of
declining motor, autonomic, and cognitive dysfunction before death By the
time the client is immobilized, the caregiver may be in need of nursing
intervention This case study explores the process of Parkinson disease and
end-of-life care implications
Course: Adult Health; Community; Home Care; End-of-Life; Gerontology
NURS045
Home Care of the Client with Complicated Peripheral Vascular Disease
Carol Green, PhD, RN
Peripheral vascular disease is a catch-all term that offers limited
direction for nursing care For the best care planning, information is
needed regarding etiology and arterial or venous involvement Medical
records do
not always provide this information; therefore, it is necessary
for the nurse to use detective skills to plan appropriate care
Course: Adult Health; Community; Home Care
NURS046
Tuberculosis and Public Health Considerations
Carol Green, PhD, RN
Tuberculosis is a curious disease that can remain dormant for years
Incidence is decreasing in the United States; however the disease remains a
significant worldwide health problem In the United States, it is a
disease of vulnerable populations Understanding pathophysiology, public
health issues, and disease management is essential for the nurse
Course: Adult Health; Community; Home Care; Pharmacology
NURS047
Chronic Urinary Tract Infection with Long-Term Catheterization
Carol Green, PhD, RN
There are numerous reasons for long-term urinary bladder catheterization
However, if this is an essential component of client management, it is safe
to assume that the client will have multiple urinary tract infections For
the elderly client this is often complicated by difficulty in diagnosis of
an infection because of normal suppressed immune response
Course: Adult Health; Community; Home Care; Gerontology; Fundamentals
NURS048
The Asthma
Club
Jane W Ball, RN, CPNP, DrPH and Ruth C Bindler, RNC, PhD
The asthma club has really helped these children become more confident in
managing their asthma It helps them to know that they have other friends
with this condition Charlotte Dunkirk, RN, school nurse at Oak Street
Elementary School
Course: Pediatrics; Child Health
NURS049
Irenas Special Needs
Jane W Ball, RN, CPNP, DrPH and Ruth C Bindler, RNC, PhD
The client is a 2-year-old Romanian girl who was adopted by an American
couple We want to help Irena grow into a normal and special child She
has had challenges in her short life that we can only imagine We worry
about whether shell want to go back to Romania when shes older to find
her family
Course: Pediatrics; Child Health
NURS050
Getting Joey Back to School
Jane W Ball, RN, CPNP, DrPH and Ruth C Bindler, RNC, PhD
A child with cerebral palsy had surgery to correct scoliosis The surgery
underscored his nutritional needs His parents, home healthcare nurse,
school nurse, and teachers have formed a team to ensure a successful return
to school The client misses his classmates and looks forward to school
It is exciting to see Joey progressing after his recent
scoliosis surgery
We have learned to give him tube feedings so that he can return to the
classroom and have contact with other children Nancy, the clients school
nurse
Course: Pediatrics; Child Health; Nutrition
NURS051
My Baby Cannot Breathe What Can I Do?
Jane W Ball, RN, CPNP, DrPH and Ruth C Bindler, RNC, PhD
When parents are told to bring their infant to the emergency room, they are
frightened They need information about the health problem and frequent
updates on the infants condition The infant needs expert nursing and
medical care You are the admitting nurse on the pediatric unit for this
infant and her parents
Course: Pediatrics; Child Health; Emergency
NURS052
My Baby is in Pain
Jane W Ball, RN, CPNP, DrPH and Ruth C Bindler, RNC, PhD
Felicia must be in pain so soon after her surgery I know I would have
pain if it were me Can she get pain medicine without getting another
needle?
Course: Pediatrics; Child Health
NURS053
Vernons Electrolyte Imbalance
Jane W Ball, RN, CPNP, DrPH and Ruth C Bindler, RNC, PhD
So few parents realize how important proper hydration is in children Such
a large percentage of childrens body weight is water that when they become
dehydrated it
can cause serious problems
Course: Pediatrics; Child Health
NURS054
Sickle Cell Crisis
Jane W Ball, RN, CPNP, DrPH and Ruth C Bindler, RNC, PhD
A 12-year-old boy is experiencing a sickle cell crisis His parents are
confident he will recover, but will he?
