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This is the second most common facial fracture in sports because of the anterior location on the skull. The most common cause of broken or dislocated jaw is accident or trauma involving a blow to the face. This may be the result of a motor vehicle injury, accident, or is other usually
accident, It may
recreational/sports result from
fractures in more than one place and occurs on opposite sides of the midline of the jaw. These fractures can either be displaced (more severe with bone ends separated and moved apart) or
nondisplaced (bone ends aligned).The signs and symptoms of a displaced (teeth broken do jaw includes align gross deformity, jaw is malocclusion closed),oral
bleeding,paresthesia or anesthesia of lower lip and chin,changes in speech,swelling,bruising to the floor of the mouth and mucous membrane tears. While the signs and symptoms of a nondisplaced broken jaw includes oral bleeding oozing between the teeth,point tenderness over the fracture site,pain on opening and closing the jaw,swelling and discoloration. The immediate treatment of a broken jaw is to focused on maintaining an open airway with the patient in a sitting
position with the hands supporting the lower jaw. This position will allow the blood to flow forward and out of the mouth rather than back into the throat.Because the amount of force required to fracture the mandible is significant, care must be taken to evaluate the patient for possible concussion and/or brain injury also.To determine if the patient has any signs and symptoms
of concussion, check
confusion, nausea, ringing in the ears and inability to answer simple questions.An unconscious patient suspected concussion
should be placed on the side with head tilt and jaw support after the mouth has been cleared of any broken or dislodged teeth.The jaw can be immobilized using an ace bandage or roller gauze but care must be taken to ensure that the jaw is not displaced posteriorly which may compromise the airway. The
bandages can be wrapped under the chin and over the top of the head. A crushed ice pack can be applied to the area to reduce the amount of swelling. However, care must be taken that the weight of the ice pack does not displace the fracture. The goal of treatment is proper alignment of the jaw bone so the upper and lower teeth for come together to normally. Surgery to is align often and
immobilize the bone so it can heal. If fracture, the the patient healing has can sustained be a nondisplaced jawbone with
analgesia and rest. To allow the fracture to heal properly, the patient should only eat soft foods for up to four weeks or as long as recommended fractures by the treating closed physician.Most reduction and displaced internal
fixation for four to six weeks. While the patient jaw is wired shut, the patient should be consuming high-protein, high-
carbohydrate liquid diets. It is normal for a patient to lose between 5% and 10% of his/her body weight during this time. If there is concern about the amount of weight lost, the patient should consult with a nutritionist.
The patient is safe to light activities such as stationary cycling, walking, and light resistance exercises can be
performed during the time of fixation to maintain muscle tone. Care should be taken not to increase the heart rate to a level where increased oxygen is needed for the muscles because the athlete is only able to breathe through his/her nose and not able to breathe through his/her mouth to increase the oxygen uptake. It is recommended that the athlete should not return to contact or collision sports until one to two months after the jaw is unwired. Available at:
http://www.sportsmd.com/Articles/tabid/1010/id/24/Default.aspx?n =broken_jaw_(mandibular_fracture) [February, 2013] According to World Health Organization, fractures of the mandible have been reported to account for 36-70% of all
maxillofacial fractures. All reports apparently show a higher frequency in males aged 21-30 .Other contributing factors, such as socioeconomic status, environment, alcohol use, and
mechanisms, show greater variability. According to the Health, The major national statistics of the Department of of mandibular fracture was alleged
assaults or mauling comprising 60 (43.5%) cases of the entire study. The symphysis was the part of the mandible most
susceptible to fracture having 75 (54%) cases of the study. In the local statistics of Baguio General Hospital and
medical center, maxillofacial fractures is 4th leading causes of major admissions.
