Empirical Knowing The diagnosis that my patient received was alcoholic cirrhosis of the liver. While speaking with my nurse, she mentioned that she was an alcoholic. By being an alcoholic, alcoholism damaged the liver and formed the cirrhosis. Cirrhosis is, “a chronic disease of the liver characterized by scarring with loss of normal hepatic architecture and areas of ineffective regeneration” (Skyscape, 2015); with alcohol being its main contributor. Supporting labs of cirrhosis would be ALT 37, AST 43, and Bilirubin 43. Though cirrhosis was the main diagnosis that my patient had, it was questionable of what was possibly affecting her altered mental status and inability to follow …show more content…
Due to that reason, cirrhosis caused the metabolic encephalopathy. Mental status has been affected due to metabolic encephalopathy, as it is, “an alteration of brain function or consciousness due to failure of other internal organs” (Skyscape, 2015); this being caused by the cirrhosis. With this altered mental status, she is unable to speak and react to what people are saying.
Socio-political Knowing Prior to coming to Lutheran Hospital, KP had spent time as the Madonna Rehabilitation Hospital in Lincoln, Nebraska. The mother did mention that she wouldn’t want to send her daughter back to that hospital. As my patient has family support from her mother, she will be the one takin care of her. There wasn’t a set plan of what would happen after being hospitalized for my patient. Though, there is a plan to help KP continue with her physical therapies. Her mother would be the one who will provide the care she needs in the meantime after discharge.
Aesthetic