Objectives of the case study

GENERAL OBJECTIVES:
This case presentation aims to identify and determine the general health problems, the risk alleged to complicate lower spinal tumor, and the needs of
patient undergone Laminectomy. This presentation also tends to help client promote and prevent complications of such condition through the application of nursing
skills.
STUDENT CENTERED OBJECTIVES
At the end of this case study, the student will be able to:
KNOWLEDGE:
1. Obtain necessary information regarding the patient and her condition.
2. Gain knowledge about cause and surgical procedure for lower spinal tumor
3. Explain what lower spinal tumor is
4. Formulate and prioritize Nursing Care Plan for patient
SKILLS
1. Assess the patients overall health status
2. Present relevant and valid data that were gathered in an organized manner.
3. Demonstrate critical thinking skills necessary for providing safe and effective nursing care
4. Utilize effective communication skills to the patient and during case presentation
ATTITUDE
1. Strengthen cooperation and unity among member of the group by performing right and proper nursing interventions and responsibilities
2. Enhance our confidence in handling a patient with same complication
3. Develop a warm environment between the student and the patient for a better working relationship towards improvement of health


CLIENT CENTERED OBJECTIVES

At the end of this case study, the patient will be able to:
KNOWLEDGE:
1. Explain lower spinal tumor in own words
2. Identify possible risk factors that may have contributed to the development of tumor
3. Identify the importance of the treatments done to the patient
4. To explain different body changes before and after surgery
SKILLS
1. Modify the need for a healthy lifestyle to improve condition
2. To be able to apply proper exercises possible to regain physical strength
3. To utilize proper health management after the surgery
4. Compliance to continue interventions and health teachings provided by the students

ATTITUDE

1. Express awareness on the needs and condition of her present status
2. Develop the familys support system and distinguish their respective roles in improving her health status
3. Show involvement in promoting on her general health






i. DIET

TYPE OF DIET DATE GENERAL
DESCRIPTION
INDICATION/
PURPOSES
SPECIFIC FOOD
TAKEN
CLIENT RESPONSE

DAT with SAP (Diet as
Tolerated with Strict
aspiration precaution)


June 24, 2014

Medical term that
indicates that the gastro
intestinal tracts is
tolerating food and its
ready for advancement
for the next stage given
opportunity of the patient
to select the foods they
perceives to be the best
tolerated that will not
lead to any complications
and if the patients needs
further monitoring for
lab test with a strict
precaution of the
physician


It provides energy
hydration and allows
body to rest.
Regain strength and
boots immune
system.

Refer to Gordons
Functional Health
Pattern; Nutrition
Metabolic Pattern

The client shows
improvement in her
condition of eating.
TYPE OF
DIET
DATE GENERAL
DESCRIPTION
INDICATION/PURPOSE SPECIFIC
FOOD TAKEN
CLIENTS
RESPONSE
NURSING
RESPONSIBILITIES

NPO

06/22/14
(before the
operation)

Nothing to eat

To prepare the
client for the
surgical procedure

None

The patient was
starving but well
hydrated.

1. Explain to the
patient that she
is not allowed
to eat or drink
anything.


i. ACTIVITY EXERCISE

Type of Exercise

General Description

Indication/Purpose

Clients response to activity
or exercise

Nursing Responsibilities


Passive Range of Motion


A joint or body part cannot
move through its normal range
of motion.


This type of exercise increase
muscle strength and flexibility.


The client followed the
instructions and complied with
the activity with the help of
nurse/ Significant Others
assistance.


Before:
Explain the procedure to
the patient in details.
During:
Assist the client in
performing the exercise
After:
Evaluate the clients
response and if he
complied with the said
exercise.
Assess the client if
he/she has performed
the procedure of the
exercise correctly



Changing Position
Frequently


It is done by avoiding
prolonged standing or sitting or
even lying on bed

It helps prevent venous stasis in
the upper and lower extremities
and improves blood circulation
in the body



The client followed the
instructions and complied with
the activity.


Before:
Explain the procedure to
the patient in details.
During:
Assist the client in
performing the exercise
After:
Evaluate the clients
response and if he
complied to the said
exercise.
Assess the client if
he/she has performed
the procedure of the
exercise correctly