Course: Pediatrics; Child Health
NURS055
A Premature Infant With Multiple Gastrointestional Anomalies Beats the Odds
Jane W Ball, RN, CPNP, DrPH and Ruth C Bindler, RNC, PhD
The client was born prematurely with esophageal atresia and imperforate
anus After almost dying three times, he is thriving under his mothers
care and his home health nurses watchful eyes
Course: Pediatrics; Child Health
NURS056
Overcoming Raennes Vision Limitations
Jane W Ball, RN, CPNP, DrPH and Ruth C Bindler, RNC, PhD
The client was born prematurely and retinopathy developed from oxygen
therapy She is now 3 years old and preparing for preschool Her vision is
severely myopic
Course: Pediatrics; Child Health
NURS057
Antwan:s Head Injury
Jane W Ball, RN, CPNP, DrPH and Ruth C Bindler, RNC, PhD
A 7-year-old boy sustains a serious head and brain injury when a car hits
him Will he recover?
Course: Pediatrics; Child Health
NURS058
Anthony Learns to
Manage His Diabetes
Jane W Ball, RN, CPNP, DrPH and Ruth C Bindler, RNC, PhD
Diabetes mellitus type I is diagnosed in a 12-year-old boy The client
learns to manage his diabetes with diet, exercise, glucose monitoring, and
insulin therapy
Course: Pediatrics; Child Health
NURS059
Sherrays Burn
Jane W Ball, RN, CPNP, DrPH and Ruth C Bindler, RNC, PhD
The client, a 6-year-old girl, spilled hot soup on her leg The soup was
hot enough to cause a partial-thickness burn, and she was admitted to the
hospital Her mother is distraught
Course: Pediatrics; Child Health
NURS060
Troubled Cassandra
Jane W Ball, RN, CPNP, DrPH and Ruth C Bindler, RNC, PhD
A 9-year-old girl has psychologic effects of being in a minor car accident
while on her way to school with her mother She now has nightmares and
stomachaches on school mornings
Course: Pediatrics; Child Health
NURS061
The Epidemiologic Process and Promoting Population Health
Mary Jo Clark, PhD, RN
To understand fully health promotion and disease prevention as roles of
community health nursing, students must first gain an appreciation for the
epidemiologic process The intent of this case study is to discuss various
epidemiologic models and
definitions associated with concepts such as risk
and rates of occurrence
Course: Community Health; Public Health; Community Based Nursing
NURS062
Promoting Health Through Education About Acquaitance Rape
Mary Jo Clark, PhD, RN
Health education is the catch word that is significant toward
accomplishing health promotion It gives the client, individual or
population the power to affect their health This case study enables
assessment, planning, and implementation of an educational program for two
groups of learners
Course: Community Health; Public Health; Community Based Nursing
NURS063
Case Management for an Elderly Client Following Hospitalization
Mary Jo Clark, PhD, RN
The intent of the case management process is to reduce the cost of health
care and improve efficiency while preserving quality of care provided
The intent of this case study is to apply the concept of case management to
the care of an elderly client preparing for discharge from the hospital
Course: Community Health; Public Health; Community Based Nursing
NURS064
Leading Community Change in Reducing Maternal Mortality
Mary Jo Clark, PhD, RN
Change can be an illusive concept to accomplish The purpose of
this case
study is to apply the change process to reduction of maternal mortality
rate in an imaginary community Stages of the change process will be
applied to this case
Course: Community Health; Public Health; Community Based Nursing
NURS065
A Family in Need
Mary Jo Clark, PhD, RN
Although families will most often possess similarities in relation to
accomplishment of developmental tasks and formal and informal roles, all
exist in a unique set of circumstances This is the story of one family who
is confronted with a significant health crisis of the member who provides
most of the family functions
Course: Community Health; Public Health; Community Based Nursing
NURS066
Community Planning in Copper City
Mary Jo Clark, PhD, RN
Community health nursing is much more than providing acute or restorative
care in an individuals home It includes assessment of and planning for
the needs of populations The focus of this case study is application of
the community health planning process to a fictional city
Course: Community Health; Public Health; Community Based Nursing
NURS067
Keeping Children Healthy
Mary Jo Clark, PhD, RN
Many consider children to be our most precious asset The
community nurse
often has the particular privilege of promoting the health of this
population This case study facilitates discussion of promoting the health
of children through consideration of risk factors for the population
Health promotion strategies for this age group are emphasized
