Nursing Case Study Paper

Casey, you have presented a very complex and thorough case study.

The case study involves a 27-year-old married male with one child. He was discharged from the ICU after a 4-week hospitalization for acute alcohol induced pancreatitis, depression and obesity (Langley, 2017). It is noted that his stable vital signs and pain rating of 2 on the 0-10 scale that his physical symptoms have improved. Using the Nightingales criteria, all aspects of the patient’s environment are clearly substandard. He has poor nutrition, and depressed mood characterized by lack of socialization or desire to be involved in activities. There is also concern that the patient has resumed drinking alcohol due to the multiple beer cans and bottles noted and the ETOH odor.

According to Therapeutic Nursing Interventions by (Kubsch, n.d).

1) Identify behavior: The behavior identified that need to be changed is having a safe, clean home environment, maintain a proper nutritional diet, eliminate alcohol consumption and increase social activity.

2) Teaching: would be provided on the importance of proper nutrition and elimination of alcohol related to recent acute pancreatitis and risk for reoccurrence.

3) Do the behaviors need to be increased or decreased? The undesirable behavior need to be decreased.

4) Breakdown desired behavior changes into smaller steps:

a). Patient will open blinds and curtains daily in the morning.

b). Patient will cook 1 selected nutritious meal daily.

c). Patient will spend 30 minutes cleaning up main living area daily

d). Patient will refrain from drinking alcohol for 1 week now and

K., & Hayes, J. S. (2016). Professional nursing practice: Concepts and perspectives (7th ed.). Boston, MA: Pearson. Gonzalo, A. (2011). Theoretical foundations of nursing: Florence Nightingale. Retrieved from http://nursingtheories.weebly.com/florence-nightingale.html Kubsch, M. (2017). Therapeutic Nursing Intervention (TNI) Protocols [PowerPoint slides]. Retrieved from https://uwli.courses.wisconsin.edu/content/nursing/407/fa17/sec01/PPts/492TNI-A-J- sp17.pptx? _&d2lSessionVal=dga0mtzOr01lyLYxVpMbaQEoS&ou=3841967 NANDA International, Incorporated. (2017). Proposed taxonomy III. Retrieved from http://www.nanda.org/proposed-taxonomy-III.html Nightingale, F. (1860). Notes of nursing: What it is, and what it is not. Retrieved from http://digital.library.upenn.edu/women/nightingale/nursing/nursing.html#I Langley, C. (2017). Discussion 5, Lesson 8- Historical influence-Nightengale. Retrieved from