A case study is a methodology that helps in providing a framework to analyze and evaluate complex issues. A nursing case study writing provides an in-depth look at an individual patient. The nursing case study focuses on specific patients and provides all information regarding their medical history, symptoms or any other health issues they have, or they have had. This helps in giving all the required information about the Patient.
The case study helps the students by letting them know about the knowledge they have acquired over time. Coming up with a diagnosis helps the students test the knowledge they have acquired in a more real and clinical way. Case study writing also helps the students reflect on the entire course treatment of the Patient, ranging from their medical history to treatment.
EXAMPLE OF CASE STUDY WRITING
Case Study: Childhood Obesity
Patient Rahul is 15 years of age, 5 feet 10 inches tall, and weighs 150 kg. He has been overweight his entire life; at 8 years of age, he was 4 feet 7 inches tall and weighed 120 kg. He is currently being home-schooled for several reasons, including severe arthritis of the bilateral knees, obstructive sleep apnea leading to severe fatigue, type 2 diabetes requiring four injections of insulin per day, and a history of being bullied. When asked about his quality of life, Patient E states he feels like an older man due to his many health issues and feels like he exists in the world rather than living in it.
EXPENSES
The Patient’s monthly medical bills average $856 for medications, continuous positive airway pressure (CPAP) machine rental, and physician co-payments. His internal medicine physician introduces the possibility of gastric bypass surgery and explores Patient Rahul’s thoughts and feelings regarding the procedure. The Patient and his parents agree to talk with a surgeon and explore the possibility further. The thought of regaining a productive life, preventing any further chronic illnesses, and possibly reducing or eliminating some of the diseases that have plagued his young life is intriguing. After a psychiatric evaluation and thorough medical evaluation, Patient E is cleared for gastric bypass surgery. He is scheduled for the procedure at a centre with a multidisciplinary team experienced in treating obese adolescents.
MEDICAL TREATMENT
Immediately following surgery, Patient Rahul had a reduction in his insulin requirements and a decrease in his appetite. At his one-month post-surgical evaluation, his weight decreased by 11 kg, and he discontinued his insulin. He needs his CPAP machine at night for his obstructive sleep apnea but feels optimistic about his future for the first time. At his six-month follow-up, Patient Rahul lost 30 kg and no longer required anti-glycemic agents of any kind. His knee pain is resolving as his weight decreases, and he reports going to a movie with his cousin for the first time in his adolescence.
After one year, Patient Rahul weighs 117kg and no longer utilizes his CPAP machine. His A1C is 6.2% without medications. He can exercise without pain or shortness of breath and is contemplating attending his local high school the next year. The Patient’s medical bills are now approximately $150 per month. He has met a girl through his cousin and is actively dating her. He is happy and states he is now living in the world instead of watching it go by. For Patient Rahul, gastric bypass appears to have been successful, although he will continue to be monitored for long-term effects and complications.
SUMMARY
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