The Pharmacological Management of Boris's TB - Boris Vasilescu Case Study - Case Study Assignment Help

Assignment Task -                 
 

Task Overview

This task provides an opportunity to explore a specific case study in-depth encompassing all the units learning outcomes, your theoretical learning, and application of clinical nursing skills within this unit. This task will assess your understanding of conducting a comprehensive assessment of Boris introduced within the HSNS264 Moodle site who has TB. You will be required to provide a comprehensive overview of relevant patient care and management such as an in-depth understanding of the patient's TB condition, related anatomy, and physiology, pathophysiology, relevant diagnostics including the pharmacodynamics of medications. Develop a nursing care plan and provide a relevant educational teaching plan prior to his discharge from the hospital.

Instructions (case study below)

Explore the case study on Boris, and consider a comprehensive assessment of his condition and the relevant patient care, medication treatment and management. Provide a detailed discussion of TB anatomy, physiology, and pathophysiology. Discuss the pharmacological management of Boris's TB condition, including the pharmacodynamics of medications in relation to his condition. Develop a nursing care plan prioritizing his care and any relevant patient teaching prior to his discharge from the hospital.

Assessment 2

1.  Analyse and interpret relevant objective and subjective data and explain them based on the pathophysiological changes associated with TB 

2.  Evaluate and critique the pharmacological management prescribed for the patient 

3.  Identify nursing diagnoses relevant to the case study and develop a nursing care plan with rationales (Do not use tables for nursing care plan)

4.  Discuss education topics relevant to the patient prior to his discharge from the hospital.

Case Study 1

Tuberculosis (TB)

Boris Vasilescu of Romanian heritage is a 62-year-old factory worker. He has had an ongoing productive cough for 5 months with intermittent chest pain, experiencing night sweats, extreme tiredness, recently coughing up blood-stained phlegm. His wife Magda has reported that he won’t eat the meals she cooks as a result; he has lost 10 kg from when his symptoms first started.

Upon presentation to the hospital he is exhibiting the following physical symptoms: sharp chest pain, clammy skin, unilateral crepitation (crackling), shortness of breath, a respiratory rate of 20 breaths/min, temperature 38°C, oxygen saturation is 98% on room air, Pulse 110, BP 130/76, Weight 70kg. 

He has had a chest X-ray showing upper lobe and cavity infiltrates suggestive of TB. A few days later - Boris has been diagnosed with active TB. He has been given appropriate antimicrobial medications upon discharge from the hospital.

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