Read the assigned case study and formulate searchable, clinical questions in the PICO(T) format. There are several potential questions that could be asked. Identify if
the focus of your question is assessment, etiology, treatment, or prognosis. Remember to integrate references.
Here is an example of a PICOT.
P: male patients who are breadwinners for their families, newly diagnosed with heart failure
I: participation in a twice monthly family support group that addresses fears and concerns
C: individual family counseling related to fears and concerns twice per month
O: decreased concerns about man’s ability to provide for his family
T: first three months following diagnosis
Preferred Reference OR any other:
Houser, J. (2015). Nursing research: Reading, using, and creating evidence (3rd ed.). Sudbury, MA: Jones & Bartlett.
Chapter 2: The Research Process and Ways of Knowing, pp. 29–43
CHAMBERLAIN COLLEGE OF NURSING NR 439: WEEK 2 CASE STUDY FOR TD
NR439 Week 2 Case Study 2/12/13 jm 1
Week 2 Case Study for Threaded Discussion
John is a 56-year-old male who was initially diagnosed six months ago with Heart Failure. He was treated via a three-day stay in the hospital and sent home with a drug
regime and since then has been seen in the ER two times and now re-hospitalized with shortness of breath, pedal edema, and weight gain. He does not understand why the
medications are not working. He cannot miss anymore days at work or he will lose his job and medical insurance for him and his family. His wife is a stay at home mom
for their three boys.
John is a construction worker and does take his medications as directed but continues to eat what he wants.
He states he cannot exercise because he works six days a week and is just too tired when he gets home. He is always tired, up all night going to the bathroom, and is
extremely worried about his health issues and the future. His wife Kathy is also very worried because she is a stay at home mom and has not worked since the birth of
their first child who is 16 years old.
During this hospital stay, another cardiac catheterization reveals that the ejection fraction of his heart is only 40. The doctor has told him he needs to change his
lifestyle, continue with his meds, and monitor his vital signs at home.
John’s wife, Kathy, is 40 years old and finds herself overwhelmed with the diagnosis and is worried that she may have to go back to work if John is not able to
continue working. She wants to know what she can do to help John. She will do anything but she is not sure what will help John. The nurse came in and handed her a
bunch of papers about diet and exercise and said a home health nurse would set him up for home monitoring. He will need to stay at home for monitoring and cardiac
rehabilitation for six weeks.
Formulate searchable, clinical questions in the PICO(T) format using the material is this case study.
There are several potential questions that could be asked, but you only need to identify two. Determine if the focus of each question is assessment, etiology,
treatment, or prognosis.
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