Nursing case Study: Care Plan

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 S.T. is a 40-year-old female weighing 120 lbs. and lives with her family in a single home. Today she is admitted complaining of left-sided severe abdominal pain which is relieved at the hospital with medications.

She reports, “My pain level is much better! 2/10 now. It was 10/10.” S.T. states she has lost weight over the last two months. She was 160 lbs. S.T. says she makes herself eat but just isn’t hungry.

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Complains of being “tired all the time” and feels nauseous when she smells food. The morning tray is at the bedside an ¼ is eaten. Her stools are dark and soft. Urine output is 1500 mL/day clear yellow.

Her vital signs are Heart Rate (HR) 88(high) regular Respiratory Rate (RR) 18 Blood pressure (Bp) 110/86 Temperature 99.6F(high) Oxygen saturation 99% Her family is at the bedside (husband, daughter (13), and son (11). They appear concerned but conversational. 

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