Course: Community Health; Public Health; Community Based Nursing
NURS068
Meeting a Womans Health Needs in the Midst of Domestic Violence
Mary Jo Clark, PhD, RN
One of the tragedies of human existence is that, despite tremendous
technologic advances, even in the midst of affluence, person-to-person
violence still occurs This case study explores primary, secondary, and
tertiary prevention with domestic violence against a woman
Course: Community Health; Public Health; Community Based Nursing
NURS069
An Angry Adolescent Boy Abusing Alcohol
Mary Jo Clark, PhD, RN
Whats a mom to do? You do your best and the boys still do not turn out the
way you had hoped This case study discusses intervention strategies for
one troubled adolescent male
Course: Community Health; Public Health; Community Based Nursing
NURS070
Nursing in the School Setting, an Obese Child
Mary Jo Clark, PhD, RN
It is difficult being a
child at times It is even more difficult when the
child is obese and struggling with being accepted at school Discussion of
nursing in the school setting and application of this nursing role to
caring for an obese child is the focus of this case study
Course: Community Health; Public Health; Community Based Nursing
NURS071
Nursing in the Work Setting
Mary Jo Clark, PhD, RN
A community health nurse working in a small manufacturing company
determines that a number of employees are complaining of abdominal
cramping and pain A number of employees have called in complaining of
similar symptoms All of the people with cramps and diarrhea eat regularly
in the cafeteria
Course: Community Health; Public Health; Community Based Nursing
NURS072
A Communicable Disease
Mary Jo Clark, PhD, RN
A college student was diagnosed with rubella at a local emergency room
because the Student Health Center was closed The emergency room personnel
were delayed in reporting her rubella and several of the clients dorm
residence dwellers had developed rubella
Course: Community Health; Public Health; Community Based Nursing
NURS073
A Chronic Physical Health Problem
Mary Jo Clark, PhD, RN
A community health
nurse has been assigned the task of developing plans for
dealing with the high rate of hypertension in Wachita County, Mississippi
The area is rural and largely black Unemployment is prevalent, and few
county residents have health insurance
Course: Community Health; Public Health; Community Based Nursing
NURS074
Caring for a Physically Abused Client
Mary Jo Clark, PhD, RN
A neighbor tells the community health nurse that she believes her
neighbors husband beats her The nurse leaves a card with contact
information for the client The client calls the nurse 1 month later and
asks to see the nurse The client confirms that her husband has beaten her
on two occasions
Course: Community Health; Public Health; Community Based Nursing
NURS075
Immigrants in the 21st Century
Mary Jo Clark, PhD, RN
Community health nursing in the United States began, in part, as a response
to health needs identified among European immigrants The immigrant
population of the 21st century has an entirely different needs set This
case study promotes discussion of population trends, the origin of
community health nursing, and selected needs of specific immigrant groups
Course: Community Health; Public Health;
Community Based Nursing
NURS076
Designing a Healthcare Delivery System
Mary Jo Clark, PhD, RN
Today, you rule the world Today, you will plan the American healthcare
system This case study provides you with the opportunity to decide exactly
what that system will look like
Course: Community Health; Public Health; Community Based Nursing
NURS077
Coalition Building, Advocacy, and the Legislative Process
Mary Jo Clark, PhD, RN
This case study offers students the opportunity to explore policy
development and the legislative process within the context of advocacy and
coalition building The case scenario describes residents of a low-income
housing project where intimidation and lack of attention to resident needs
is the rule not the exception
Course: Community Health; Public Health; Community Based Nursing
NURS078
Financing Care for the Underserved
Mary Jo Clark, PhD, RN
This case study offers students the opportunity to discuss the barriers to
health care experienced by a select population of migrant farm workers
Students will attempt to problem solve, accessing care for this population
The cultural context of the situation is discussed, as well as the problem
of escalating
healthcare costs
Course: Community Health; Public Health; Community Based Nursing
NURS079
Cultural Care of a Population
Mary Jo Clark, PhD, RN
This case study focuses on the cultural characteristics of individuals and
groups The components of culture and impact of selected cultural
