Case Study Nursing Care Plan

The support or referral that could be offered to Mr. Smith’s family is a patient support group that would not only provide support to the patient but also encourage and advice the family in relation to the patient’s pain management. 8. Outline the pathophysiology of the following conditions ensuring you relate back to Mr. Smith and his clinical presentation. Include within your answer the possible management strategies and rationale for these symptoms:
a. Anorexia: The body processes that contribute to this condition include personality disorders, eating disorders, anxiety disorders, and mood disorders. These conditions are evident in Mr. Smith’s condition because of his addiction to alcohol and heavy smoking, troubled relationships with
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Smith’s condition deteriorated to an extent that he is currently bed bound. The deterioration has been characterized by increased need for help with personal hygiene, extreme sensitivity to soap, increased breathlessness, occasional confusion and agitation, and refusal to wear his dentures because of severe pain in his mouth. This condition requires the development of a nursing plan that would effectively address Mr. Smith’s condition and improve his health and quality of life. The first part of a nursing care plan for Mr. Smith is a physical assessment based on the medical record and activities of daily living. Based on his medical record, it seems that Mr. Smith has reached an end of life period that is characterized by deterioration of his condition. Mr. Smith is having difficulties with physical movement and activity since he requires help with personal hygiene, has mouth ulcers that are extremely painful, and has poor eating habits to an extent that he is ordered soft diet, encourage fluids. The condition has had considerable effects on his activities of daily living because of difficulties in coordination, mobility, and physical activity or exercise. He spends most of the day on the hospital bed with limited mobility and increased breathlessness. The only physical activity that he is able to undertake is rolling from side to side for palliative care. His difficulties in coordination …show more content…
An end of life nursing care plan offers physical, emotional, and mental comfort and social support to patients living and dying of complex illness. The nursing care plan will be geared towards enhancing Mr. Smith’s quality of life and providing comfort to him and his family. Some of the patient conditions to be included in the nursing care plan include self care needs, spiritual and cultural values that affect the patient’s health, social factors that influence health, and signs and symptoms of the condition. The second step in developing a nursing care plan from Mr. Smith is determination of his problems through abnormal assessment data. Some of the patient’s major problems include…
1. Loss of appetite - brought by the patient’s refusal to eat hospital food. Generally, loss of appetite is attributed to decline in energy needs, which makes an individual to refuse or resist meals and liquids (Scott, n.d.).
2. Increased fatigue and sleep - because metabolism slows and the patient begins to experience dehydration because of decrease in food and water.
3. Increased physical weakness - brought by decline in food and water intake and decrease in energy.
4. Mental confusion and disorientation - since organs begin to fail and contribute to changes in high-order

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