Question

Carmen Costa is a 67-year-old female with Type I Diabetes admitted on Sunday for severe abdominal discomfort. On admission her vital signs were: BP 116/80, heart rate 86, respirations 20, temperature 98.4. Her blood sugar (BS) was 115 and her initial lab work was WNL. Carmen's x-rays revealed an abdominal mass and she was scheduled for an exploratory laparotomy on Monday. During surgery, Carmen was diagnosed with a cancerous tumor. The tumor was removed and Carmen was taken to a medical/surgical unit. Postoperatively Carmen had an IV of 1,000 mL D5W infusing at 50 mL/hr, an NG to intermittent suction, a Foley draining clear amber urine, and a midline abdominal dressing that was dry/intact (D/I). You are assigned to care for Carmen on her first Post-op (POD). Carmen is alert/oriented and her color is gray/pale. Her morning accucheck is 210 and she receives 8 units of regular insulin. Carmen's NG is draining brown/green mucous, her abdominal dressing is D/I, and she has an IV of D5W at 50 mL/hr. Carmen has very limited conversation this morning but states, "I'm very tired and sick to my stomach."

New data:

The physician ordered Carmen to be out of bed three times a day starting today. At 1000, you give Carmen a complete bed bath and then decide to ambulate her to the chair per order while you change her sheets. While sitting at the bedside Carmen states, "I don't feel very well." After waiting 30 seconds, you decide to get Carmen in the chair. While in the chair, her color becomes more pale and her skin is diaphoretic. Her BP is 88/64, and her abdominal dressing has a 3x3 area of sanguinous drainage.

1. What could be happening to Carmen in relation to the introduction of the new data? What data supports this/these conclusions?

Answer 1

we focus on the main stages of research activity when planning and undertaking a case study; the crucial stages are:

defining the case;

selecting the case;

collecting and analysing the data;

Interpretation data; and reporting the findings.

In this case when we collect data through case study techniques.

"After waiting 30 seconds, you decide to get Carmen in the chair. While in the chair, her color becomes more pale and her skin is diaphoretic. Her BP is 88/64, and her abdominal dressing has a 3x3 area of sanguinous drainage."

To introduce a new data it should be properly analysis and take a nessery plan for cureness and noted down case study from.

Thanks