Explain the concerns that milly may be worried about

Reference no: EM133310856

CASE STUDY: You are looking after 25-year-old Milly Twill on the ward today.

Medical history: recent Intra-uterine device (IUD) inserted, occasional migraines.
Background: Milly was initially referred from her GP - febrile 38.6o C, with purulent vaginal discharge, dysuria, and severe lower abdominal/ pelvic pain. Tests confirm most likely cause due to C.trachomatis and N.gonorrhoeae.

Milly's primary diagnosis is Pelvic Inflammatory Disease (PID). Due to severity of her symptoms, she has been admitted to the hospital.

Medications: IV therapy, Doxycycline, Ceftriaxone IV, Paracetamol, Ibuprofen and PRN Endone. Doctors are concerned that an abscess may have formed in the fallopian tubes and have discussed with Milly of the potential need for a laparoscopy. Milly is upset and worried.

Question 1:

PATHOPHYSIOLOGY:
Describe the pathophysiology* of Milly's the patient's primary diagnosis. Identify two (2) of the signs or symptoms that this patient is experiencing. Describe how the signs/symptoms you identified, are related to the pathophysiology of the patient's primary diagnosis (i.e., why she experiencing the symptom). Provide evidence from the literature to support your reasoning.

*Please ensure you use professional language that indicates your understanding. It is suggested you start your research from the textbook.

Question 2:
PHARMACOLOGY:
• Choose two (2) medications and explain the pharmacodynamics of these in relation to Milly's primary diagnosed condition. • Patient education is an important role of the RN. Describe what Milly the patient needs to know about taking these medications correctly and safely.

Question 3:
NURSING CARE :
As the RN allocated to care for Milly today, you need to implement a range of nursing care interventions. Identify two (2) nursing problems/diagnosis and in your discussion of each:

• identify the problem, discuss your intervention/s (i.e. what can you doo as the RN?), what is your evidence-based rationale, and then what is the anticipated outcome/ goal for the patient?

Question 4:
CRITICAL THINKING :
Refer to the question related to the case study patient only. You must provide current evidence-based research from the literature to support your answers.

Explain the concerns that Milly may be worried about regarding the potential complication of an abscess. Then briefly, what general education would you as an RN, provide to Milly about her primary diagnosis?

Reference no: EM133310856

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