Assessment 1: Case Study – Mrs Kristy Parkes
50%
1800 phrases
Reference: APA 7- 15 reference
Utilizing scientific reasoning cycle and Roper Logan Tierney (RLT) mannequin
to displays on the case examine and reply the questions.
Case examine:
Think about the Affected person
Kristy Parkes is a 35-year-old lady who owns and runs a big cattle farm together with her husband in outback central Queensland. Collectively she and her husband have a Three-year-old son, Sam. Yesterday Kristy was thrown from her horse while mustering cattle. She landed on her proper facet and hit her head. She was not carrying a helmet. Her husband witnessed the occasion and rang for Help and Kristy was air lifted to Brisbane Hospital, 2 hours away by the care flight rescue crew.
On arrival to hospital her X-rays confirmed she has fractured her pelvis in 2 locations on the appropriate facet, and her head CT scan exhibits some proper sided cerebral contusions. Kristy is intermittently confused. She remembers her horse bucking and her falling off however doesn’t keep in mind the occasions after her fall. She stays typically confused to put and time. Her backbone and neck have been radiologically cleared and she or he has no neck ache. Kristy has no different medical historical past. She has been administered intravenous (IV) morphine for her ache and is ready for surgical procedure which is scheduled for tomorrow to restore her fractured however steady pelvis. Her husband has needed to stay at house to care for his or her son and to proceed to handle the household property.
Question Assignment 1: Utilizing the Roper Logan Tierney (RLT) mannequin of nursing talk about the organic, psychosocial, non secular and cultural elements Kristy and her household could also be experiencing following her accident and harm. (500 phrases)
Question Assignment 2: Clarify the authorized ideas of consent, the doctrine of necessity and enduring guardianship/NOK. Focus on how these authorized concerns might or might not apply to Kristy’s scenario. (200 phrases)
Question Assignment Three: Kristy now has a legitimate consent for her surgical procedure tomorrow. In getting ready Kristy for surgical procedure, define three (Three) preoperative nursing actions which can be required and clarify why they’re required as a part of her care. (300 phrases)
Put up-op Part Replace
It’s now the next day. Kristy has been transferred from theatre restoration to the ward submit operatively following a Three-hour surgical procedure to restore her fractured pelvis. The restoration nurse fingers over to you that Kristy’s surgical procedure went nicely. There was a small quantity of blood lack of roughly 400mls intraoperatively. She obtained 500mls of fluids intraoperatively and has been commenced on IV regular saline (NaCl zero.9%) fluids in restoration, of which the primary bag is presently working. She had fentanyl, propofol and midazolam through the process and a dose of IV fentanyl was additionally administered in restoration for her ache.
Upon arrival to the ward, you conduct an Assessment of Kristy and discover the next:
• Kristy is somewhat drowsy however straightforward to evoke, she is oriented to particular person, nevertheless confused to time and place.
• Kristy is moaning that she “feels sick”.
• Her very important indicators are as follows: ache rating is 7/10; BP 105/74mmHg; PR 95bpm, common; RR 15bpm; SpO2 97% on 4L O2 by way of nasal prongs (NP); T 35.eight°C
• BGL is 6.5mmol/L. Her decrease limb Assessment reveals the next: bilaterally cool ft, barely pale pores and skin color, and cap refill to each ft are Three seconds. She is ready to transfer each ft and might barely bend her knees on the mattress. She denies any numbness or pins and needles to each decrease limbs/ft.
• Kristy has a honeycomb lengthy Opsite dressing to her proper hip. The dressing is clear, dry and intact. Kristy is to stay on strict mattress relaxation till the physiotherapist opinions her tomorrow.
Question Assignment four: Determine three (Three) irregular cues in Kristy’s submit operative nursing Assessment. For every of those cues, talk about the pathophysiological or pharmacological elements that has resulted in these irregular findings. (800 phrases)

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