INURSING Wa 7 SLAG ANE MIAt SUBMITTED) SUBMITED) Biea 2 Tejacviu? Bkagevan Kapase 3 22 you 2 Famate Dots ey Biuth % 20/05/1999 Qualification MA Occupation + dtucleut” Manitel ktatud > wumasertecl Reigion + Hinde Tneome (montly annually) + Kit Ri lon mo-[TPd no. + 8263S Weed no- + 06 Bed No 1 26 PRN ww: + 1480585 Date y Aamiseton 2 2 28/1/21 Date of clade. cotteetion : 29/1/20 Name af dn dost .* Bee Sa NoMa: . Medical Siagnotls Megaloblastic Auunia - a AnyScannerLief complaints of pabiat : Mise. Tejaavini 4 I fel mute Latake Lhude cays F feet ike sitting cael susting al day oT feel Leesa’ aud dike Lucu afte Ainply watklug . S Maue Latacke mows fueegueutty Llese clays « oS baie back pain alo due fo tuliee J am unable to st preopecly fr tongue puriod of dine. Af te und 4 thee. day pt Lene qermcdlisecl body pain abo F Preset Tlness ¢ Miss. Tejasutni aur very Low Hasmoglobly count Jn dun body. die to low Hb, dle bb bowing weak . dle tuwe Low encygeun Actuation Levee , ew vagy for thee plysleal cctivitier . Heuce , Sle fel Letiasted afte going for a fast walk . dhe Hau heodacle mow peeegue dle oye house Back paln aus guualud bedy pain . QWF Pest Medical History : Mba Tejasvini duper quom fucgusut peur aceoreting to Lu past medical Listery with de chuswation ak 4 day, at a time die hewe beck atl tle aymplond af Peesrk Jun sartir also ( 6 mows ago appucximectely ) But alee dgnowed Jt beeacise Alun Lhe Lymptons tue verey mild . Pusat “medical histo Mig Teasvin’ Kapase Us now sdniitted fo oe. PPmm.c Hospital ince 20/1/21 auc to Ler paueut Suu symptom Megaloblastic Aremicc - Ate iA beng qiatu ments cals for tue bettament “in “dhe hospital . die Maue Lew cAseanyesee} 2 bag of blood from du blood bank af Hoplted. | fast Aevegical Mistery : f Mit. Tyasrini Kopase admittet to di. PDMMC Hopital ‘on 20/1/21 auet Ale hao not mudeugone ctlucerugle | any auuepleal Indoeunubions . | Pruwut sdungicat Liston : Mist - Tepausvind kapase adnitted! to AL: PAmnac aq | Horpétal en 20/N/2) uuith pueeut tin sf Avena i dios mo any algnificaut suxgdey . QFambly statue = 2 Middle cleus family Alo- af family membuet <1 rumberet Histexy ef any whaonie ilinuk 3 Mo ony a/ypyicank Ceeupation — Herrttle tect gee | Re Reason Education a | ma | etudiut Li 10" pasied| Faxme Healthy 12! passed | Heureunfe Heattiy Mealttey FAMILY TREE 3- me euaqioan pie | Med Manisha Kopaut Teyurind kepoae a AnyScannerP'Petonal Sisto 3 Mik Tefasrind is cr ductus by wceupation Ale ds MA guecectueocte tuedeut Ble Laue distuubed muduitioned pettus (quits reat ats) dhe Le weegedariau but sods «01 ge onee O uel . Ale tots “mualt dulce velay and Akipt Lee Aueakgast mest oftew . k Hee avodtee Iydake L6 2b pie day approximately ane Leine autput Mare accordir dla Ls alee to coffee ceucl Jefuur eatin foot duns “dhedt tiptoe body Mtat . Seelo- Economic status ¢ IN * Mba ‘Pejasvind kapase dt a studsur Ay allow with no easing pert-tnaly. Ue Buend-winnte fee ily vis due gator Mr Blagwoan sae ooo foe Wty tot etal i able ato ayjextl dhe anpurdition Y Ae family mumbo. But, beeause doe ds one buad-Linul Jn {” , dla dmouds / niditeer ef atl ily mumbuer Que