Maureen M. and attitude. It is also when the concept of the Nursing process is emphasized through actual practice and it provides necessary tool to enable the group to render nursing quality nursing care and to the patient by formulating intervention management through observation and interview to the patient as well as the family members. skills. knowing the risk factors. Sabalburo.The group NPB-1 was assigned at Baguio General Hospital and Medical center last January 31 – February 1-2 and 7-9. surgical management. Goal: To patient fracture. we on how the condition process progress by observing the patient’s signs and symptoms. what are the specific kinds of problems that may lead to the patient current condition. Lastly this case study will served as review material in our goal to become a member of health care providers. Objectives: This case study aims to: provide and to quality expand and our effective nursing care to our understanding about Mandibular . The group chose to defend this because it is the only case that is not under observation. pharmacologic treatment and proper intervention. Our group aimed to review and analyze this case which will provide us with the right knowledge. 3-11 shift ENT Ward under the supervision of Ms. diagnostic exams. can be able to appreciate the Through this case study.
be well prepared and to with share the our information knowledge regarding only to this the condition not patient but as well as the members of the patient’s family. . define Mandibular fracture and its effect to the body as a whole. perform formulate comprehensive appropriate assessment nursing care of this condition for to the plans suited client based on the assessment of findings. provide independent nursing interventions.
Maxillomandibular fixation B. swelling Admitting Diagnosis: Mandibular fracture symphyseal area Operation Performed: Open reduction and internal fixation. 2013 Time of Admission: 10:55 am Chief complaint: Mandibular fracture.I. He did not experience loss of consciousness. the patient was intentionally punched by his friend on the mandible.PATIENT’S PROFILE Name: Patient X Age: 18 years old Date of Birth: October 04. 2013. mandibular pain. bleeding. headache and . Patient’s Health History B. Baguio City Occupation: Student Ward: ENT Ward Date of Admission: January 29.1 History of Present Illness Last Sunday of January 20. 1994 Nationality: Filipino Religion: Roman Catholic Gender: Male Civil Status: Single Address: Loakan Liwanag.
The patient came back for follow up 1 day prior to admission and was advised to undergo operation. He drinks 1-2 bottle of 2x2 in a week. B. Hence.dizziness. He was referred to an ENT physician for further management and was advised to undergo an operation.3 Social and Environmental History Patient x is a student and lives with his parents and siblings. . They live in a concrete house with good ventilation that is situated not far from central business unit. he was then accompanied by his mother to consult a dentist and he undergo a panoramic view where it shows that he had a mandibular fracture. due to the lack of money at that time they were not able to buy titanium for his operation. swelling subsided and no mandibular pain but there is a presence of discomfort on the mandible. After a few days. B. admitted at Baguio General Hospital and Medical Center. But he suffers from common cough and colds. he was then given an antibiotic as home medication. The following day.2 History of Past Illness The patient has no history of previous operation and hospitalization. The patient is a non-smoker but he is an alcoholic beverage drinker. he noticed that his teeth where he was punched stood apart. However. thus considering them a nuclear family.
Psychosocial Status A. Mental and Emotional Status The patient was oriented to person. II. He was also able to answer questions that are being asked. This can accommodate 7 patients. time and place. He described their family as nuclear. The comfort room is located in the left side of nurses’ station and it is estimated 5-6 meters away from the patient’s bed. Environmental Status The patient was placed on the male ENT ward. GENERAL SOCIAL STATUS Patient X lives with his family in a semi-concrete house.CHAPTER 2 ASSESSMENT 13 AREAS OF ASSESSMENT I. The ventilation of the room was fair for it has windows. He has no religious beliefs that might affect the actions to healthcare delivery. He is a high school graduate. He is responsive to stimuli and cooperates to hospital routines as well. He answered questions coherently and briefly during the interview. He complies with nursing intervention such as vital signs done by student nurses. He also openly interacts with the nurses and student nurses on duty. III. . he lives with his brothers and parents. The patient was able to read and write and can speak Ilocano and Tagalog.
