Case Study: Amy Kellar
Associated Course Competencies:
• Utilize the appropriate technology and/or references/resources, demonstrating accurate use, in order to access reliable data and information that support evi
...
Case Study: Amy Kellar
Associated Course Competencies:
• Utilize the appropriate technology and/or references/resources, demonstrating accurate use, in order to access reliable data and information that support evidence-based practice in the care of diverse clients across the lifespan.
• Differentiate the various components of basic physiological needs as it relates to fluid/electrolyte and acid/base balance, including but not limited to associated concepts of elimination, immunity, thermoregulation, and infection control, in order to facilitate the promotion, maintenance and restoration of health and wellness.
• Evaluate data and information gathered during patient care, simulated scenarios, and/or case studies related to gas exchange and pain management in order to determine knowledge and wisdom gained through critical thought processes to optimize patient outcomes and quality improvement.
• Demonstrate a basic understanding of communication practices necessary for patient-centered care and interdisciplinary collaboration in terms of knowledge, skills, and attitudes.
Client Profile
• Gender: female
• Age: 27 yo
• Weight: 130 lbs
• NKDA
• Setting: hospital
• Ethnicity: white American
• Cultural Considerations: none identified
• Past Medical History: several Urinary Tract Infections (UTI) over the past three years ago
• Communication: English
• Disability: none
• Social: married; stay at home mom; one daughter (9 mos); husband works 2 jobs
Chief Complaint / History of Present Illness
Ms. Kellar c/o sudden onset abdominal pain approximately 12 hours ago. She describes the pain as a constant ache in the lower right quadrant (RLQ) of her abdomen that radiates across the flank to her lower back. She rates her pain as a 9/10. She also c/o nausea and has vomited three times prior to arrival. She is febrile and c/o chills. During your initial history, Ms. Kellar tells you that she has had urinary frequency with “darkish funny smelling urine for a few days.” She also recalls a lower back ache for several days and feeling “hot and cold.”
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