Pneumonia Case Study the General Statistics and

Pneumonia Case Study The general statistics and facts about the patient are as follows. The patient is a Caucasian whit e email that is 52 years old. She was admitted to St. Mary's hospital on 12/12/2012. She stood a bit over five feet tall and weighed around 128 pounds. She was married with two grown children and lives in a small camping trailer as opposed to a conventional home or apartment/room. Both the patient herself and the spouse of the patient are of disabled status.

Advanced directives for the patient were in force as of the date of admission of the patient, again that being 12/12/2012. The purpose of the admission on 12/12/2012 was for a pneumonectomy. The patient was prior-diagnosed with necrotizing pneumonia in August 2012 and she hoad a lobectomy in Sepbemter. However, the necrotizing pneumonia destroyed the rest of the patient's lung. The patient in question had had a number of surgeries over her life numbering well into the double digits.

These surgeries including a hysterectomy, a cervical laminectomy, a C-section, tubal ligation, breast reduction and knee surgery. The total surgery count stood at 18 in her lifetime. She was in the hospital for a total of 65 days, eventually being discharged on 2/14/2013. Overall health was greatly improved due to the surgery and the ensuing therapy and other treatment. Functional Health Patterns The functional health patterns for the patient were assessed on the 57th and 58th day of the patient's hospitalization, those days being 2/5/2013 and 2/6/2013.

The sources of the information gathered for this report include the patient, the husband of the patient and the hospital staff.

Nutrition-Metabolic As far as nutrition/metabolic information, the patient has the following general pattern of meals Breakfast Yogurt Coffee Lunch Chicken Salad Dinner One of any variety of soups General Fluid Intake at any time Water Gatorade Coffee The patient said the following things about her appetite Weight went from 128 pounds upon admission to nearly 100 pounds after the surgery She gained about 20 pounds back after leaving ICU No allergies No trouble chewing No difficulty swallowing No difficulty chewing Was 121 pounds upon discharge, only seven pounds lower than what she was upon admission.

Physical Assessment Had the following skin/health issues beyond what has been mentioned already Dry itchy skin Bruising Skin graft necessary for right thigh No signs of infection from the thigh wound Wound on right side where 3 ribs had to be removed as part of lung removal Right thing skin graft as noted above Urine is pale yellow No burning, burning or dribbling during urination No assistive devices necessary for proper urination Normal bowel elimination patterns as well, for the most part.

Once went two days with no bowel movement but eventually had a very large one Very sedentary lifestyle with low outlook of that ever changing due to the oxygen being necessary, among other reasons. No exercise Main leisure activity is reading If she exercises, she experiences fatigue, coughing and pain Pain from the exercise is dull and all over the body Will need daily assistance with some tasks Tasks requiring assistance will include shopping, cooking and home maintenance.

Level of assistance needed daily tasks with five (V) being the highest and zero (0) being none Feeding -- 0 Bathing -- I Toileting -- I Bed Mobility -- 0 Dressing -- 0 Grooming -- 0 General Mobility -- I (cane) Cooking -- II Home Maintenance -- IV Shopping -- IV Activity-Exercise Activity and exercise shows as follows Usual bed time -- 10 pm Usual wake time -- 8 am Rested after sleep? No…usually still very tired Sleep rituals? No…not usually.

Just taking pills and the like Able to fall asleep? Yes Able to stay asleep? No Cognitive & Perceptual Able to read and write? Yes. Languages spoken? Only English How do you learn best? Reading Do you learn new things well? Yes. Do you wear glasses? Only for reading Last visual exam: July 2012 Dizziness issues? No Sensitivity to Cold/Heat? Yes Pain with cold/heat sensitivity? Yes Self-perception/self-concept terms? Thankful, happy for support. Changes in perception? Near-death experience has shaped my perceptions a lot.

Biggest concern? Getting another infection Lots of anger/anxiety, depression or fear? Depressed a lot and concerned about health. Role/relationship: I life with my husband Roles in the family? My role is limited due to my health Health Perception/Health Management The 53-year-old patient presented a chief compliant of a consistent and purulent yet productive cough. She also showed a failure to thrive and leukocytosis. The patient discussed her health history over the last few months.

She said she was in a constant state of pain and she has been on methadone for years as a way to counteract and perhaps prevent the aforementioned narcotic use from reoccurring. She had also had asthma and fibromyalgia for years in addition to prior being a heavy smoker. She was a prior abuser of alcohol but denied using alcohol or tobacco at the time that the author of this paper spoke to her.

She remarked, at the time of the interview and nearly two months removed from the surgery, that she felt much better and indeed felt lucky to be alive. The patient's expectations before and after the surgery were that it was a very serious surgery with full knowledge that she could quite possibly die before, during or after the surgery. However, not having surgery was not a viable option because she was told straight up that it would condemn her to a near-coming death.

It was apparently revealed to the patient that the genesis of the pneumonia was three different strains of bacteria. They had tried a broad-spectrum antibiotic but the medicine simply was not able to get the infection to go away, thus the need for the surgery. Rather than getting better, the regular pneumonia eventually got worse and became necrotizing pneumonia. A sad spot of the assessment came when the client became anxious and agitated about the implications for her after she left the hospital.

She stated that she did not have a good bed at the place she stayed and was hoping that her family could pull together some money for a bed. She was also concerned that she would regress when she went home. She noted that she would have to be on oxygen the rest of her natural life due to the depleted state of her respiratory system. The patient eventually calmed down and was able to resume the interview.

In terms of healthy life habits, she noted that she liked to read.