Case Study Analysis- Patient with Pneumonia and Lung Cancer

Case Study Analysis- Patient with Pneumonia and Lung Cancer

Introduction

In this paper we will analyze the case of a patient diagnosed with pneumonia and lung cancer. The patient is 52 years old male, who has come to emergency department of the hospital with complain of breathe shortness. Moreover, the patient has not consulted any healthcare professional for longer period of time. The patient is a chain smoker and has been experiencing the problem of smoke cough for more than three years and recently he is experiencing blood coughing. The patient is married and he has three adult children. In this paper we will study his PSI index and the important nursing decision for the patient. In addition, the paper will discuss the objectives of radiotherapy used in the treatment of this patient. Moreover, the paper will provide the details about the issues that should be addressed while teaching the patient and his wife for moving the patient at home after the treatment in the hospital.

Question 1- the PSI score of J. H.

With the use of PORT, i.e. pneumonia Severity Index tool, we have calculated the PSI score for J.H' s present condition and the index shows the following results:

Pneumonia Severity Index

Patients Characteristics

Points Assigned

Demographic Factors

Age

52

Gender

Male

Co-Morbid Disease

0

Physical Examination Findings

Intermittently confused

10

Resp rate >30

20

pH < 7.35

30

PaO2 < 60

10

Pleural effusion

10

Total

132

Since the table shows that the score is equal to 132, the patient lies under the category of high risk profile case. Therefore, the recommended site for the treatment of patient is in-patient treatment in the hospital, where the patient will be provided with primary care together with medication (Dirksen, 2011).

Question 2: What are the nursing priority decisions for J. H.?

As per the case analysis, following decisions should be prioritized for J H:

The nurse should administer the oxygen.

Furthermore, it is important for nurse to monitor oxygenation, worsening of dyspea and retention of carbon dioxide.

In addition, the nurse should administer the level of antibiotic.

Moreover, the nurse should manage and administer the nutrition.

Last but not the least, it is important to monitor the rest position for the facilitation of ventilation and oxygenation (Lewis, 2011).

Question 3: You are planning a meeting with J.H. and his family to discuss their needs. The physician tells you that he is terminally ill. Who will you include in this meeting?

The meeting should be conducted with John. However it is important to ...