VISUAL ACUITY His pupils constrict and converge as object moves in toward the nose. redness. D. OLFACTORY STATUS Patient x olfactory status manifest a good sensation of smell he was asked to close his eyes and he was able to identify the difference between the smell of alcohol. there . white. By using the whisper test the patient identifies three words out of three words in 2 attempts with the distance of 1-2 feet. Sensory Status B. In assessing the extra ocular movements both eyes move in a smooth coordinated manner in all directions. Bilateral auditory canals contain moderate amount of darkbrown cerumen. Both ears are symmetrical in alignment. palpating the external ears there were no nodules noted. C. green and blue and can read as manifested by reading newspaper. lumps or skin lesions on patient’s auricle and surrounding tissues. AUDITORY STATUS Patient X sense of hearing was functional as evidenced by cooperative and responsive reaction to questions and instructions. swelling or discharge. and perfume. red. irregularities.IV. In addition to that. Upon inspection there were no deformities. pupil responses are uniform in accommodation test with a distance of 3-4 feet away by the use of penlight. The patient was able to differentiate color such as black.
Motor Status A. V. He can and distinguish the taste of the food whether it was sweet. GUSTATORY STATUS Before the operation patient x oral color without ulcers. F. TACTILE STATUS Patient X has good tactile status wherein he responded to firm or light touch. He has difficulty in speaking because of the braces on his upper jaw and titanium plate placed on his mandible. Upon palpation. After the operation he verbalized that the operative site is painful with a pain scale of 9/10 and describes it as continues sharp pain. He was able to perform activities of daily living with minimal assistance like when going to the comfort room and changing clothes. white patches. specifically the frontal.were no discharges and bleeding that was noted. The muscle strength grading scale showed the following: . pricking. sharp and dull objects. mucosa was pale in nodules. sour or bitter. hot and cold. E. sphenoid and maxillary. MUSCULOSKELETAL STATUS There were no noted decreased on motor reflexes of the patient. and any stimuli of touch. ethmoid. there were no noted tenderness of the sinuses.
Fluid and Electrolyte Status He was able to drink 3-4 glasses of water during the shift before the operation. he claimed that it is formed. After his surgery patient received D5LRS x KVO. VIII. Nutritional Status He weighs 60 kilograms and has a height of 5 feet 6 inches and a BMI of 21. After the operation the patient was on NPO temporarily. patient x has score of both the upper and lower extremities are 5/5 which is interpreted as full resistance against gravity. Circulatory Status .35 shows that he is within normal range. The patient has no known allergies to foods he prefers food like meat and vegetables. VI. brownish in color and no presence of blood and mucus to the stool. Elimination Status He has regular elimination pattern.Right 5/5 Left 5/5 5/5 5/5 Using Lovett’s scale which graded the muscle strength. and then he was instructed to have cold diet. VII. The patient had a urine color of dark yellow and his urine output during the shift is 200-300 cc. IX.
distributed terminally. Respiratory Status The patient’s vital signs reveal a respiratory rate of 2122 breaths per minute. patient claimed to have 4-5 sleeping hours. Slightly pale conjunctiva was noted. such as shirts and pajama. The patient wears comfortable clothes to protect himself from hot or cold environmental temperature. Comfort and Rest Status Prior to hospitalization. not brittle. and immobile. No unusual or significant perspirations. Patient x blood pressure ranges from 100/80 – 110/80 mmHg. and without presence of lice. patient’s No temperature feeling ranges of from or 36. XII. Upon confinement. XIII.The patient’s vital sign reveal a pulse rate of 82-83 beats per minute with normal rhythm.3-36. Hair is black.9C cold that per was unusual warmth verbalized by the patient. patient reported less hours of . skin is not cyanotic and is warm to touch. Integumentary Status Patient x has a fair complexion. His capillary refill was normal (1-2 seconds). hard. Nails are short. He does not have cough and nasal discharge. or night sweats were noted. Temperature Status The axillary. XI. or other parasites. round. Upon observation and auscultation there were no adventitious breath sound heard on both lung fields. slightly pale nail beds. X.
. He reported that pain was decreased when given ample amount of rest and medication.sleep with a noted deduction of 1-2 sleeping hours primarily because of a sharp continues pain that he felt on his wound which aggravated by talking.