fulyitted adequactly . EAR anyscannerMus- Tejosvini kapase aud duwe fenily eu In Kaccha Mouse Jn villi Hie Gf distil Atagpieee « Yuy bileny to wddle claw fanvly bet they cue acing funds to buith Atul, own pakka Louse . Muteitional Mia - Teyasuini ase deute divtuubeel nutuitional atin » But dhe cote meals dudee a ceey tlt 4 dunch ancl dinnd adequcttly , Hee fascal output dt adequate , cleat aud notimal. dhe 4s Alleria te to caypiene . dle eects ets /shapatt Lith Aabje on dally basix . | Lagetinsodal sttatus * t | Min. Tyaswin) kepase to te middle | lays family Jn wutifel. Ah cemauils and Lopencitures | axe mews but the Income Js tors as dhe ts | only one bucadsufans 6 tlw family . Mest of stu dimauls suman en oly actery Linke feadiug tv | mudal steers. Tyaruind have” 0 elaallouging attltude ond a goal -enseutee Arta ir , asec a Eat) AnyScanner20 bathe pur nw . Bloool Presse 3 0/49 mm 14 mypxauce ¢ 50 enw alty pith candeuyy Hole ° dey Facil eymmuey S Aynmmutiees P] Ei Vision & 6/6 ‘visiow Cyebids + normal Eyebots 2 Aquint Loppuctiva. + aor Aluwucl vision * Dis 3 mo auy Mar toe 3 nen- Infectious AHlammation 3 nat found FAB anyscannerNorma , eleny eax dym 3 mantels cf Heasing auth ee Caw wax t peesnt obise net gouuet aut 2 mer founel vertigo net goud Tinnckuet 1 met fewud Any LOA surgery tL mot found . if] Nose dy ranetigy : Aymmutieet Deformity => mot foruel b Planing 2 penut Inflammation % net found 2 -mueud Epiutatls > not found Any nose wucpeny > asf feud a] Mouth and throat Bureed Mucosa ? Aey /abteut Voice clea H ge ue madrdained fr ae 1 medntd ted Halitoru . 1 abuut . Dente obuut 2olek of Wipe Light pink Tongs Ligue pink . Tonsil visible 2 morned - EAR anyscanner =Nounet | Bunting + Rede > 20 besarte pou mincite | Ruta ergata | chnenetvristics 2 seegctat | caught peseuct- dpudurw it productiue Hermoptyat 2 Qbteut Dyspria 2 petneut (Lulun aptee L2uut/onal walk) bi Lardiovareutar Pulse t Rake 82 bpm Mh > Ah fae % MO/to mm f "7 Hypotension % abseut : celout oy skin t beownisly | cyonosis. + net pouch ; Numb + net fount ™ f mot pound rabid low > Luatbtat Lemuel = R EAR anyscanner =Grenitourinery yeti . (bination + Fuequency 10 Himes | ay Amount 9 2 mk 5 1 [doy Aolouk > yellouile Alaunetuy's Her Alo diane Werany potions ; eegeuty 4 pustut Aethiution + prot Buvaluy mictuxation > abieut Hemeturian + Menopause ¢ ~ Menstecca! period Cin days) * 4 days mete ° Alo any ong CE Mo Ouy Paw: pan on Ht day of menue . Vagal btuding § Mat feuucl EAR anyscanner &16-20 bucath Jin Yao my, 4 +9 INVESTIGATIONS i A __—_— | Patiedi velue | ALexmol Yalu | Remus. —4-<-mg lal — (3=16_ mg (oll heute amare. | get mgd | 4-5-1 amg oll Meurer ce | 09 L tril) 404= Gt Lor vy | 0.94 lakh foun) 1-5 — Leaks Jeumm sere 28 my/df | S-20 mg/dl orto mg/dl | Ot — 2 malt | 137 meylL | 135- Me megic|\ dececased! 