Running head: CIRRHOSIS CASE STUDY
Cirrhosis Case Study
Student’s name
Institution
, CIRRHOSIS CASE STUDY
Cirrhosis
John Richards, 45 years old
Primary Concept
Nutrition
Interrelated Concepts (In order of emphasis)
1. Fluid and Electrolyte Balance
© 2016 Keith Rischer/www.KeithRN.com
, CIRRHOSIS CASE STUDY
2. Perfusion
3. Cognition
4. Clinical Judgment
FUNDAMENTAL Reasoning Case Study: STUDENT
Cirrhosis
History of Present Problem:
John Richards is a 45-year-old male who presents to the emergency department (ED) with abdominal pain and
worsening nausea and vomiting the past three days that have not resolved. He is feeling more fatigued and has
had a poor appetite the past month. He denies any ETOH (alcohol) intake the past week, but admits to episodic
binge drinking on most weekends. John weighs 150 pounds (68.2 kg) and is 6'0" (BMI 17.6). You are the nurse
responsible for his care.
Personal/Social History:
John is single, has never married, and lives alone in his own apartment. He has struggled with heroin use/abuse
in the past, but has not used in the past two years. John is currently unemployed and has no health insurance. He
was diagnosed with hepatitis C ten years ago but has had minimal follow-up medical care since.
What data from the histories is RELEVANT and has clinical significance to the nurse?
RELEVANT Data from Present Clinical Significance:
Problem:
Fatigue This warning and signs and symptoms indicate the presence of
Lack of appetite complications with the patient’s G.I system (Przybyłkowski et al.,
Hepatitis C 2014).
He has not been complying with These vital signs also direct the nurse on which tests to carry out on
© 2016 Keith Rischer/www.KeithRN.com
Cirrhosis Case Study
Student’s name
Institution
, CIRRHOSIS CASE STUDY
Cirrhosis
John Richards, 45 years old
Primary Concept
Nutrition
Interrelated Concepts (In order of emphasis)
1. Fluid and Electrolyte Balance
© 2016 Keith Rischer/www.KeithRN.com
, CIRRHOSIS CASE STUDY
2. Perfusion
3. Cognition
4. Clinical Judgment
FUNDAMENTAL Reasoning Case Study: STUDENT
Cirrhosis
History of Present Problem:
John Richards is a 45-year-old male who presents to the emergency department (ED) with abdominal pain and
worsening nausea and vomiting the past three days that have not resolved. He is feeling more fatigued and has
had a poor appetite the past month. He denies any ETOH (alcohol) intake the past week, but admits to episodic
binge drinking on most weekends. John weighs 150 pounds (68.2 kg) and is 6'0" (BMI 17.6). You are the nurse
responsible for his care.
Personal/Social History:
John is single, has never married, and lives alone in his own apartment. He has struggled with heroin use/abuse
in the past, but has not used in the past two years. John is currently unemployed and has no health insurance. He
was diagnosed with hepatitis C ten years ago but has had minimal follow-up medical care since.
What data from the histories is RELEVANT and has clinical significance to the nurse?
RELEVANT Data from Present Clinical Significance:
Problem:
Fatigue This warning and signs and symptoms indicate the presence of
Lack of appetite complications with the patient’s G.I system (Przybyłkowski et al.,
Hepatitis C 2014).
He has not been complying with These vital signs also direct the nurse on which tests to carry out on
© 2016 Keith Rischer/www.KeithRN.com