5 1.Rare Within Normal range Negative None None High Within normal range Within normal range . Occasional Many Occasional occasional Negative .010 – 1.030 Normal Normal Normal Normal Microscopic Findings WBC/HPF RBC/HPF 0-1hpf 1-2hpf 0-2 0-4 Within Normal range Within Normal range Epithelial cells Mucus Threads Bacterial/LPF Amorphous material 01/29/13 Interpretation: The mucus threads are high in large amount and it indicates that there is an infection due to irritating chemical agent.45 1. Laboratory result Results Color Yellow Normal Clear/ Colorless Indication Normal Transparency Turbid Slightly turbid/cloudy Normal Sugar Protein pH/ Reaction Specific gravity Negative Negative 6.35-7.030 Negative Negative 7.B.
15 0.46 0.70 0.50 Normal Eosinophil Neutrophils Lymphocyte Monocyte Platelet count 0.40 0.01/29/13 Component and quality SI unit WBC count Hemoglobin Result Range indication 5.20-0.07 150-400x9/L high Low Normal Normal Normal Interpretation: Patient x takes clindamycin for 1 week to treat infections and his mandibular fracture.35 0.07 0. This drug disrupt bacterial protein synthesis that can cause changes in the cell wall surface with decreases adherence of bacteria to host cells and increases intracellular killing of organism.40 0. his neutrophil became low while his eosinophil became high due to drug that his taken.50-0. Futher more when he is schedule for laboratory exam.0000-0.44 Male: 0.58 150 5-10x109/L Male: 140170g/L Normal Normal Hematocrit 0. .04 336 0-0.
horizontal portion.—The external surface is marked in the median line by a faint ridge. . The Body (corpus mandibulæ). Immediately below these is a second pair of spines. termed the mental spines. or more frequently a median ridge or impression.—The body is curved somewhat like a horseshoe and has two surfaces and two borders. in others they are absent and their position is indicated merely by an irregularity of the surface. In some cases the mental spines are fused to form a single eminence. and two perpendicular portions. It consists of a curved. the body.The Mandible (Lower Jaw) The mandible. which give origin to the Genioglossi. Near the lower part of the symphysis is a pair of laterally placed spines. the largest and strongest bone of the face. for the origin of the Geniohyoidei. which unite with the ends of the body nearly at right angles. indicating the symphysis or line of junction of the two pieces of which the bone is composed at an early period of life The internal surface is concave from side to side. serves for the reception of the lower teeth. the rami. Surfaces.
which gives origin to the Mylohyoideus. they mark the line of union of the halves of the bone. and below the hinder part. an oval fossa for the submaxillary gland. is an oval depression for the attachment of the anterior belly of the Digastricus. the posterior part of this line. Near the . gives attachment to a small part of the Constrictor pharyngis superior. Extending upward and backward on either side from the lower part of the symphysis is the mylohyoid line. Above the anterior part of this line is a smooth triangular area against which the sublingual gland rests. The internal surface is concave from side to side. on either side of the middle line. near the alveolar margin. and to the pterygomandibularraphé.Above the mental spines a median foramen and furrow are sometimes seen. Below the mental spines.
an oval fossa for the submaxillary gland. gives attachment to a small part of the Constrictor pharyngis superior. Above the mental spines a median foramen and furrow are sometimes seen. . near the alveolar margin. or more frequently a median ridge or impression. and below the hinder part. termed the mental spines. In some cases the mental spines are fused to form a single eminence. Below the mental spines. Immediately below these is a second pair of spines. on either side of the middle line. Above the anterior part of this line is a smooth triangular area against which the sublingual gland rests. the posterior part of this line.lower part of the symphysis is a pair of laterally placed spines. they mark the line of union of the halves of the bone. for the origin of the Geniohyoidei. and to the pterygomandibularraphé. is an oval depression for the attachment of the anterior belly of the Digastricus. which gives origin to the Mylohyoideus. which give origin to the Genioglossi. in others they are absent and their position is indicated merely by an irregularity of the surface. Extending upward and backward on either side from the lower part of the symphysis is the mylohyoid line.
