PLEASE ANSWER THIS. I WILL UPVOTE -Patient J.L.C A 30-year-old male -No history of illness -No comorbidities -Epigastric pain -Guarding behavior -Facial grimace -Pain scale of 8/10 -Vomiting and black...


PLEASE ANSWER THIS. I WILL UPVOTE



-Patient J.L.C


A 30-year-old male


-No history of illness


-No comorbidities


-Epigastric pain


-Guarding behavior


-Facial grimace


-Pain scale of 8/10


-Vomiting and black tarry stools


-Pain non radiating


-Pain aggravated with food intake.


-"Nurse, nurse I am having a stomach pain"


-"It is like stinging pain in the stomach"


-"30 minutes after I ate bread at coffee, I vomited"


 -"I pooped 2 times, first was color black, second one was watery."



-------------------------------------------------


Below are the additional data that the nurse gathered that was not shown in the video.




  • According to the patient, he managed to get through his illnesses through bed rest, taking herbal medicines, or over-the-counter drugs like Kremil-S for stomach pain and Loperamide for diarrhea

  • When he was around school age, he experienced common childhood illnesses like having stomach pain, diarrhea/ LBM.

  • The patient does not have any problems or complications at birth.

  • The patient claimed that ever since he started working as a construction worker, he frequently experiences muscle and joint pain.

  • The patient usually buys street food for his meals.

  • Smoker 5-10 sticks a day for 10 years.

  • Drinking 2 bottles of beer at least thrice a week due to stress caused by financial constraints.

  • -He claimed that he did not receive any immunizations since birth.

  • The patient claimed that ever since he started working as a construction worker, he frequently experiences muscle and joint pain and managed it by taking Naproxen Sodium (Skelan) at least once a day.

  • Feeling of weakness






QUESTIONS:



1. Based on the cues that you identified, cluster them according to their patterns and relationship, relevance, significance, to help you create your inference on your client's concern and discuss with the class.


Example:



  1. Pain (Pain Score: 8/10, Facial Grimace, Guarding Behavior, etc…)


Dehydration (………..)




2.Draw conclusions about the meaning of each of the groups of cues through interpreting and analyzing data using literature to confirm your inferences. Now, what is your judgment?



  1. There is no problem.

  2. There is an actual problem

  3. There is a potential problem

  4. There is a possible problem




3. What are the nursing diagnoses that you have identified so far? (5)






4. What problem type of nursing diagnosis have you identified?


a. Nursing problem


b. Collaborative problem


c. Medical problem.




5. What do you think is the immediate cause of your nursing problem/s.




6. What other factors can you identify that have contributed to the nursing problem/s.




7. Based on the interview, determine the defining characteristics (sign and symptoms).




8. What do you think will happen if the nursing problem will not be addressed?

Jun 07, 2022
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