York College Of Pennsylvania
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Jack Holmes, 72 years old 
 
Primary Concept 
Perfusion 
Interrelated Concepts (In order of emphasis) 
•	Inflammation 
•	Infection 
•	Tissue Integrity 
•	Clinical Judgment 
•	Patient Education 
•	Communication 
NCLEX Client Need Categories	Percentage of Items from Each 
Category/Subcategory	Covered in 
Case Study 
Safe and Effective Care Environment	 
	Management of Care	17-23%	 
	Safety and Infection Control	9-15%	 
Health Promotion and Maintenance	6-12%	 
Psychosocial Integri...
Eating Disorder Case Study Clinical- UPDATED VERSION
Sepsis/Septic Shock UNFOLDING Reasoning Case Study
Jack Holmes a 72-year-old Caucasian male brought to the ED by ambulance from a skilled nursing facility (SNF). 
According to report from the paramedic, when the SNF nursing staff attempted to wake him this morning, he would not 
respond, and his BP was 74/40 with a MAP of 51. He has a history of Parkinson’s disease, COPD, CHF, HTN, 
depression, and a stage IV decubitus ulcer on his coccyx that developed three months ago. He does not follow 
commands, is unresponsive to verbal stimuli, but resp...
Jack Holmes a 72-year-old Caucasian male brought to the ED by ambulance from a skilled nursing facility (SNF). According to report from the paramedic, when the SNF nursing staff attempted to wake him this morning, he would not respond, and his BP was 74/40 with a MAP of 51. He has a history of Parkinson’s disease, COPD, CHF, HTN, depression, and a stage IV decubitus ulcer on his coccyx that developed three months ago. He does not follow commands, is unresponsive to verbal stimuli, but responds...
ANOREXIA CLINICAL REASONING :Eating Disorder/Electrolyte Imbalances 
ANOREXIA CLINICAL REASONING :Eating Disorder/Electrolyte Imbalances