characteristics on healthcare practice is included Cultural competence and
communication is emphasized
Course: Community Health; Public Health; Community Based Nursing
NURS080
The Community Health Nurse as Environmental Advocate
Mary Jo Clark, PhD, RN
Once there was infectious disease, poisons, and animal hazards Now,
radiation, noise, pollution and many additional toxic agents have been
added to the environmental hazards list The intent of this case study is
to discuss the role of the community health nurse in analyzing and
preventing health problems related to selected environmental hazards
Course: Community Health; Public Health; Community Based Nursing
NURS081
Community Health Nursing Roles Within the Family
Mary Jo Clark, PhD, RN
The role of the professional nurse is multifaceted This is especially true
of the community health nurse, who is not just caring for individuals, but
also for
communities and populations This case study will explore the
roles of the community health nurse and apply that role to care of a
specific family
Course: Community Health; Public Health; Community Based Nursing
NURS082
Theoretical Foundations for Community Health Nursing
Mary Jo Clark, PhD, RN
This case study provides students with the opportunity to apply a variety
of conceptual models to the role of the community health nurse Examples of
primary, secondary, and tertiary prevention are applied to selected models
as well
Course: Community Health; Public Health; Community Based Nursing
NURS083
The Client with Traumatic Injuries Following a Motor Vehicle Accident
Kellie J Glendon, MSN, RNC and Deborah L Ulrich, PhD, RN
The goal of this case study is discussion of application of the nursing
process to care of the client with multiple traumatic injuries Surgical
management, care in the postanesthesia care unit and discharge planning
will be emphasized Reflection on development of a trauma prevention
educational program will be considered
Course: Adult Health; Medical Surgical; Pathophysiology; Emergency
Care;Critical Care; perioperative
NURS084
The Homeless Client with
Tuberculosis
Kellie J Glendon, MSN, RNC and Deborah L Ulrich, PhD, RN
Tuberculosis is a curious disease that can remain dormant for years
Incidence is decreasing in the United States; however, the disease remains
a significant worldwide health problem In the US, it is a disease of
vulnerable populations Understanding pathophysiology, public health
issues, and disease management is essential knowledge for the nurse
Course: Adult Health; Medical Surgical; Community; Emergency; Pharmacology
NURS085
Comparison of Multiple Clients with Various Types of Shock
Kellie J Glendon, MSN, RNC and Deborah L Ulrich, PhD, RN
This case study offers the student the opportunity to discuss the various
types of shock and to analyze assessment data that support the diagnosis of
shock The nursing process will be applied to clients with various types of
shock An opportunity will be offered for the student to reflect on
allowing parents to be with their child during resuscitation
Course: Adult Health; Medical Surgical; Pathophysiology
NURS086
Antepartum Care for the Client Who Has Undergone a Previous Abortion
Kellie J Glendon, MSN, RNC and Deborah L Ulrich, PhD, RN
This case study offers the student
the opportunity to explore the physical
and psychologic changes associated with the early antepartum period Brief
discussion of working with the client who has undergone a previous abortion
is included
Course: Obstetrics; Womens Care
NURS087
The Pregnant Client With Advanced Maternal Age
Kellie J Glendon, MSN, RNC and Deborah L Ulrich, PhD, RN
This case study provides the opportunity to consider various screening
tests that assess for genetic risk and fetal distress in pregnant females
Preparation of the client for these tests is discussed
Course: Obstetrics; Womens Care
NURS088
The Pregnant Client With Gestational Diabetes
Kellie J Glendon, MSN, RNC and Deborah L Ulrich, PhD, RN
The purpose of this case study is discussion of management of a woman with
gestational diabetes Risk factors that contribute to gestational diabetes
are described Potential complications in a newborn are included in this
discussion
Course: Obstetrics; Womens Care
NURS089
Nursing Management of a Client Experiencing Spontaneous Abortion
Kellie J Glendon, MSN, RNC and Deborah L Ulrich, PhD, RN
For the couple who longs to have a child, a spontaneous abortion is
distressing When it happens more than once,
the outcome can be
devastating The purpose of this case study is to explore surgical and
nursing care of a mother who has experienced an abortion and who hopes to
maintain a future pregnancy
Course: Obstetrics; Womens Care
NURS090
Care of the Child with Acute Glomerulonephritis
Carol Green, PhD, RN
