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 infection, neuropathy, glaucoma, GERD, sadness, hypertension, constant kidney illness, and sickle cell pallor. She whines of right lower limit 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 appraisal uncovered numerous positive and negative discoveries. J.P. was sure for dyspnea and a gainful hack. She likewise was certain for dysuria and hematuria, yet negative for flank torment. After close assessment of her integumentary and musculoskeletal framework, the inspector found a gleaming firm shin on the correct lower limit with +2 edema supplemented by serious torment. A lot of gauge 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 every moment. The blood and metabolic board uncovered a few irregular 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, glucose level of 200 , and a BUN level of 33 were the strange labs. After a careful assessment, J.P. was determined to have a profound vein thrombosis (DVT). â€Å"DVT grows frequently in the legs yet can happen additionally in the upper arms†¦Ã¢â‚¬  (Ignatavicius and Workman, 2013). Due t... ...analyze that cause physical agony, yet additionally issues that can cause enthusiastic, profound, and psychosocial injury. After the execution of the expressed mediations, 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 attendants who gave care. Works Cited Ackley, B. and Ladwig, G. (2010) Nursing analysis 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: understanding focused communitarian 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.