Write a Report Case Study 3
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Case Study #1 ________________________________________ A 23-year-old man developed flu-like symptoms, severe diarrhea and abdominal pain 4 days after attending a dinner party at which he had eaten a chicken casserole. Three other people who had attended the same party developed gastrointestinal symptoms. These symptoms settled within a few days. Stool cultures taken from all four individuals grew Campylobacter jejuni. About 10 days after the onset of diarrhea, he developed diffuse aching around his shoulders and buttocks and pins and needles in his hands and feet. Over the next week the sensory changes worsened and spread to involve his arms and legs. His limbs became progressively weaker and 8 days after the onset of neurological symptoms he could not hold a cup or stand without assist. He was admitted to hospital and found to have severe symmetrical distal limb weakness and ‘glove and stocking’ sensory loss to the elbows and knees. Nerve conduction studies showed evidence of a mixed motor and sensory neuropathy and examination of his cerebrospinal fluid (CSF) showed a very high total protein level. Questions: 1. What disease process are we discussing? 2. What might be the cause of this disease? 3. What Assessment findings are leading you to choose as his disease process? 4. What tests were performed? 5. What are some Nursing Interventions for a patient with this disease? 6. What complications might this patient see with the progression of this disease? 7. What would be your #1 nursing interventions for a patient with this disease? 8. After the initial diagnosis, the patient became depressed, anxious, and very angry and has had frequent crying spells. As the nurse what would you do for this patient? 9. What meds would this client be placed on prophylacticly to avoid complications, explain meds.
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