4:29 mmel/L | 3.6- 5-2 mmet/L, 1:02, mg | hl 8 G-10-8 mg {elt | 29 grat Rik for Frgection, seelatect to Impoiucd Jmmunty & flow Hb count. Jetleded fo Inodsquicle 490d Jrtake . t ny Lrpatecauce seclected | to imbalance Actureew 02 supply and clemaned jasuini Kapase aay," J To Muoralectye dapiciewcy setoct to dan conditow . a Ee Anyscanner- nutuition sich, e amus axygen satesation- hos 7 ereygen Aatudiction dng hay og ms Soa Me ae! cau 7 puopussine actiultis or yoga eteend aud deeunuut —detindius ~ ebseunecl ato data sbicued Baty SUG seeceretecl uth aut fatigue « vile dyn TIITEi i | Implementation Cratuadion, 1 Rik yor | Puculee Asters geueeal condition. ctetvenines Leuk ten \udlabie. | Co Pret | ef concteumust| Syauesed | podinuk ume Hee nuveslng seavee|* htt aul cote HF dete any t vital sie pe bull wns flecctu fous de | olucke . fd Impaled Fo buble ty | are of pase altel ddgns | secouded aud Jnerse » Iminuinlty patient tacks . , eAnticpate ried for an ~ dtu coce = antibiotic a Lebel. ceed and few Immunity anviblese pout ier and tffeetiur cegasut opin a Hb count. auch seedlecee andiquuset dhuxapy klting on ihation, dik. fr £ Abe stisle fr | infections ©? Svat cline > prawns te = py 4 Infection ) a wae aaa aD erpeue 4 patiogens gua Hayek blr patton fcem dencorleed food dive pee iaihcitapsts pital geen! opuclde nutuitien such - boost patintr—yutultion “deh 7 _, 97°F ami f | . eee Wit prcuseled ps 72 bpm edhe dle Jmportauce — dulps Querd — Keduced Hike R-) 18 bAtath/me af claily Laygiene , akin Bicuaktean for ngectien BF PE mma ty moult cays € pecineal aud Leen by peemating Bo er the Hie for aelg- carte ~ Infections eo Adminictel lee WBC - cuhauces res ~ Alminestuerd Gecoth fecctrr ceeeel Ummuinbty of — ott mreacti ccutiond ortean nucleation Amd, patieut Airnaly ao per dott vader ; o succud £ suport ¢ ~ deliamines ~ date anne demtumeud olota seegenssion ¢ aucel document pecegusien ne alPaseurneat | Dicgroais | Goat i data! Imbalaueed To puouide |* . w Mebrition | suitable it. Pelee 9 Be aware of micicat-— appetite P — ~ medications ons state heatblt, Wt oIption of food cud dlict- provid, 1 Ue inate food pean of Rothe affeted dinaty fou. ate ut. — pativuk | bg drug axtlen 4 w = prculde the rttHin Vit By, Can ~ folie cel wih ~ Enuwuriige Intake of - Lortuibute to - {elie acid {ole acid seyplena- thu contiut yf auipptemeuds ht we Bia Ingested prcecltecel bps LO nnd Bo am feyDiagroals + Great Hue data! Imbaluueed To puouide » "ubrition suitable Miss Tyanulnd £0, reseed tp uwreding cote |» lank auc! Sucre! Aretexeeuti end, # Assere quetad condtitinr deter sk of tus paticub a Cored oussust fesctusution 7 aut neerrdect paemutines, J Alp Sy actin pate, uid nistritim te wital sigs fo ‘algys amy beccockfast fooct Siete sich dint « To butauce pocket © Be awane of midicat-- appetite f — ~ medicctfona a detuinvies any ~ vised algras eluded Lawtth dba coodinested oud gettound all the jnsoae 3 ebeorption rare dee disturbed ders , casing Leabits , tein ded) AL ALE Ara ada nutritiew af patieat flue pauktewt leceee eltbcbet nut Hone! pettdu dune Hue ful dicate f grolicunt dur to dul poor nutritional diet sitet digna '~ Ta 48 bp P+ sym R-> 20 buswh/nin Se 116 said BPs 12 mm fig both are affected Hy food preapetuees “fi y wget gpa of | oe oes ePueulde the Mithril Vit Bi, Can ~ {ole eld sth dict Urlileh do lel. seduce Hee hich proulded dn fetie. pet anemia. © Encouruge Intake of —eertubbute to - {elle Aci folle achd sepplime ts cortiat y supe nhs wit By ygeeted - eIrduc duce Liss sneigy - Consetues - consuming Metiuinu angy Abus or cheelend quis @ seecerd aud hecunust dethreinus deta obsucctudl epee peoyecuion in Lealth Condition pecferoiay mitt with batewed mehritvon » vilet sip Ts 9k AnyScanner a SCAN| | Blood Pau > sm PO E| [aut Smprouw (pu ext) | [Blood Flew . |BIS AM 9:00 4m Wa At 12:00 PM 1S pM S25 AM 400 AM oo AM 12160 BM 1! 