Acute glomerulonephritis often seems as if it occurs in a heart beat
Instead, the seeds were most likely planted 8 to 14 days before the
symptoms of renal disease appear The purpose of this case study is to
discuss pathophysiology, assessment, and diagnostic testing associated with
the disease Components of the nursing process are applied
Course: Pediatrics; Child Health; Pathophysiology
NURS091
The Premature Infant with Bronchopulmonary Dysplasia BPD
Carol Green, PhD, RN
The world of health care is filled with ethical dilemmas but none more
heart breaking than making the best decision for very premature infants
The purpose of this case study is to explore nursing and medical care
management for the child with bronchopulmonary dysplasia secondary to
ventilatory management
Course: Pediatrics; Child Health; Pathophysiology
NURS092
Cultural Differences and Breast-feeding
Carol Green,
PhD, RN
Breast-feeding is an encouraged practice in the North American culture
However, breast-feeding is not universally acceptable to all cultures It
is always the responsibility of the nurse to find ways to work with the
client with consideration of cultural values The intent of this case study
is to discuss cultural differences related to breast-feeding
Course: Pediatrics; Child Health
NURS093
Gastroesophageal Reflux in the Presence of Prematurity and Chronic Lung
Disease
Carol Green, PhD, RN
An infant who vomits is a challenge for a first-time mother The newborn
who seems to project the vomitus clear across the room creates anxiety for
any mother The purpose of this case study is to explore the causes and
clinical manifestations of gastroesophageal reflux GER in an infant
Discussion of the management of GER is included
Course: Pediatrics; Child Health; Pathophysiology
NURS094
Heroin and Cocaine Addiction in the Infant and Associated Risk of SIDS
Carol Green, PhD, RN
Who shall care for this child? Should it be the family or others? This case
study discusses advocacy for the child who has been exposed to substance
abuse in utero and is faced with the potential outcomes of
that abuse Risk
factors for sudden infant death syndrome SIDS and preventative measures
are included
Course: Pediatrics; Child Health
NURS095
Care Management of the Child With Hirschprung Disease
Carol Green, PhD, RN
This case study explores the causes, management and potential complications
associated with Hirschsprung disease Pathophysiologic changes are
discussed Nutritional issues and ostomy care are included Discussion of
accessing community and government agencies is also included
Course: Pediatrics; Child Health
NURS096
Iron Deficiency Anemia in the Infant
Carol Green, PhD, RN
Iron deficiency anemia is the most common type of anemia and most common
nutritional deficiency in childhood This case study provides the
opportunity for exploration of iron deficiency anemia, including laboratory
diagnostic tests, cause, and parental instruction
Course: Pediatrics; Child Health
NURS097
Otitis Media in the Infant
Carol Green, PhD, RN
Otitis media is a common diagnosis in childhood Prevention may not be
possible, but there are measures to decrease the risk The purpose of this
case study is to describe risk factors and pathophysiology of otitis media
Healthcare promotion to
protect the infant from otitis media is discussed
Course: Pediatrics; Child Health; Pathophysiology
NURS098
Respiratory Distress Syndrome
Carol Green, PhD, RN
A 7-week-old boy has been admitted for acute respiratory distress following
a premature delivery at 30 weeks gestation The infants parents speak
little English and a translator is needed when procedures are discussed
Nutrition has been an ongoing concern for the patient
Course: Pediatrics; Child Health
NURS099
Septic Osteomyelitis
Carol Green, PhD, RN
A 6-year-old boy has been admitted for treatment of osteoseptic arthritis
He has a Hickman catheter and is receiving antibiotic therapy He has a
history of osteomyelitis at age 1 year He is physically active and
performs most of his own care His mother reports that he has a sweet
tooth
Course: Pediatrics; Child Health
NURS100
Surgical Preparation
Carol Green, PhD, RN
The client has been admitted for a tonsillectomy and adenoidectomy TA
today He has attended a learning session about his surgery and admits he
is a little afraid but willing to have the surgery His preoperative
assessment is complete and he is awaiting transport to the operating room
Course: Pediatrics; Child
Health; Perioperative
NURS101
Third-Degree Burns
Carol Green, PhD, RN
The client is a 6-year-old girl who received third-degree burns covering
her upper body, including her face, a month ago She was intubated,
mechanical ventilation was started, and she now has a temporary
