A Patient Care Study

Paper Summary:

In this patient care study, the author looks at a 62-year-old female with complaints of lower abdominal pain, with hematuria and dysuria. The patient lives at home with her husband. She has seven grown children as well as grandchildren and admits to financial concerns. The author describes the patient's full medical history and all the medical tests and treatments she has undergone prior to this study. The paper gives the results of an intravenous pyelogram, cystoscopy, and biopsy as reported in patient history and gives a full summary of all of the laboratory results. Based on the information given in the tests and the patient's history, the author concludes that the patient has type II diabetes. He suggests that she needs to work on her lifestyle in order for recurring problems not to happen.

Table of Contents
Patient History
Laboratory Tests
Other Nursing Measures
Nursing Process and Care Plan
Nursing Diagnoses
Discharge Summary
Summary

From the Paper:

"An intravenous pyelogram produces an image of the kidneys, ureter, and bladder by administering a radiopaque contrast medium that is cleared from the bloodstream and concentrated by the kidneys. This part of the initial assessment of a suspected urologic problem provides a rough estimate of kidney infection. Pre-procedure nursing considerations include: assessment of patient for allergies, the use of laxatives for the elimination of feces and gases from the intestinal tract, liquid restriction 8 to 10 hours before test, and instructions concerning the procedure itself and sensations felt during the procedure. A cystoscopy is the direct visualization of the urethra and bladder using a cystoscope. Sedatives may be used prior to the procedure. A brush biopsy may be performed after a cystoscopic examination in order to obtain cells and surface tissue fragments for histologic analysis."

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