Nursing Diagnosis Paper

This paper is going to talk about my client’s diagnosis and his secondary diagnosis, my assessment and nursing care that was done and could be done along with my evaluation.
History and Priority Nursing Problem
Mr. X is a 49-year-old male who came in with shortness of breath from a nursing home. His secondary diagnosis ae HIV, AIDS, syphilis, respiratory failure and Kaposi sarcoma. He has an allergy to ciproflaxin. Mr. X had been in the hospital previously and had been sent back to the nursing home for a couple days. Due to his Kaposi sarcoma leading into his lungs, he is going into respiratory failure and he had shortness of breath. The nursing home sent him to the hospital where we now see he is shortness of breath while at rest. One …show more content…
His oxygen level while on oxygen was 90% and he stated that when off oxygen, he was around 75-80%. He is on optiflow. When I listened to his chest I heard crackles and he was coughing a lot. When I asked him to sit forward to hear the back of his lungs, he could not sit forward because he could breath. He could not talk without an effort to breath and took a lot of effort to have a conversation with him since he had to stop periodically to take a breath. His pulse was high around 120 and his blood pressure was 140/100 which is high. I looked at his skin and there were lesions all over his skin which is Kaposi sarcoma. “Kaposi sarcoma lesions evolve from early (patch stage) macules into plaques (plaque stage) that grow into larger nodules (tumor stage)” (Radu, Pantanowitz, 2013, p. 289). His legs were VERY swollen and so were his arms. His legs had stage 5 pitting edema and his arms were about a 3. His genitals were very swollen as well and he could not urinate a lot. His genitals were about a size or a cantaloupe. He had an open sore on his gentiles which was told to me by the nurse that it was syphilis. Mr. X had a lot of lesions all over his legs and feet. He had a couple open areas on his inner thighs that were swabbed and sent down to be tested. Tests that have been performed have been a biopsy of the lesions on his skin that came back positive for Kaposi sarcoma linked his HIV and AIDS. He has been swabbed in …show more content…
X loved his bed bath we gave him and he said he felt a little better. We sat him up as high as he could go and put pillows in behind him to get him sitting right up to open his chest up and to ease his breathing. He said he felt a little better, but he was still struggling to breath. I think getting his swelling down will help a lot with him feeling better, he will be able to urinate and he will be able to move a little bit. I spent extra time caring for him and making sure he was comfortable. I made him feel like a person and not something on display. He was very good with knowing that I was a student and he went into detail about his history and didn’t mind me asking personal questions for my learning. This experience has changed my nursing career because it opens my eyes to people who judge a book by its cover and health care professionals make the patients feel uncomfortable by putting them on display and I promised him and myself I would never do that to someone. I will spend the extra time with my patients to make sure they feel comfortable and help to make them feel