Health assessment information

CASE STUDY 2 A 33-year-old woman with advanced stage breast cancer has been admitted to the emergency room with cardiac arrest. She is not married and her boyfriend accompanies her in the ambulance. • Based on the scenarios provided: o Select one scenario, and reflect on the material presented throughout this course. o What necessary information would need to be obtained about the patient through health assessments and diagnostic tests? o Consider how you would respond as an advanced practice nurse. Review evidence-based practice guidelines and ethical considerations applicable to the scenarios you selected. Write a detailed one-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least three different references from current evidence-based literature.

Sample Solution

This case study presents a complex situation for an advanced practice nurse (APN). The patient is young and has a terminal illness, but she has also experienced a cardiac arrest. The APN will need to quickly assess the patient's condition and make decisions about her care.

The first step for the APN is to obtain a health assessment from the patient. This will include information about the patient's past medical history, current medications, and allergies. The APN will also need to perform a physical examination, including a cardiac assessment.

Full Answer Section

The APN will need to order diagnostic tests to determine the cause of the cardiac arrest. These tests may include an electrocardiogram (EKG), chest X-ray, and blood tests.

Once the APN has a better understanding of the patient's condition, she can develop a plan of care. The plan of care may include medications, treatments, and referrals to other healthcare providers.

The APN will also need to consider the ethical implications of this case. The patient is young and has a terminal illness, but she has also experienced a cardiac arrest. The APN will need to discuss the patient's goals of care with her and her family.

The APN will need to use evidence-based practice guidelines to guide her decision-making in this case. The guidelines will help her to determine the best course of treatment for the patient.

The APN will also need to be aware of the ethical considerations involved in this case. She will need to discuss the patient's goals of care with her and her family. She will also need to consider the patient's quality of life and her prognosis.

The APN will need to justify her decisions using evidence from current evidence-based literature. She can find this literature by searching for peer-reviewed journals and clinical practice guidelines.

Here are some references from current evidence-based literature that the APN can use to justify her decisions:

American Heart Association. (2022). Advanced cardiovascular life support (ACLS): Provider manual. Dallas, TX: American Heart Association.
National Comprehensive Cancer Network. (2023). Breast cancer: NCCN clinical practice guidelines in oncology. Version 4.2023.
World Health Organization. (2022). Palliative care: Key messages. Geneva, Switzerland: World Health Organization.

By using evidence-based practice guidelines and ethical considerations, the APN can make informed decisions about the care of this patient. She can provide the patient with the best possible care and support her through this difficult time.

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