1. Invent an adult patient in a hospital and write a case study of the patient i
ID: 126745 • Letter: 1
Question
1. Invent an adult patient in a hospital and write a case study of the patient including the following information. Your case study should be different from the patient in the Malnutrition Case Study assignment and different from the homeless alcoholic in the ADIME chart note example. Name, age, gender Admission diagnosis, current medical issues Medical history (brief) Height, weight, BMI Weight history Appetite and adequacy of intake, current and pta 2. Write a PES statement for the patient using the data above. 3. Calculate total calorie needs for this patient using the Mifflin St. Jeor equation (then include a stress/activity factor). Please show your calculations. Mifflin-St Jeor Equations Men: RMR (10 X weight) + (6.25 X height)- (5 X age)+5 women: RMR-00 X weight ) + (6.25 X height)-(SX age)-161 (Weight = wt in kg, Height = ht in cm, A age) 4. Now presume the patient develops respiratory distress and is transferred to the ICU orn a ventilator. The Tmax is 39 degrees Celsius and the minute ventilation is 10 Liters per minute. Calculate the RMR2 using the Penn State 2003(b) equation: Please show your calculations. Indicate whether the patient has physical activity or not. Resting Metabolic Rate (calories) - Resting Metabolic Rate (0.96)+ V(31)+ Tmax(167)- 6212 v/Resting Metabolic Rate!= Mifflin-St Jeor equation (no activity factor) Expired minute ventilation (VE) in liters per min (L/min) Maximum body temperature (Tmax) in degrees Celsius 5. Calculate protein needs for the patient before and after transfer to the ICU. Show your calculations.Explanation / Answer
PES - It is the formation of nursing diagnosis for the patients exhibiting problems. The synonym stands for
P (problem) - what is wrong with the patient?
E (etiology) - what caused the problem?
S (signs/symptoms) or clinical features of the patient - which is causing the problem with the patient
The diagnosis can be categorized as ;
1) Problem focussed Diagnosis
Problem-Focused Diagnosis related to ______________________ (Related Factors) as evidenced by _________________________ (Defining Characteristics).
2) Risk Diagnosis
Risk for _____________ as evidenced by __________________________ (Risk Factors).
3) Health Promotion Diagnosis
Because health promotion diagnoses do not require a related factor, there is no usage “related to” in forming the diagnosis. Instead, the defining characteristic(s) are provided as evidence of the desire on the part of the patient to improve his/her current health state.
And for all the questions mentioned, the patient has to be selected first because depending on the data from patient the questions can be answered.
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