CASE STUDY ON ELIMINATION

Case Study: Myra, a 27 year old pregnant woman was stranded in a public bus during a typhoon. Because of her
eagerness to go home despite the danger ahead of her, she decided to get off the bus and wade in flood water just to get
a ride home. 7 days after, she started experiencing generalized body malaise and fever, intense itchiness of the
conjunctiva, Decrease WBC, orange colored sclera which prompted her admission to a nearby hospital. A diagnosis of
Leptospirosis was made. She also suffered from Acute Renal Failure secondary to Leptospirosis. To conserve energy, the
doctor order complete bed rest without bath room privilege.
Please complete the questions below and choose appropriate answers from adjacent column.

Nursing Diagnosis: (Identify an appropriate diagnosis) Data Collected

COLLECTED DATA
Subjective
__________________________
__________________________
__________________________
__________________________
__________________________
__________________________
__________________________
__________________________
__________________________
(use only those that apply)
 Intense itchiness of the conjunctiva
 Decrease WBC
Objective  Orange colored sclera
 Chills
__________________________  Nausea
__________________________  Vomiting
__________________________  Fever
__________________________
__________________________
__________________________
__________________________
__________________________
__________________________

Nursing Interventions
Nursing Inteventions (use only those that apply; list in priority
_____________________________________________________ order)
 Hydration
_____________________________________________________
 Environmental sanitation
_____________________________________________________  Clean soft drinks cans thoroughly
_____________________________________________________  Avoid wading in flood water
_____________________________________________________  Increase oral fluid intake
_____________________________________________________  Monitor IVF
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________

Discussion Questions:
1. Aside from the initial nursing diagnosis identified, identify another actual problem that the patient may also be
experiencing. Devise a teaching plan to address the client’s problem.
2. Considering the nursing process, enumerate steps on how to assist patient with the use of bedpan.