Nursing Care Plan .
urine or stool and black. and in those at risk for renal impairment from volume depletion or at risk for bleeding.DRUGS STUDY DRUG NAME Generic name: Ketorolac tromethamine Brand name: Toradol Dosage: 30 mg Frequency: Every 6 hours x 4 doses Form of drug: Intravenous Classification: Non-steroidal antiinflammatory drugs ACTION Produces antiinflammatory analgesic. GI pain NURSING RESPONSIBILITY Correct hypovolemia before giving ketorolac Don’t give drug epidurally or intrathecally because of alcohol content Teach patient signs and symptoms of GI bleeding including blood in vomit. hypertension. sedation. dyspepsia. and antipyretic effects. cotarry stool. Contraindication: Contraindicated in hypersensitive drug and in those with active peptic ulcer disease. cerebrovascular bleeding. diarrhea. acute pain for multiple-dose treatment. possibly by inhibiting prostaglandin synthesis. SKIN: rush. arrhythmias GI: nausea. dizziness. or incomplete hemostasis. constipation. headache CV: edema. INDICATION and CONTRAINDICATION Indication: Short-term management of moderately severe. palpitation. diaphoresis . recent GI bleeding or perforation. vomiting. ADVERSE EFFECT CNS: drowsiness. hemorrhagic diathesis. Tell him to notify prescriber if any of these occurs.
Form of drug: Intravenous Classification: Opioid analgesic ACTION A centrally acting synthetic analgesic compound not chemically related to opiates. or renal or hepatic impairment.DRUG NAME Generic name: Tramadol hydrochloride Brand name: Ultram Dosage: 50 mg Frequency: Every 6 hours prn for breakthrough pain. Thought to bind to opioid receptors and inhibit reuptake of norepinephrine and serotonin DRUG NAME INDICATION and CONTRAINDICATION Indication: Moderate to moderately severe pain. or in patients with physical dependence on opioids. sleep disorder. in patients with increased intracranial pressure or head injury. acute abdominal condition. seizure NURSING RESPONSIBILITY Reassess patients levels of pain at least 30 minutes after administration Monitor CV and respiratory status Tell patient to take drug as prescribe and not to increase dose or dosage interval unless ordered by prescriber Warn patient not to stop drug abruptly CV: Contraindication: Use cautiously in patients at risk for seizures or respiratory depression. vasodilation EENT: visual disturbances GI: nausea. urinary frequency Respiratory: respiratory depression INDICATION and CONTRAINDICATION ADVERSE EFFECT NURSING RESPONSIBILITY . vertigo. constipation. ADVERSE EFFECT CNS: dizziness. headache. vomiting GU: urine retention.
Use cautiously in Respiratory: elderly or dibilitated patients. Patient with history of of ulcers or GI bleeding is at higher risk for GI bleeding while taking NSAID’s such as celecoxib. or black. renal disease. . insomia. Inform patient that it may take several days he feels consistent pain relief. headache. and antipyretic. bleeding. diarrhea. Instruct patient to report signs and symptoms of GI bleeding such as vomit with blood. advance abdominal. flatulence. rhinitis. upper respiratory tract infection.Generic name: Celecoxib Brand name: Celebrex Dosage: 200 mg Form of drug: Oral Frequency: 1 tablet twice a day Classification: Nonsteroidal antiinflammatory. Contraindication: Use cautiously in GI: patients with history of ulcers or GI nausea. urine. analgesic. anemia EENT: and with heart failure. dehydration. ACTION Thought to inhibit prostaglandin synthesis impeding cyclooxygenase-2 to produce antiinflammatory. Indication: Acute pain CNS: Dizziness. Muscoloskeletal: back pain. sinusitis. Instruct patient to take drug with food if stomach upset occurs. tarry stools. stool.
