NRSG258 2021 Analysis 1- Case Analysis Incident: 72 yr earlier female Mrs Geraldine Berry sustained left fractured neck of femur (#NOF) and laceration to her head 5cm whereas strolling her canine. Tripped on an uneven pathway. PMH: Hypertension and melancholy Current Medicines: Coversyl 5mg Doxepin 25mg every day Atorvastatin 40mg every day SHx: Lives with aged husband. Is the primary carer for aged husband who has had a stroke beforehand and is mildly impaired. Attends church every Sunday and is answerable for arranging flowers for every Sunday service. She has started volunteering on the St Vincent De Paul’s Meals on Wheels distribution centre two days each week. She misplaced two kids 5 years up to now in a automotive accident. Geraldine is anxious who will care for her husband and their canine Nala. Geraldine and her husband haven’t any kids or household shut by. Current presentation Day three publish op left full hip substitute, rising ache in hip unable to weight bear, ache ranking at current 7/10. Geraldine has been prescribed oral tramadol tds, Ibroprofen prn, paracetamol prn, IV Amoxicillin 1000mg tds and Clexane 40mg SC BD. Suture line on hip appears crimson and swollen. Observations – 10am Day three Pulse Worth – 120 Respiratory payment – 22 Blood pressure – 120/80 Ache ranking – 7/10 Sa02 – 96% Temperature – 39.1 BGL – 6.eight mmol/l Glasgow Coma Ranking 15 Heat, ache and redness at suture website Refusing to mobilise as a consequence of ache NRSG258 Mannequin 1 Feb 2021 Questions 1. Using the CRC and the data launched about Geraldine, decide the irregular cues, and concentrate on why these are considered irregular (200 phrases) (LO4). 2. Using associated literature, concentrate on the pathophysiology related to the two post- operative issues with concern from the irregular cues you’ve got acknowledged in question one (500 phrases) (LO1, LO4). three. Using the template provided below, full the entire sections which embody (200 phrases) (LO4, LO5): a. b. Decide the nursing objective for each acknowledged problem/draw back (2). Guidelines on the very least two nursing interventions for each problem/draw back. Disadvantage Purpose Interventions 1. 2. 4. Using associated literature, current a rationale for the listed interventions and concentrate on how the interventions will doubtless be evaluated (500 phrases) ( LO1, LO3, LO4, LO5). 5. Decide 2 medicine which were prescribed for the affected particular person’s pre-operative state of affairs. (Coversyl 5mg, Doxepin 25mg every day, Atorvastatin 40mg every day) used on this case analysis. Current the mechanism of movement, detrimental results acceptable dosage and contraindications for each treatment. Make clear how this will impact Geraldine throughout the post-operative interval (400 phrases) (LO1, LO3, LO4, LO5). 6. Using the Roper-Logan Tierney Model, decide one (1) potential cultural/biopsychosocial problem/draw back and concentrate on how this could impact the affected particular person post-operatively or on discharge (200 phrases) (LO3, LO2).

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