NSG1204 Nursing Skills II


Case Study

Mdm P is a 98 year old Sri Lankan female who presented with a current problem of pneumonia.

Her past medical history includes:

  • Ischemic Heart Disease (IHD): Echocardiogram done in June 2017.

— Ejection Fraction: 60%.

  • Osteoporosis – Vitamin D deficiency levels 29.3 in May 2018.

— Spinal stenosis, L3 vertebroplasty done in 2009.

  • Recurrent falls

– Left neck of femur fracture done in 2008 and T6 fracture, conservative management with good recovery.

— Right intertrochanteric fracture done in 2014, dynamic hip screw insertion done.

  • Hearing Impairment – Right ear, impacted wax started1 year ago.
  • Diabetes mellitus diagnosed 20 years ago.  HbA1c 7% done in March 2018.
  • Hypertension (HTN) diagnosed 20 years ago.
  • Bronchiectasis
  • Asthma diagnosed at the age of 20 years old.
  • Urge Incontinence started 5 years ago.
  • CA Colon with hemicolectomy done in 1979.


Based on the client, family and main caregiver assessment,

  • identify one problem

Ineffective airway clearance

  • provide evidences to explain and justify problem identified

Evidenced by increased sputum production, decreased effort tolerance to activity engagement.

Decreased partial pressure of arterial oxygen Pao2 – Decreased ventilatory response to hypoxia and hypercapnia.

  • Problem identified is relevant and focused.
  • Precise, focused and clear explanation of the problem identified.
  • Justifications used are clearly explained with impact

Discussion of management plan

Based on the problem identified,

  • provide relevant and clear explanation on the management plan
  • show evidence of in depth knowledge and research
  • show evidence of critical analysis and application
  • Management plan is explained with great clarity and relevance.
  • Advanced understanding of the problem / concept and its significance.
  • Critical deliberations on its management plan and application.
  • Insightful thoughts on the significance of management plan to the outcomes.
Get a 10 % discount on an order above $ 100
Use the following coupon code :
Open chat
Hello, you can now chat with our live agent via WhatsApp +1 (347) 428-6774
Our professional nursing writers will work on your paper from scratch.
We guarantee a plagiarism-free custom-written nursing paper.