Nursing Case Study

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Case Study – The Elderly


As a community health nurse, you are working in an outpatient clinic in a community that serves mainly elderly clients.

year, you noted that 85 percent of the visits resulting in
hospitalization resulted from bronchitis, asthma, pneumonia, and
influenza as compared to last year. At that time; the visits weredue to
colds, sore throats, influenza, bronchitis, and pneumonia, in order of

Perez, a 73-year-old Cuban American woman has been referred for
community health nursing services following her discharge from the
hospital. She smokes two packs of cigarettes per day. She was recently
hospitalized as a result of a severe shortness of breath due to an
asthma attack. The primary care provider prescribed respiratory
treatments using Albuterol via jet nebulizer every 4-6 hours as needed.
Mrs. Perez lives alone and has three cats to take care of.


  1. Read the scenario above and answer the following questions:
    • What
      are the biophysical, psychological, physical environmental,
      sociocultural, behavioral, and health system factors influencing Mrs.
      Perez’s health?
    • Describe
      at least three primary, secondary, and tertiary prevention strategies
      that would be appropriate in resolving Mrs. Perez’s health problems. Why
      would they be appropriate?
    • What activities related to health promotion and disease prevention would you plan for the late fall?
    • How would you evaluate your nursing interventions? What criteria would you use to evaluate care?
  2. Your response should be 50 – 100 words.
  3. Please respond to at least one (1) of your classmates.

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