Adamson University

College of Nursing

CASE STUDY IN

Nursing Care
Management
Related Learning
Experience
R o s a r i o - L y i n g I n C l i n i c

Submitted by:
GROUP IA
Anacleto, Jhonvie S.
Arcabal, Maridel I.
Balderama, Arvin M.
Bambalan, Ron Edward
Bartolome, Roye Anne Joy M.
Bayanay, Romchelle

GROUP
Gubot, Bera Alyanna R.
Guinto, Adebel
Jalimao, Aurea Mei S.
Lebeco, Lester
Lacerna, Klarence
Macario, Andrea Joy
Ranera, Jonah

Submitted to:
Mrs. Ma-Roa Serrano RN, MAN
Clinical Instructor
TABLE OF CONTENTS

I. Objectives of the Case

II. Introduction
II.A. Definition of the Case
II.B. Etiology
II.C. Incidence
II.D. General Signs and Symptoms
II.E. Theoretical Framework
II.E.1. Florence Nightingale
II.E.2. Virginia Henderson
III. Patient’s Profile
III.A. Patient Data
III.B. Nursing History
III.B.1. Chief Complaint
III.B.2. Present History
III.B.3. Past History
III.B.4. Personal and Social History
III.B.5 Obstetric History
III.B.6. Developmental History
III.B.7. Feeding History
III.B.8. Immunization History
III.B.9. Gordon’s Functional Health Patterns
III.B.10. Review of Systems and Physical Examination
IV. Anatomy and Physiology
V. Pathophysiology
VI. Drug Study
VII. Laboratory Examination Values
VIII. Course in the ward
IX. Nursing Care Plan
X. Discharge Planning (M.E.T.H.O.D.S.)
XI. Implications on
XI.A. Nursing Research
XI.B. Nursing Education
XI.C. Nursing Practice
XII. Bibliography
I. OBJECTIVES

This case study was conducted for the purpose of examining the underlying
pathophysiological root of our group’s primary patient’s disease (Ovarian Cancer).
Another purpose is the formulation of an appropriate nursing care plan containing
the necessary nursing interventions designed to accompany our patient’s cognitive,
psychomotor and affective needs.

At the end of the study, we expect to have

 Additional information on safety precautions and preventive measures to the
public regarding ovarian cancer.
 A thorough assessment of our patient including subjective and
objective cues which will serve as the baseline for our clinical findings.
 A clear illustration of the disease’s pathophysiology, including a
comparison with the normal anatomy and physiology of the organs involved,
for further understanding of the disease process.
 A comprehensive tracing of the patient’s disorders starting from the
chief complaint up to the current signs and symptoms that she is exhibiting.
 A specific, measurable, attainable, realistic and time bounded
nursing care plan which will support holistically the different needs of our
patient including her family.
 Enhanced skills in handling patients with severe case and able to
provide appropriate nursing intervention to the patient
 Supplementary information regarding the mode of transmission and
preventive measures of the disease to the public to lessen the occurrence of
the disease.
II. INTRODUCTION

II.A. Definition of the case

An abnormal growth of tissue that develops into a malignant tumor in a

woman's ovaries. Any of various malignant neoplasms characterized by the
proliferation of anaplastic cells that tend to invade surrounding tissue of
ovaries and metastasize to new body sites. The pathological condition
characterized by such growths. It causes death more than any other cancer
of the female reproductive system. Despite careful physical examination,
ovarian tumor often difficult to detect because they are usually deep in the
pelvis.

II.B.Etiology
The exact causes of ovarian cancer are not known. However, studies show that the following
factors may increase the chance of developing this disease:

 Family history. First-degree relatives (mother, daughter, sister) of a woman who has had
ovarian cancer are at increased risk of developing this type of cancer themselves.

 Age. The likelihood of developing ovarian cancer increases as a woman gets older. Most
ovarian cancers occur in women over the age of 50, with the highest risk in women over 60.

 Childbearing. Women who have never had children are more likely to develop ovarian cancer
than women who have had children. In fact, the more children a woman has had, the less
likely she is to develop ovarian cancer.

 Personal history. Women who have had breast or colon cancer may have a greater chance
of developing ovarian cancer than women who have not had breast or colon cancer.

 Fertility drugs. Drugs that cause a woman to ovulate may slightly increase a woman's
chance of developing ovarian cancer. Researchers are studying this possible association.

 Talc. Some studies suggest that women who have used talc in the genital area for many years
may be at increased risk of developing ovarian cancer.

 Hormone replacement therapy (HRT). Some evidence suggests that women who use HRT
after menopause may have a slightly increased risk of developing ovarian cancer.

II.C. Incidence:

The risk of ovarian cancer increases with age and peaks in women in their
late 70s. Its incidence is highest in industrialized countries, except for Japan, where
the incidence is low. A woman with ovarian cancer has a threefold to fourfold
increased risk for breast cancer, and a person with breast cancer has an increased
risk of developing ovarian cancer.
In the Philippines, with a total population of 86,241,697 as of 2009 census,
7,387 is diagnosed having an ovarian cancer.

