Question

nursing: concept map case study: Helen Henry is a 38 year old female who has just received the news from her PCP that she has lung mass. She is admitted to the hospital for further check up. Her mother died of lung cancer and she is very distraught and crying. She has no family in the area except her wife. They are self-employed and have no health insurance at this time. She is a small obese woman of 4' 11 and weighs 225 lbs, she smokes 2 packs of cigarettes stating, "I dont plan on quitting". However, she is complaining of difficulty breathing with shortness of breath when ambulating. A lung mass biopsy revealed that she has a cancerous tumor on the left lower lobe. The plan is to remove the mass and radiation therapy.

BP is 120/65, P 72, R 16 with a persistent cough but is unable to bring up her secretions, so at times she feels like she is choking, temperature 99.8, when the nurse assist Ms. Henry to the bathroom sh starts to experience shrotness of breath. Respiration 12, in addition she has difficulty ambulating, due to her weiht, and almost falls, the nurse immediately sits her in the chair and and administered 2 liters of nasal O2. Ms. Henry Ms. Henry feels a little better and states, "Its hard for me to get around I use a cane to get around when I am alone". Helen stated"she knows she has to lose weight also bushe loves to eat". "Besides I have lung cancer and my mother died, life is short". When the nurse sits with Ms. Henry she states, "my mother died when i was young, what am i going to do" she starts to get angry and tells the nurse to leave the room. The nurse returns 30 minutes later to check on Ms. Henry, the nurse observes Helen and her wife Jenny eating an entire pizza pie, with a 2 liter bottle of coke.

Based on the information above create a part one: Concept Map power point following all the Gordon's patterns including all the diagnosis and evidence by directed by arrows in the right Gordon's patterns. Part two: following the information above please write analysis report APA style.

Answer 1

Gordon's pattern including all diagnosis and evidence:

Nursing diagnosis:1) imbalanced nutrition is more than body requirements is related to obesity as evidenced by patient unable to control eating.

2) risk for imbalanced body temperature is related to infection as evidenced by vital signs.

3) ineffective breathing pattern is related to disease process as evidenced by saturation levels in the body .

4) activity intolerance related depression as evidenced by observation.

5) persistent cough related to secretions in the lungs as evidenced by observation.

6) anxiety is related to disease process as evidenced by facial expressions.

7)fear related to previous history of her mother as evidenced by assessment.

8) ineffective tissue perfusion is related to lack of personal hygiene as evidenced by unable to perform activities.

9) ineffective health maintenance is related to smoking habits as evidenced by observation.

Apa style:

1)http://www.lifenurses.com/nursing-diagnosis-and-11- Gordon's-functional-health-patterns/