80 PIN Musing cane prouided — D bed making done 2) TPR4 BP moniteed 8) Mediation adninistued 9) Blood duansfusiow S) RBS menidued 2 Buot making dere 2) TPR + BP monitued a) Medteation adminttesced 4) LV ingusion ) RBS monitor! Remarks Aut ruesing Law pueoweteel 0 whe prsiout ao pur piypeiaas ae: | (Au munsing Lat | prouicled to Ue (client a4 pow [apc ee | Bits Am 4:00 AM oo am 12:80 PM (130 7M 1) Bed mating done by) TPR 4 BP -Menifoucd 13) Medication actministuecel 4) Blood dxanufusiow 5) RBS moniteeed [Ale nusing owe ject to thr ctitnr as pee | Peypsictans euecloe | Teus aM a6 9M Wyo AM 12:50 PM | hee Pr |) Bed making cone 2) TPR + BP monitercee! la) Medticcetton adrntstoee d \4) RBS monitourd 1) Blood dample cotteted |eH Aduleed Patt cto Juctute queen heogy cuegeler bees dn duh ait moe feew ‘ Aduiced Patiut do sat Au foe! ict in febie add OH Bir Meeay to cum aninda - E auteed Petleut cto stake folic Qed depp! f aeettlely . aud uecteiviteniinn too F Aduiced Patt to tat imon-uich e0ds aush a meat , | cbdeten , 299s, dried bears and foutigltel quire i Aduiced Pott to aveicl eating june good Hems and oun cooted food 1 Sipe uegetables — Aduiud potiut to Go fir A stow walk fer at least 20 min pr day . — Aduised patiut to oo yoga. { 10 mn euy morning ~ Adulsed pediut net ap Peferm ; any Bedok Coe porn che deqpebrdny high. t ee HareMEDICATION —Adluteee! potleut ety xaye weguladly der be monn, , ~ Adidexet paticut to take nsec gueuth stinuctates chueder te etek fete acid suppunuuts ~ Aduleel pattect cto stake ctle puititation as poe Ale beets 4f he dete ofiely PERSONAL HYGIENE . ~ Aduleed ctl patient to dake bath eunyeley ~ Adulecd Ale patient to -malutain tle dertel Ley ght by beunting tuth tule a aay . ~ Adulaccl ttn potiut to maintain cxal Lujgicue ~ Aduletol tbe patiut to 2ut tue nails se wlenly - Aduleed dhe patiut fo uvacl hands Lunytine Dywke aut aftr gaking Lhe meal . FOLLOW UP ~ Advier Le patiiut to vile Lu Lospital for seegeeta flow up chick-ups montity tn dle app. ~ Adutec Alu pattut do dake alt dle ynecl/cation a4 pruscuibed by te pluyaion , after tle aclicrege . ~ Aduictd dle pateut to meintain Petconal Ley af.eue on sugulod ast at Lome . ~ Aduled Ae pabtut to srry seep ulecnty ae maintain the plyeical soletugtle it oanSR. NANcy” Htphanth pines ak prin of eng 5” soltion Volume - 4 Poe Mo: -» 352- 38€. RUMA SINGH” : Food auc Nectsition for muucset 1 uditon Toy pee pubviertions Page mo.» 42-94 U)PANKATA AIAIK.” Eutentiols 0f Blocemi . Sei clare TJoypu publications Pageno > 98 — el T"ACHALATA” G: DEEPA” Tent book Anatomy aud Playslelo: tr NUE Ross AND WILSON ” Anatomy aud Pludetlogy jn Leatth aucl Ltt, Elaevive publication Page No.7 304 - 206 a E2 AnyScanner