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    NCM 114 Case Scenario Surgical Rotation 1 2

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    Darren Roberto
    This document provides a case scenario for a virtual surgical rotation involving an 83-year-old male patient diagnosed with urinary bladder malignancy, benign prostatic hyperplasia, hypertension, and diabetes. The patient is scheduled for cystoscopy, transurethral resection of the bladder tumor, and transurethral incision of the prostate. The document includes the patient's medical history, presenting complaints, assessment findings, laboratory results, diagnostic test findings, and questions for students related to identifying nursing priorities, interventions, and a pathophysiological explanation of the patient's conditions. Students are to submit written responses to the questions by October 18th.

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    NCM 114 Case Scenario Surgical Rotation 1 2

    Uploaded by

    Darren Roberto
    87 views13 pages
    This document provides a case scenario for a virtual surgical rotation involving an 83-year-old male patient diagnosed with urinary bladder malignancy, benign prostatic hyperplasia, hypertension, and diabetes. The patient is scheduled for cystoscopy, transurethral resection of the bladder tumor, and transurethral incision of the prostate. The document includes the patient's medical history, presenting complaints, assessment findings, laboratory results, diagnostic test findings, and questions for students related to identifying nursing priorities, interventions, and a pathophysiological explanation of the patient's conditions. Students are to submit written responses to the questions by October 18th.

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    NCM-114-Case-Scenario-Surgical-Rotation-1-2

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    This document provides a case scenario for a virtual surgical rotation involving an 83-year-old male patient diagnosed with urinary bladder malignancy, benign prostatic hyperplasia, hypertension, and diabetes. The patient is scheduled for cystoscopy, transurethral resection of the bladder tumor, and transurethral incision of the prostate. The document includes the patient's medical history, presenting complaints, assessment findings, laboratory results, diagnostic test findings, and questions for students related to identifying nursing priorities, interventions, and a pathophysiological explanation of the patient's conditions. Students are to submit written responses to the questions by October 18th.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    87 views13 pages

    NCM 114 Case Scenario Surgical Rotation 1 2

    Uploaded by

    Darren Roberto
    This document provides a case scenario for a virtual surgical rotation involving an 83-year-old male patient diagnosed with urinary bladder malignancy, benign prostatic hyperplasia, hypertension, and diabetes. The patient is scheduled for cystoscopy, transurethral resection of the bladder tumor, and transurethral incision of the prostate. The document includes the patient's medical history, presenting complaints, assessment findings, laboratory results, diagnostic test findings, and questions for students related to identifying nursing priorities, interventions, and a pathophysiological explanation of the patient's conditions. Students are to submit written responses to the questions by October 18th.

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    NCM 114 – Virtual Duty

    Case Scenario: Surgical Rotation

    Prepared by:
    Jesusa C. Gabule,MN
    Gemma V. Panal, MN,LPT
    Course Credit :
    Theory: 2 units (36 hours)
    RLE : clinical (Hospital / Community)

    ▪ 1 unit 51 (RLE hours)


    ▪ 1 unit 51 (RLE hours)
    ✓ 20 hours Virtual duty for 10 weeks
    embedded in NCM 112 & NCM 113
    RLE Rotation
    ✓ 15 hours SDL ( 1 hour per week)
    Learning Objectives:

    • LOA 2.1 Integrate relevant principles of social,


    physical, natural and health science and
    humanities when dealing with issues and trends
    in dealing with older adults.
    • LOA 2.2 Apply appropriate nursing concepts and actions
    holistically and comprehensively in the care of
    older adults.
    Pre
    Pre
    Equivalent to 4 RLE Hours
    This is a Case of an 83-year-old male diagnosed with
    Urinary Bladder Malignancy; Benign Prostatic
    Hyperplasia; Hypertensive Cardiovascular Disease;
    Diabetes Mellitus Type 2, Hypertension stage 2 –
    Uncontrolled. Schedule for Cystoscopy; Transurethral
    -

    Incision of the prostate.


    cpm¥É
    Resection of the Bladder Tumor and Transurethral
    ↳ kwiaqppy→ incision sa prostate
    MW ?)
    General Information :
    Name: Client PAS
    Age : 83-year-old
    Birthday: November 16, 1926
    Religion: Roman Catholic
    Occupation: Lawyer
    Chief Complaints: Hematuria
    Brief History of Present Illness:
    ✓ Smoker for 67 years
    ✓ Ate chocolates almost every after meal
    ✓ Sedentary lifestyle
    ✓ Underwent cataract surgery in 2009
    ✓ Noncompliance to medications
    ✓ Urinary frequency and urgency at least 10 – 15 times per day.
    ✓ Difficulty in sleeping especially at night.
    ✓ Hematuria hence admitted last February 17, 2019
    Assessment:
    elevated (NV :
    F-my
    /
    ✓ Respiratory: 28 breaths per minute.
    ✓ Oxygen Saturation: 96 % stage
    2

    ✓ Blood pressure: 150/100 mmhg ✓

    ✓ Wheezing sound noted both lung fields


    ✓
    ✓ -
    Dyspnea upon exertion
    Pain and Swelling in the lower extremities
    Laboratory Findings:
    it manifested due to hematuria
    }
    RBC 2.92 L
    Hemoglobin 8.30 g/dl - ,
    Hematocrit 33.40 % -
    y
    WBC 9.33 L
    ? ??
    -

    Platelet count 320 L


    Bleeding time Minutes – 2; Seconds - 20 INV : 2-7 mins)
    > normal
    Clotting time Minutes – 4; Seconds – 29 18-18 mins)
    Cholesterol 5.72 mmol/L -
    borderline high
    Triglycerides 7
    lipids 1.89 mmol/L borderline
    high
    -

    HDL .77 mmol/L -


    Normal
    LDL 4.23 mmol/L - normal
    Uric Acid 583 umol/L -

    slightly elevated
    Chest X_RAY Minimal Fibrosis, Both Lung Apices with residual
    Atherosclerotic Aorta
    Glycosylated hemoglobin 7.9 to diabetes
    Color flow doppler study Concentric left ventricular hypertrophy with segmental wall
    -

    motion abnormality.
    Weight of the prostate is 20 grams, with 35 cm3 in size.
    Ultrasound of the prostate FM on 1 slightly elevated 3 in
    ( normally zoom
    a

    20 gram prostate
    Questions
    1. Explain in detail the Independent and dependent Nursing
    Action base on the case presented.
    2. Identify the physical priority assessment before you start
    your care for patient PAS?
    3. Make an Interpretations/Inferences in every laboratory
    results of the client and correlate the significant diagnostic
    tests findings by making a pathophysiology of the patient’s
    condition.
    4. Identify at least Five priority problem with Nursing
    Interventions and Rationale.
    Written output to be submitted on or before
    October 18, 2021, in the virtual classroom.

    - If you have questions and Clarifications you can


    communicate with me thru: text, messenger or in any form.
    God Bless! Take extra Care. TO no :(BY Whp )
    e- 5 Nue male nf NIPS
    0 Dhule story
    Best Regards , opantopmswlt.MU ! )
    Ma’am Gabule 0

    09177931972

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