Question: CREATE AN NCP FOR THIS CASE. STRICTLY FOLLOW THE FORMAT BELOW. Note: If You Cannot Follow The Format Below, Please Do Not Answer. This Is My Second The Second Time I Posted This Question. My First Attempt Was Useless Because It’s Very Incomplete. So Please. Age: 79 Complaint: Upper Abdominal Pain And Black Stools Over The Last 2 Days. Medical Diagnosis: …

CREATE AN NCP FOR THIS CASE. STRICTLY FOLLOW THE FORMATBELOW.

Note: If you cannot follow the format below, please donot answer. this is my second the second time I posted thisquestion. My first attempt was useless because it’s veryincomplete. So please.

Age: 79
Complaint: upper abdominal pain and black stools over the last 2days.
Medical Diagnosis: Peptic Ulcer

History of Present Illness
 An epigastric burning sensation present for the last 2 days
 Her pain is moderately severe but non radiating – relieved alittle by eating and by an antacid (Gaviscon)
 No history of weight loss but some vomiting occurs with the pain,this has occurred occassionally in the past
 Bowel motions were soft and black over last 2 days
 Has felt lethargic and weak
 Long history of dyspepsia with periodic epigastric pain over last2 years (three episodes of pain over last 12 months, each lastingabout 2 or 3 weeks)
 Takes over the counter ranitidine tablets for a week when painoccurs
 Developed low back pain 3 weeks ago with X-rayof lumbar spineshowing moderate degenerative changes
 Began taking diclofenac, prescribed for her husband and left inthe bathroom cupboard since his death
Past Medical History
 Barium meal many years ago showed a scarred stomach
 Has osteoarthritis, particularly affecting the hips
 Moderate hypertension for many years controlled withfelodipine
(slow release tablets)
 Moderate chronic airflow limitation related to lifelongcigarette
smoking
 Cholecystectomy 10 years ago for gallstones following episodesof
biliary colic
 Caesarean section for birth of second child 50 years ago
 Chest X-ray three years ago showed no abnormality

Current medications
 Felodipine 10mg OD
 Diclofenac 50 mg twice daily
 Ranitidine 150 mg TID
Progress management
 Transfused 2 units of packed red boold cells
 Omeprazole 20 mg daily OD
 Amoxycillin 500mg TID
 Clarithromycin 500mg TID
 Repeat haemoglobin 2 days later was 11.8 g/dL (NR12.0-16.0)
 Endoscopy showed reduced (0.4 cm) gastric ulcer and no
signs of recent haemorrhage
 Biopsies from ulcer edge were negative for malignancy
 Multiple gastric antrum and corpus biopsies negative for H.
pylori

FORMAT:

Nursing Diagnosis: Use PES/PE FORMAT)