Miracosta Community College
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Heart Failure Clinical Reasoning Case Study, Mr. Kelly/Heart Failure Clinical Reasoning Case Study, Mr. Kelly Chief Complaint/History of Present Illness: It has now been 3 years since Mr. Kelly has been discharged from the hospital for CAD & MI. He is now 56 years old. He has not had any recurrent CP, but has had to sleep with 3 pillows to keep from becoming SOB at night the last 2 weeks. He has had difficulty getting his shoes on the last month because of increased swelling around his ankles. H...
Heart Failure Clinical Reasoning Case Study, Mr. Kelly/Heart Failure Clinical Reasoning Case Study, Mr. Kelly Chief Complaint/History of Present Illness: It has now been 3 years since Mr. Kelly has been discharged from the hospital for CAD & MI. He is now 56 years old. He has not had any recurrent CP, but has had to sleep with 3 pillows to keep from becoming SOB at night the last 2 weeks. He has had difficulty getting his shoes on the last month because of increased swelling around his ankles. H...
Dementia Unfolding case studyDementia Unfolding case studyDementia Unfolding case studyDementia Unfolding case studyDementia Unfolding case studyDementia Unfolding case studyDementia Unfolding case studyDementia Unfolding case studyDementia Unfolding case study
Dementia Unfolding case studyDementia Unfolding case studyDementia Unfolding case studyDementia Unfolding case studyDementia Unfolding case studyDementia Unfolding case studyDementia Unfolding case studyV
Normal Newborn UNFOLDING Reasoning Baby Boy Jones, 1 hour old Primary Concept Reproduction Interrelated Concepts (In order of emphasis) • Thermoregulation • Nutrition • Perfusion • Pain • Clinical Judgment • Patient Education • Communication • Collaboration 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 a...
Morgan Adams is a 72-year-old male with a history of heart failure, COPD, hypertension, diabetes type II and dementia 
who has been hospitalized for exacerbation of heart failure three times the past six months. He is now a resident of 
Pineville Healthcare Center, a local long-term care facility the past four months because his dementia progressed, and 
his wife Rita was unable to care for him. When Rita visited Morgan this morning, she reports to the nurse that he is more 
confused and is conc...
Dementia 
UNFOLDING Case Study 
Morgan Adams, 72 years old 
Primary Concept 
Cognition 
Interrelated Concepts (In order of emphasis) 
• Pain 
• Mood and Affect 
• Psychosis 
• Clinical Judgment 
• Patient Education 
• Communication 
• Collaboration 
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 ...
History of Present Problem: 
Morgan Adams is a 72-year-old male with a history of heart failure, COPD, hypertension, diabetes type II and dementia who has been hospitalized for exacerbation of heart failure three times the past six months. He is now a resident of Pineville Healthcare Center, a local long-term care facility the past four months because his dementia progressed, and his wife Rita was unable to care for him. When Rita visited Morgan this morning, she reports to the nurse that he is ...
Dementia Unfolding case study.
Normal Newborn 
UNFOLDING Reasoning 
Baby Boy Jones, 1 hour old 
Primary Concept 
Reproduction 
Interrelated Concepts (In order of emphasis) 
• Thermoregulation 
• Nutrition 
• Perfusion 
• Pain 
• Clinical Judgment 
• Patient Education 
• Communication 
• Collaboration 
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...