Case Studies

Please read each question below and type your response into each corresponding box. When you are finished, fill out your name, e-mail address, and instructor's e-mail at the bottom of this form, and click submit to send a copy to your instructor.

The clinical nurse specialist is running a clinic for women with incontinence. She specializes in helping older women with stress incontinence regain bladder control and decrease the incidence of wetting episodes. A student nurse is doing a clinical rotation in the clinic and has many questions.

1: What should the nurse in charge teach the student nurse about the types of incontinence?

2: What treatments would be expected at this type of clinic?

3: Are there resources where a student nurse could find out more information about incontinence and its treatment?

4: Do you think that such a nurse-managed clinic could show good client outcomes for a problem such as this?

Mr. Jones is a 62-year-old man who lives next door to you. He comes over while you are out in your yard and says, "You're a nurse, so I have this question for you. I have had this annoying heartburn all day that just doesn't go away no matter what I do." He points to his epigastric area. "It just feels like this pressure right here and makes me a little sick to my stomach." Mr. Jones looks pale and a bit diaphoretic.

5: What is your best response to this situation?

6: What could these signs and symptoms indicate?

7: What would you expect Mr. Jones to do at this point?

8: Are there any other questions you could ask that would provide additional information about the potential seriousness of his complaint?

Dr. Johnson is a 62-year-old dentist who runs a busy practice in a large suburb of Chicago. He had been a smoker for over 30 years but recently quit. For some time he has noted little spots of blood in his urine, but he did not have pain, so he attributed it to some prostate problems he has had in the past. Dr. Johnson hears a couple of his patients discussing a mutual friend with bladder cancer who has similar symptoms, and this prompts him to visit his family physician for a checkup. After several tests and a cystoscopy, Dr. Johnson is diagnosed with early stage bladder cancer.

9: What risk factors did Dr. Johnson have for bladder cancer?

10: What primary sign did he exhibit?

11: Since his cancer was detected early, what treatments might be options in his case?

12: If Dr. Johnson's cancer becomes invasive, what other options are available for treatment?

13: Describe the nursing implications and care required if Dr. Johnson needed to have a cystectomy.

14: How would you explain this procedure to his family?

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