Clarice And Her Nurse Case Study Essay

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Unit III Assignment

Case Study: Clarice and her Husband

1.What kind of associated stressor was the doctor talking about and how could you as a nurse help Clarice and her family deal with the situation?

The associated stress the doctor was talking about is that Clarice finds out her kidneys are severely damaged for poorly managed diabetes, she also finds out she is in the last stage of end stage renal failure. Another stress is that renal dialysis is needed to prolong life after diagnosis of ESRD. Kidney transplant is also mentioned as a treatment option for Clarice condition, and her families can live with this for a long time. Also, a surgical implant of arteriosclerosis fistula in her left arm is another stress that will be looked
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Another emotional impact will be feeling down which is usually sadness which can lead to feelings of hopelessness and depression with little or no desire to live anymore. Also, the family can become angry about this recent diagnosis of end stage renal disease and blame themselves for allowing Clarice health to deteriorate to what is it. Another emotion that this family can show will be that of fear as Clarice has to start dialysis to manage her renal failure. There is an emotion of anxiety as Clarice family has to consider kidney transplant as an option of treatment. She may worry about how this new diagnosis and treatment could disrupt her family life and how her husband will have to care for …show more content…
Medically, the nurse will monitor intake due to risk for excess fluid from altered tissue perfusion, Assess Clarice for pain in areas such as back, muscle and abdomen, monitor for signs of fatigue and weakness, assess laboratory studies, current medications and immunization prior to dialysis, Verify Clarice allergy and fall risk prior to treatment, Monitor intake and output due to oliguria or polyuria in related to permanent renal failure (Doenges et al, 2013). Psychosocially, assess patient for anger, fear, anxiety and depression due to sudden changes in health status (Townsend, 2015). Clarice and her husband will show anger and disbelieve because they had saved money and made plans for retirement. They are afraid of what the future has ahead after this diagnosis and are very anxious. According to Gorman and Sultan, Clarice and her husband will become depressed from feeling down and discouraged, there will be loss of interest or pleasure which is characterized as adjustment disorder which is short lived but can be

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