tracheotomy She has also had partial amputations of both lower
extremities
Course: Pediatrics; Child Health; Pathophysiology; Critical Care
NURS102
Traumatic Closed Brain Injury
Carol Green, PhD, RN
The client received a closed head injury because of a motor vehicle crash
several weeks ago A tracheostomy was inserted at the time of admission
His medical course has included infections and weight loss He is now
admitted to a pediatric sub-acute unit for further rehabilitation
Course: Pediatrics; Critical Care
NURS103
A Client With Coronary Artery Bypass Surgery
Priscilla Lemone, RN, DNS and Karen Burke, RN, MS
It can happen to you and often does Coronary artery disease is prevalent
and does not look like it will disappear any time soon The focus of this
case study is application of the nursing process to care of a client after
coronary artery bypass surgery for coronary heart disease
Course: Adult Health;
Medical Surgical
NURS104
Care of a Patient with Impaired Skin Integrity
Judith M Wilkinson, PhD, ARNP, RNC
Pneumonia has developed in an older woman with left hemiparesis who is
several months postcerebrovascular accident She has been transferred to
acute care from intermediate care Her nurse notes that she is at risk for
a pressure ulcer on her coccyx in addition to her respiratory problems
Course: Adult Health; Medical Surgical; Rehabilitation
NURS105
Informed Consent for a Cancer Patient
Judith M Wilkinson, PhD, ARNP, RNC
An elderly woman has been aggressively treated for cancer by surgery and
radiation therapy Her physician is concerned that she is losing weight and
wishes to start a central venous indwelling catheter line to administer
total parenteral nutrition The patient is uncertain about the procedure
Course: Adult Health; Medical Surgical; Rehabilitation
NURS106
Care of a Patient with Ineffective Health Maintenance Behaviors
Judith M Wilkinson, PhD, ARNP, RNC
A home care nurse is visiting a middle-aged man with a history of
respiratory disease He has just been discharged from the hospital where he
was treated for acute respiratory distress Oxygen and
respiratory
therapies were ordered He has a 40-year history of smoking
Course: Adult Health; Medical Surgical; Health Promotion
NURS107
Care of a Patient with Ineffective Individual Management of Therapeutic
Regimen
Judith M Wilkinson, PhD, ARNP, RNC
A middle-aged man reports fatigue and recent weight gain to his physician
He has a history of cardiovascular disease and has not followed advice to
lose weight, stop smoking, or manage the stress in his life He has been
referred to a home health nurse for care
Course: Adult Health; Medical Surgical; Health Promotion
NURS108
Care of a Patient With Impaired Memory
Judith M Wilkinson, PhD, ARNP, RNC
An elderly man with progressive difficulty maintaining his home and
personal care because of memory deficits has been admitted to an extended-
care facility He is highly anxious and frequently has requested that staff
help him to go home He is currently sitting by the door crying and
rocking back and forth
Course: Adult Health; Medical Surgical
NURS109
Challenges of Caring for an Elder with Diabetes Mellitus
Judith M Wilkinson, PhD, ARNP, RNC
An older African American man with diabetes mellitus and hypertension has
had a partial
amputation of his foot He is being referred to a home health
agency for nursing care to administer antibiotics, change his surgical
dressings, and monitor his blood glucose levels
Course: Adult Health; Medical Surgical; Pathophysiology
NURS110
Care of a Patient After Abdominal Surgery
Judith M Wilkinson, PhD, ARNP, RNC
A middle-aged woman is recovering from abdominal surgery she underwent
yesterday She is reluctant to use her incentive spirometer or to cough
She has not used the prescribed patient-controlled analgesia PCA for pain
and appears to be in moderate to severe discomfort
Course: Adult Health; Medical Surgical
NURS111
Planning Care for a Patient with a Cerbrovascular Accident CVA
Judith M Wilkinson, PhD, ARNP, RNC
An older man with a history of uncontrolled hypertension experienced a
cerebrovascular accident CVA He has a number of deficits, including
being unable to speak, occasional urinary incontinence, and left-sided
paralysis He is being treated with use of intravenous heparin
Course: Adult Health; Medical Surgical; Pathophysiology
NURS112
Care for a Patient with Obesity
Judith M Wilkinson, PhD, ARNP, RNC
A middle-aged woman has gained weight since her last
annual check-up and
asks for assistance with weight control She explains that since her
husband died earlier in the year, her eating and activity patterns have
altered and that she no longer cooks as she did when her husband was alive
Course: Adult Health; Medical Surgical
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