Ateneo de Zamboanga University

College of Nursing

A Case Study Submitted in Partial Fulfillment

in The Requirement of Related Learning Experience

Abdul, Jaina H.

Luna, John Thomas E.

Manuel, Paula Bianca A.

Magtibay, JoebertS.

Madalim, Sarah T.

Mejia, Maureen Joyce F.

Mufan, Marinel C.

Researchers

Mrs. Lorna de Bien RN MN

Adviser

ACCEPTANCE SHEET

In Fulfillment of theRequirements for

NURSING CARE MANAGEMENR 103

First semester SY: 2014-2015

THE NURSING CASE STUDY

Entitled

CARING A CLIENT WITH PRIMARY COMPLEX

Taken fromBoalan Lying-in Health Center

Prepared, Defended and Submitted by:

Abdul, Jaina H.

Luna, John Thomas E.

Manuel, Paula Bianca A.

Magtibay, Joebert S.

Madalim, Sarah T.

Mejia, Maureen Joyce F.

Mufan, Marinel C.

Ms. Charlita F. Ahmad RN MN

Chairman

Ms. Grace Lourdes Antolihao,RN MN Mr. Aaron Mendoza RN MN

Member Member

Adviser: Mrs. Lorna de Bien RN MN

Antonia R. Quilos RN, MN Araceli S. Pison RN MSPH

Level III Coordinator Level III Chairperson

Mrs. Ma. Lorna B. Paber, RN, MAN

Dean, College of Nursing

APPROVAL SHEET

This Case study entitled “Care of a patient with Primary Complex” Prepared and Submitted by

Jaina H. Abdul, John Thomas E. Luna, Paula Bianca A. Manuel, Joebert S. Magtibay,

Sarah T. Madalim, Maureen Joyce F. Mejia, and Marinel C. Mufan in partial fulfillment of

the requirements in Nursing Care Management 103.

Mrs. Lorna de Bien RN MN

Adviser

Approved by the Oral Examination Committee with a grade of ______

Ms. Charlita F. Ahmad RN MN

Chairman

Ms. Grace Lourdes Antolihao RN MN Mr. Aaron Mendoza RN MN

Member Member

Accepted in partial fulfillment of the requirement in Nursing Care Management 103

Antonia R. Quilos RN, MN Araceli S. Pison RN MSPH

Level III Coordinator Level III Chairperson

Mrs. Ma. Lorna B. Paber, RN, MAN

Dean, College of Nursing

TABLE OF CONTENTS

ACKNOWLEDGEMENT

I. Chapter I: Introduction

A. Patient and the Problem …………………………………………………….1

B. Background of the Client………………………………………………….…1

C. Overview of the Disease………………………………………………….....1

D. Objectives of the Case Study…………………………………………….....3

a. Nurse-Centered Objectives………………………………………..…4

b. Patient-Family Centered Objectives…………………………..…….4

E. Anatomy and Physiology……………………………………………….…..

a. Anatomy and Physiology: The Respiratory System………….…..4

b. Abnormal Anatomy and Physiology: The Respiratory System….6

F. Pathophysiology………………………………………………………….…..9

II. Chapter II: Nursing Process

Assessment

A. Biographic Data……………………………………………………………..12

B. Comprehensive Nursing History…………………………………………..12

C. Physical Assessment……………………………………………………….13

D. Assessment Data Base (ADB)…………………………………………….20

Diagnostic Tests

a. Radiologic Examination ……………………………………………..29

b. Sputum Test…………………………………………………………...31

Drug Study

a. Rifampin……………………………………………………..…………32

b. Isoniazid ……………………………………………………………….34

c. Pyrazinamide………………………………………………………….36

Family Nursing Care Plan

a. Primary Complex………………………………………………………38

b. Malnutrition …………………………………………………………….39

c. Improper Hygiene………………………………………………...……40

Scale Ranking Health Conditions and Problems According to Priorities....41

Health Teaching Plan on Primary Complex………………………………..……44

Diet Plan………………….……………………………………………………..…. …46

Go-Grow- Glow………………………………………………………………...……..47

III. Findings, Analysis and Conclusion…………………………………………..……...48

Evaluation………………………………………………………………….…………49

IV. Recommendations……………………………………………………………….…....51

V. Bibliography………………………………………………………...………...………..53

ACKNOWLEDGEMENT

In fulfilling our task as student nurses, especially in accomplishing our case

study, we have received many blessing such as meeting great people who helped us by

enlightening our mind in doing this case study. As a group, we wish to thank a number

of people who provided us the possibility to complete this case study.

First and foremost, we would like to express our deepest gratitude for Mrs. Lorna

de Bien, RN, MN, our clinical instructor for this year’s Case Study for all her moral

support, brilliant ideas and the intense willingness to guide us in this project.

To Mrs. Antonia Quilos, RN, MN, for assisting us in our case study and

contributing in stimulating ideas significant to the concepts in respiratory system;

To Mrs. Concesa Gayo, RN, MN, for all the words of encouragement and

contributions in stimulating ideas for the projects we intended to accomplish;

To Mr. Julius Lapasaran, RN, MAN, for sharing his precious time and effort to

actually take not only our group but also the whole class to deeper details about what

exactly case study is;

To Mrs. Virginia C. Rivera, the district midwife of Boalan-Lying Health Centre and

the Barangay Health Workers in the said area for warmly welcoming us, recognizing our

potentials as student nurses and assisting our group in preparing and selecting our case

patient.

To our respective families and friends who showered us with undying love,

motivation and support amidst the challenges of completing this paper., who support us

financially and emotionally.

Lastly, to our Almighty Father for the guidance he up-holds to us. As we embrace

all efforts and struggle, we offer everything to our Almighty God.

To God All the Glory!