Nursing Diagnosis Essay -- Clinical Reasoning Cycle

J.P., a multi year old female, presents to the Emergency Room on March eighteenth. She has a past clinical history of cervical malignant growth, atheroembolism of the left lower furthest point, fistula of the vagina, fringe vascular malady, neuropathy, glaucoma, GERD, misery, hypertension, ceaseless kidney illness, and sickle cell frailty. She gripes of right lower furthest point torment joined by weariness, a diminished hunger, expanded work of breathing, consuming on pee, and diminished pee yield for three days. On confirmation, a total physical appraisal was performed alongside a blood and metabolic board. The evaluation uncovered numerous positive and negative discoveries. J.P. was certain for dyspnea and a gainful hack. She additionally was sure for dysuria and hematuria, however negative for flank torment. After close assessment of her integumentary and musculoskeletal framework, the inspector found a glossy firm shin on the correct lower furthest point with +2 edema supplemented by serious agony. A lot of standard vitals were likewise performed uncovering a circulatory strain of 124/80, beat of 87 beats for every moment, oxygen immersion of 99%, temperature of 97.3 degrees Fahrenheit, and breath of 12 breaths for each moment. The blood and metabolic board uncovered a few anomalous labs. A red platelet check of 3.99, white platelet tally of 22.5, hemoglobin of 10.9, hematocrit of 33.7%, sodium level of 13, potassium level of 3.1, carbon dioxide level of 10, creatinine level of 3.24, gluc ose level of 200, and a BUN level of 33 were the irregular labs. After a careful assessment, J.P. was determined to have a profound vein thrombosis (DVT). â€Å"DVT grows frequently in the legs however can happen likewise in the upper arms†¦Ã¢â‚¬  (Ignatavicius and Workman, 2013). Due t... ...analyze that cause physical torment, yet in addition issues that can cause enthusiastic, profound, and psychosocial injury. After the execution of the expressed intercessions, the patient gained physical and passionate ground towards the previously mentioned objectives. The above objectives were met, yet surpassed desires for the patient and the medical attendants who gave care. Works Cited Ackley, B. and Ladwig, G. (2010) Nursing determination handbook:an proof based manual for arranging care. Maryland Heights, MO: Mosbey. Ignatavicius, D. D., and Workman, M. L. (2013). Care of Intraoperative Patients. Clinical careful nursing: tolerant focused community care (seventh ed.). St. Louis: Elsevier. Taylor, C. (2011). Prologue to Nursing. Essentials of nursing: the workmanship and study of nursing care (seventh ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams and Wilkins.