recent intestinal anastomoses. fat. cirrhosis. GI irritation. GU: Increased urine glucose and calcium level. Watch for depression. depression.DRUG NAME Generic name: Dexamethasone Brand name: Decadron Dosage: 8 mg Form of drug: Intravenous Frequency: Every 12 hours Classification: Corticosteroids. NURSING RESPONSIBILITY . hypertension. ACTION Decreases the inflammation. osteoporosis. stimulates bone marrow. active hepatitis. heart failure. ADVERSE EFFECT NURSING RESPONSIBILITY Determine whether patient is sensitive to other corticosteroids. fainting. dyspnea. and influences protein. EENT: Cataracts. neoplasias. glaucoma Musculoskeletal: Muscle weakness. seizures. thronboembolic disorder. heart failure. vomiting. Warn patient for easy bruising. and carbohydrate metabolism. vertigo. edema. Monitor patient’s weight. orthostatic hypotension. INDICATION and ADVERSE EFFECT CNS: Headache. Tell patient not to stop drug abruptly or without prescribers consent. nausea. dizziness. lactation. especially in high-dose therapy. Instruct patient to take drug with food or milk. CV: Hypertension. DM. fever. Contraindication: Use cautiously in patients with GI ulcers. blood pressure. seizures. hypothyroidism. Gradually reduce doseage after long term therapy. mainly by stabilizing leukocyte lysosomal membranes. GI: Peptic ulceration. nonspecific ulcerative colitis. thromboembolism. increased appetite. supresses immune response. osteoporosis. and electrolytes level. Abrupt withdrawal: Fatigue. or psychotic episodes. diverticulitis. DRUG NAME INDICATION and CONTRAINDICATION Indication: Inflammatory conditions. allaergic reactions. tuberculosis. renal disease.
because of possible croos-sensitivity. bactericidal or fungal superinfection may occur. Use cautiously in patients with other drug allergies. especially to cephalosporin.Generic name: Penicillin G Sodium Brand name: Crystapen Dosage: 5 million ―u‖ Form of drug: Intravenous Frequency: Every 6 hours Classification: Anti. ask patient about allergic reactions to penicillin. Tell patient to rport adverse reactions promptly. lethargy.V site. vomiting and ischemic colitis. Contraindication: Contraindicated in patients hypersensitive to drug or other penicillin and in those on sodiumrestricted diets. Heart failure Before giving drug. Observe patient closely. confusion. With lrge doses and prolonged therapy.infectives ACTION Inhibits cell. Instruct patient to report discomfort at I. and anxiety. CV: GI: GU: Nephropathy Nausea. CNS: Seizures.wall synthesis during bacterial multiplication. CONTRAINDICATION Indication: Moderate to severe systemic infection. .
accelerates gastric emptying. serious sedation could occur. which. Do not use alcohol. relaxes pyloric sphincter. depression. Monitor BP carefully during IV administration. anxiety CV: Transient hypertension GI: Nausea. and consult physician if they occur. Monitor for extra pyramidal reactions. DRUG NAME ADVERSE EFFECT CNS: Restlessness. . dizziness. mechanical obstruction or perforation. fatigue. biliary. 10 mg Stimulation of Form of drug: gastric emptying and Intravenous intestinal transit of Frequency: barium when delayed Every 6 hours PRN emptying for nausea and Contraindication: vomiting Contraindicated with Classification: allergy to Antiemetic. insomnia. sleep remedies. GI hemorrhage. diarrhea NURSING RESPONSIBILITIES History: allergy to metoclopramide. GI metoclopramide stimulant GI. sedatives. when combined with effects on motility. drowsiness. appears to sensitize tissues to action of acetylcholine.INDICATION AND CONTRAINDICATION Brand Name: Indication: Metoclopramide Hydrocl Disturbances of GI oride motility relief of Generic Name: symptoms of acute and recurrent diabetic Maxolon gastro paresis nausea Dosage: and vomiting. ACTION: mechanical obstruction Stimulates motility or perforation of upper GI tract Epilepsy without stimulating gastric. or pancreatic secretions. Take this drug exactly as prescribed. hemorrhage.
