Condensed TLN Feb. 26 - N2P03 Thinking Like a Nurse sheet...

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N2P03 Thinking Like a Nurse sheet B (Condensed TLN) Student Name: Week: February 26, 2014 Noticing – Gathering Cues; Knowing the Person & Family Provide a synopsis/summary of the salient information you have learned about your patient – as an individual patient and as a person Knowing the patient My patient was admitted to the hospital with a diagnosis of hypercalcemia. Hypercalcemia is a condition in which calcium levels become elevated. As well, this patient had also told me that she came into the hospital because the incision from a previous thyroidectomy, that she had on February the 3 rd , which had begun to leak. In addition to the diagnosis of hypercalcemia, this patient had a history of cholecystectomy, laparotomy and a small bowel resection. This patient was allergic to morphine and penicillin and needed wound care performed on the open neck incision from her thyroid surgery. This patient was well oriented to date, time and place and was also mobile enough to walk around the floor of the ward with assistance from a walker. She had some mild pain in her lower back throughout the day and prn Tylenol 3 was given to help with this pain. This patient had told me that she is usually in pain because of fibromyalgia. Lastly, the patient was on oral and IV potassium supplements and had an IV providing her with continuous fluids, as well as a catheter inserted. Knowing the person My patient for this week was a 69-year-old Caucasian female who lives in Hamilton, Ontario. She was a very bright and energetic woman who was very enjoyable to converse with. In the morning when I first introduced myself she was very kind and talkative and seemed to really enjoy having me present. She had a great sense of humor and was a real pleasure to be around. While getting to know this patient I discovered that her sister had previously passed away from breast cancer at the age of 32 and her niece (who was the daughter of this sister) has basically become like her own daughter since her sister’s passing. She has three sons, who live in Calgary, California and Australia, but although they are not able to visit her she still receives regular phones calls from them and, from what I observed that day, seems to have a fairly strong family support system. As well, this patient was greatly independent and really enjoyed sitting on the side of her bed doing various activities, such as making phone calls, eating breakfast, doing paperwork and making lists of things to do. She seems to be coping very well with being in a hospital setting and was very relaxed and content when I met her. Lastly, this patient is also very educated on her medications and medical status, which I feel will really benefit her health status and recovery process.
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  • Winter '12
  • McMasterSchoolofNursing
  • Nursing, Calcium metabolism

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