护理案例剖析(国外英文资料).docVIP

护理案例分析 Nursing case analysis One, patient disease Bed no. 43: male age: 2 years old: jiangsu Admission time: 2012-7-30 admission medical diagnosis: right inguinal inguinal hernia Main complaint: find the right inguinal area with a vengeful lump for two years Hpi: 2 years ago found that patients with right groin area has a prominent lumps, start mass is small, then mass increases gradually, have mild belly feeling, tumor occurs after the activity, more can lump disappear after lying down. No lumps can be returned to the history of the history of the operation without the inguinal hernia. We are going to visit our clinic for further treatment. After the examination, the right-oblique hernia was admitted to the hospital. Patients since the onset of cough and expectoration, abdominal pain, abdominal distension, bosom frowsty, short of breath, spirit, appetite, stool as usual, urine as usual, did not see obvious losing weight. The past history of (disease history, medication history, surgical history, history of allergies) : patients always in good health, denied diabetes history, deny that history of coronary heart disease (CHD), deny tumor, history of peptic ulcer, bravery, kidney stones, etc. Denial of history of infection, denial of food, drug allergy history, denial of surgical trauma, denial of blood transfusion history, prevention of vaccination history. Family history: family history of denial of infection, denial of hereditary family history. Daily routines and self-care: Food situation: normal diet is given priority to with milk powder, appetite is normal. Rest and sleep: 7 to 8 hours a day. Excretion condition: defecate 1-2 times daily, urine amount is normal Daily activities and self-care: often move more, need the parents to help themselves. Hobby: no bad hobby. Psychosocial data (including mental states, awareness of disease, personal work learning, economic and family support systems, etc.) There is no fear of surgery, no awareness of disease, parental su