sour stomach Contraindication: Allergy to ranitidine and lactation.DRUG NAME Generic name: Ranitidine HCl Brand name: Zantac Dosage: 50 mg Form of drug: Intravenous Frequency: Every 12 hours Classification: Histamine-2 antagonist ACTION: Competitively inhibits the action of histamine at the h2 receptors of the parietal cells of the stomach inhibiting basal gastric acid secretion and gastric acid secretion that is stimulated by food. INDICATION AND CONTRAINDICATION Indication: short-term treatment of active duodenal ulcer short term treatment and maintenance therapy active. orientation. dizziness. affect.pulse. abdominal examination. impotence or decreased libido. ADVERSE EFFECT constipation or diarrhea. acid indigestion. gastrin and pentagastrin.CBC. confusion. renal function test Administer drug with meals Provide concurrent antacid therapy to relieve pain Arrange for regular follow up including blood test to evaluate effects Report sore throat. baseline ECG. tarry stools. nausea and vomiting. fever. headache NURSING RESPONSIBILITIES Assess allergy to ranitidine Assess skin lesions. affect. LFTs. benign gastric ulcer treatment of erosive esophagitis treatment of heartburn. unusual bruising or bleeding. liver evaluation. severe headache. normal output. insulin. hallucinations. enlargement of breasts. muscle or joint pain . histamine. cholinergic agonists.
By applying good nursing interventions. Respiratory Rate of 24 bpm. Neutrophil and Bands are within High leveland his Lymphocyte is in low level. The drugs of the patient are Sulbactam-ampicillin. our goal as a group were able to met and we were able to understand more about this condition. WBC count. and to do diversional activities like socialization with others to alleviate his pain. giving health teachings to our patient and to his families. Creatinine. Upon assessment. We also provided health teachings such as encouraged him to do deep breathing exercises. The patient was admitted last September 12.2 degree Celsius. Metoclopramide. He was diagnosed with Orchitis to consider Prostate Cancer under Observation.The health care team provided . 2012) 3-11 shift we had him as our patient. Eosinophil and Platelet count are within normal range. and by maintaining good holistic approach. Humulin.SUMMARY OF FINDINGS With the help of this study. Hematocrit. The history of his present complaint is scrotal swelling and pain with palpable mass. and Paracetamol. BUN. the initial vital signs are taken: Temperature of 37. we were able to have a good outcome regarding to his condition. His HgbA1c. Pulse Rate of 92bpm done and Blood the Pressure of of his 110/70. Ketorolac. On our first day of duty (September 13. Laboratory tests were and result Hemoglobin. We used the 13 areas of assessment to assess the patient condition and gathered data through interview. 2012 at 7:35 am at Baguio General Hospital and Medical Center.
First objective is to define Orchitis and its effect to the body as a whole. We also determined the causes that constitute to the onset of his condition. risk factors and possible complication of his condition. CONCLUSION Our Objectives as a group were all met. Through interview. we gathered information to assess the present condition of the patient and we determined the precipitating factors that affect his health condition. By the used of 13 Areas of Assessment.comfort measures. Patient X was able to learn how to recognize signs and symptoms of infections. the group was able to identify potential problems and specific nursing interventions were provided with the help of health teachings and other interventions. He was also able to verbalized the importance of taking medications and recognized the importance of compliance to treatment regimen in order to manage his condition. With this we were able to know more about the condition of our patient and we were able to expand our knowledge regarding this kind of disease. safety and precautions in giving care for the patient to ensure his optimal level of patient’s satisfaction. EVALUATION Within the span of 5 days of rendering care to patient X. Next is we performed comprehensive assessment of his condition. we assess the overall condition of the patient and provided health teachings .
After five days of exposure in the Surgical Ward. . Our duty at Baguio General Hospital and Medical Center has been a memorable experience. With the proper interventions and health teachings that we rendered we were able to help the patient to lessen the suffering and to prevent possible complications that may occur. We were able to understand more about Orchitis. Lastly the group will beupdated on the treatment of this condition.that will help him to improve and to give effective interventions. The exposure had been an avenue for further development and enhancement of our skills and capabilities in rendering care and promoting holistic wellness to our clients. We which lead us to formulate Nursing reviewed different treatments and medication that are applicable to the patient’s condition. We also provided health teachings that may help the patient’s to improve his condition. weas a group will be able to recognized updates to improve the quality of care that we were going to implement effective nursing care. It reminded us again that the nursing profession entails a deep sense of responsibility and challenging tasks. We also completely assessed and identified the problems which come up our with a five Care prioritization Plan. through obtaining cues and health history. We underwent extensive research in order to comprehensively understand more about the illness. With the information that we gathered. Also we provided independent nursing interventions.
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