II.D. General Signs and symptoms

Ovarian cancer often shows no obvious signs or symptoms until late in its development. Signs
and symptoms of ovarian cancer may include:

 General abdominal discomfort and/or pain (gas, indigestion, pressure, swelling, bloating,
cramps)
 Nausea, diarrhea, constipation, or frequent urination
 Loss of appetite
 Feeling of fullness even after a light meal
 Weight gain or loss with no known reason
 Abnormal bleeding from the vagina

II.E. Theoretical framework

III. PATIENT’S PROFILE

III.A. PATIENT’S DATA

Name:
Sex:
Age:
Address:
Birthdate:
Birthplace:
Nationality:
Religion:
Height:
Weight:

III.B. NURSING HISTORY

III.B.1. CHIEF COMPLAINT

III.B.2 PRESENT HISTORY

III.B.3 PAST HISTORY

III.B.4. PERSONAL AND SOCIAL HISTORY

III.B.5. OBSTRETIC HISTORY

III.B.6. DEVELOPMENTAL HISTORY

III.B.7. FEEDING HISTORY

III.B.8. IMMUNIZATION HISTORY

III.B.9. GORDON’S FUNCTIONAL HEALTH PATTERN

Health Perception/ Management

Nutritional Metabolic Pattern

Elimination Pattern

Activity and Exercise Pattern

Sleep / Rest Pattern

Cognitive Perceptual

Self-Perception/ Concept Pattern

Role Relationship

Sexuality / Reproductive Pattern

Coping/ Stress

Values/Belief Pattern
III.B.10. REVIEW OF SYSTEMS AND PHYSICAL EXAMINATION

IV. ANATOMY AND PHYSIOLOGY

V. PATHOPHYSIOLOGY

VI. DRUG STUDY

VII. Laboratory Examination Values

Laboratory Result Normal Clinical Significance Clinical Nursing

Exam Values Manifestati Interventions
on
VIII. Course in the Ward

IX. NCP

Discharge Planning
Medications:

Exercise:

Treatment:

Health Teaching:

Outpatient:

Diet:

Spirituality:

X. IMPLICATIONS OF THE STUDY

NURSING RESEARCH
 Nowadays, nurses should be flexible in terms of rendering care to their
patients. Through this study, knowing the limitations and different
approaches to a patient holistically is very vital to be a part of research. We
should also be aware and updated to some changes and information with
regards to management and treatment for a certain disease. We, nurses,
should explore our ideas for searching alternative treatment which can be
more effective and efficient as well in decreasing incidence of a certain
disease.
This presentation also add up to the knowledge of some future nurses
as a researcher to know some factors that may exacerbate the condition of
patient with Pulmonary Tuberculosis t/c RHD, Severe Malnutrition. in this
research, we are able to familiarize and evaluate the disease process and the
related risk factors of Pulmonary Tuberculosis t/c RHD, Severe Malnutrition

NURSING PRACTICE
Medical Surgical Nursing is one of the fields of nursing that requires
delicate performance. In this field, nurses are handling patients with severe
condition that needs full attention and care. In Nursing Practice, this case
study can revealed the essential needs of the patients that we should
address. We should be fully equipped in giving care to our patient.

NURSING EDUCATION
As part of our responsibility as nurse, as an educator, we must be
knowledgeable in identifying proper treatments and therapeutic
interventions to be given to the client. Significant others aside from the
patient is very important to be considered in rendering health teachings as
they have a bigger part of taking care of the patient that patients
themselves. Nurses must keep abreast of the availability of new treatment
options so they are able to refer patients with symptoms of a possible illness
promptly and to an appropriate facility. This time has come to become
aggressive with disease management and education. Nurses need to be
aware of the importance of managing risk factors to an individual. They also
need to be aware with health-related considerations that may affect
condition of the patient such as environment, adherence and social aspects.
BIBLIOGRAPHY:
Books
Brunner & Suddarth’s, (2008) Textbook of Medical & Surgical Nursing (11th
edition), Lippincott Williams and Wilkins a Wotter Kluner Business
Kozier, Barbara,(2004) Fundamentals of Nursing(Concepts, Process and
Practice) 7th Edition Pearson Education Incorporated
Spratle G. & Woods A, (2008) PDR Nurses Drug Handbook (2008 edition)
Thompson Delmar Learning
Doenges Marilynn & Murr Alice(2006) Nurses Pocket Guide (Diagnoses,
prioritized interventions, and Rationales L.A. Davis Company

Internet
http://health.allrefer.com/health/fecal-fat-info.html
http://www.drugs.com/cg/cholelithiasis.html
http://www.merck.com/mmpe/sec03/ch030/ch030b.html
http://www.vivo.colostate.edu/hbooks/pathphys/digestion/liver/gallstones.ht
ml
http://www.scribd.com/doc/391700/Human-Anatomy1
http://cache.search.yahoo.net/search/cache?ei=UTF-
8&p=CBC+in+cholelithiasis&fr=yfp-t-
501&fp_ip=PH&u=www.pharmacistelink.com/naturalmedicine/resource/3doc
s/Resources/CBC-SMAC.pdf&w=cbc+cholelithiasis&d=AhS-
3hg5RQsl&icp=1&.intl=us
http://cache.search.yahoo.net/search/cache?ei=UTF-
8&p=urinalysis+in+cholelithiasis&sado=1&fr=slv8-
&u=www.sc.edu/nursing/nurs718/urinalysis/mod2_out.pdf&w=urinalysis+ch
olelithiasis&d=E4_TUhg5RJdp&icp=1&.intl=us
http://www.anytestkits.com/utk-urobilinogen-in-urine.htm
http://cache.search.yahoo.net/search/cache?ei=UTF-
8&p=CBC+in+cholelithiasis&fr=yfp-t-
501&fp_ip=PH&u=www.pharmacistelink.com/naturalmedicine/resource/3doc
s/Resources/CBC-SMAC.pdf&w=cbc+cholelithiasis&d=AhS-
3hg5RQsl&icp=1&.intl=us