Case Study Elmer Mudd-Patient Care Plan

Case Study Elmer Mudd-Patient Care Plan
The creation and establishment of the care plan for a patient by a nurse follows the critical assessment of a patient. The preparation of a care plan requires that nurse identifies the needs of the patient (Gulanick & Myers, 2011). The identification of the needs of the patient is vital as the nurse can manage to incorporate these needs into the short term goal, and short-term aims of the patient. The nursing care plan that the paper will examine will be exploited in the evaluation of the case of Elmer who is patient with multiple medical complications.
Elmer`s diagnosis indicated that he was suffering from severe hypoglycemia, which resulted from low blood sugar. The severe reduction of the flow of glucose to the brain of Elmer caused the patient to lose consciousness following a wrong injection. Elmer had been taking daily injections of insulin to replenish the amount of glucose in the blood and ensure that there was sufficient level of glucose for brain function. Further, Elmer had been diagnosed with Alzheimer`s disease, which was at the moderate level. Interviews with the family members reported that Elmer was experiencing serious cases of forgetfulness. The disease was negatively affecting the memory status of the patient to the extent that Elmer would repeat the same things over and over again for some time. The same disease had affected his ability to manage his finances as he wrote cheques to his son after every couple of days.
Further, diagnosis indicated that Elmer was suffering from the rectum B cell Lymphoma. This medical condition was diagnosed a couple of months ago, and new diagnosis confirmed that the patient was still suffering from the disease. The symptoms of the disease started with incontinence and urgency of the stool for several times in a couple of weeks (Gulanick & Myers, 2011). The patient experienced difficulties and challenges while sitting on the chairs, and he opted to lie on the bed for the entire day. The condition worsened due to the ensuing Alzheimer`s, which made Elmer forget that he was experiencing pain and problems. The family reported that they realized that something was amiss when Elmer did quit playing bridge. After a couple days, Elmer experienced a bloody diarrhea, and he lost his appetite considerably. The two conditions resulted to serious emaciation for the patient who was experiencing severe pain and Elmer could not sit down at all. The rectum B cell Lymphoma was treated with radiation therapy, which brought other complications to the patient.
Based on the above diagnosis, Elmer was suffering from Alzheimer`s disease, diabetes mellitus, as well as the rectum B cell Lymphoma. The most realistic short term patient outcome would be dealing with the rectum B cell Lymphoma medical condition as this condition can be treated effectively, in the event that the condition is detected early. Radiation therapy is effective in handling the rectum B cell Lymphoma, which should be eliminated to allow for the handling of other diseases (Gulanick & Myers, 2011). Secondly, Elmer was experiencing severe pain from the rectum B cell Lymphoma medical condition. The management of this pain should also be part of the short term outcomes and goals. Further, the patient had problems with appetite, and this was another area that required short-term intervention to promote a fair stability, by the patient. These short term outcomes should be covered within the first day of diagnosis and admission.
The long-term outcomes will cover the treatment of diabetes mellitus, as well as Alzheimer`s disease. Although the patient required immediate injections of insulin, diabetes mellitus cannot be treated within a short while but requires long-term intervention for effective handling. Further, Elmer will require long-term nursing intervention to control the Alzheimer`s disease from developing to severe situation. The purpose of this involvement is to regulate the Alzheimer`s to the minimum levels and avoid the escalation of the disease. This disease will require an indefinite period to control and manage, which means that Elmer will continue with medication event after leaving the hospital. Therefore, a follow up plan should be scheduled with respect to the patient`s response to treatment.
The emotional status of the patient seemed stable at the moment of the diagnosis, although the family members reported that Elmer was becoming easily irritable with time. Further, the mental status of the patient was not promising due to the increased incidences of forgetting the process of performing the basic task (Gulanick & Myers, 2011). The physical conditions had suffered the most from the ailments that were pulling down the health condition of Elmer. The loss of appetite had contributed to emaciation and loss of considerable body strength.
Dehydration was another sign of physical challenges that were affecting the health of Elmer. Both the long-term and short term goals are aimed at ensuring that Elmer regains his physical health and strength, mental stability and sound health to resume his normal life. Therefore, the care plan covers the entire interventions and activities, which will be conducted to ensure that Elmer is free from ailments and pain. There will be motivation sessions conducted, at regular intervals to ensure that Elmer does not lose hope for life due to pain and ailment. This approach will encompass the entire aspects of Elmer`s life besides diseases that were affecting the patient.
The patient care team will undertake the following actions to ensure that Elmer received the best quality care possible. The first action will be to arrange and conduct radiation therapy to manage the rectum B cell Lymphoma. Secondly, the team will inject the patient with insulin to ensure a continuous and regular supply of glucose to the brain of the patient. Further, the diabetes condition will be controlled using drugs, as well as the Alzheimer`s disease. The patient will be sensitized to consume thee appropriate meals, which are recommended for people with similar medical conditions (Gulanick & Myers, 2011). Finally, team of care givers will pool the social support from family members of the patient, as well as the team of nurses for social support and emotional strength. These activities will be carried out on a daily basis, without fail. This care plan will be shared among the nurses and care team family members and the patient to facilitate total cooperation from all the players.
The cognitive functions of the patient had negative impacts on the physical activities of the patient. It is apparent that, the patient was unable to distinguish between drugs that he was supposed to inject himself. Elmer confused the drugs due to the forgetfulness that was characterizing the daily thoughts. Further, Elmer started losing direction, and this made it difficult for him to find his way home. This problem compelled Elmer to stop driving for fear of causing accidents of getting lost.
Further, the relationships and interactions of the patient suffered from the poor cognitive functions. For instance, the eldest to Elmer raised concern to his father concerning the questionable generosity with his money. This issue brought serious misunderstanding in the family. Further, the patient involved his wife in all steps of injecting himself with the appropriate drugs to ensure that Elmer used the right dosage. Further, the patient developed hearing problems and this condition brought problems in his home as Elmer made people repeat anything that the family members said to Elmer. Further, the patient listened to the high volume music and televisions, which disturbed the family members.
There are several safety issues that emerge with regard to the medical condition of Elmer, which require serious interventions to avoid risks and hazards to the patient. The first issue is the drug`s dosage that Elmer took. This issue will be solved through delegation of drugs and dosage for Elmer to a family member. The second option of dealing with the issue is ensuring that a nurse or a member of the care team takes charge of administering drugs to Elmer. The second issue is diet. Proper diet is significant to sick people and such people should be given food classes and categories, which do not compromise their health status (Gulanick & Myers, 2011). The first intervention on the issue of food is providing educational services and advice to patients and family with regard to diet. The second intervention option is offering proper a meal to the patient from the hospital, which is prepared to the tone of the patient depending on the nutritional needs. The final safety issue that affects Elmer is being relapse of the diseases after a successful treatment. The first intervention is performing monitoring and evaluation to determine progress and effectiveness of the medical intervention from care givers and doctors. Further, this problem can be minimized by organizing follow up intervention plans, which ensure that the care team visits Elmer after leaving the hospital. Further, the patient should be allowed to remain in hospital until full recovery is achieved.
Gulanick, M., & Myers, J. L. (2011). Nursing care plans: Diagnoses, interventions, and outcomes. St. Louis, Mo: Elsevier Mosby.