NRSG258 2021 Analysis 1- Case Look at
Incident: 72 yr outdated female Mrs Geraldine Berry sustained left fractured neck of femur (#NOF) and laceration to her head 5cm whereas strolling her canine.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 responsible 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 per week. She misplaced two children 5 years previously in a automotive accident. Geraldine is anxious who will care for her husband and their canine Nala. Geraldine and her husband have no children or relations shut by.
Current presentation
Day three put up op left full hip substitute, rising ache in hip unable to weight bear, ache ranking in the mean time 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 purple and swollen.
Observations – 10am Day three
Pulse Charge – 120
Respiratory worth – 22
Blood pressure – 120/80
Ache ranking – 7/10
Sa02 – 96%
Temperature – 39.1
BGL – 6.eight mmol/l
Glasgow Coma Score 15
Heat, ache and redness at suture web site Refusing to mobilise ensuing from ache
NRSG258 Mannequin 1 Feb 2021
Questions
1. Using the CRC and the information launched about Geraldine, set up 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 equipped underneath, full all the sections which embody (200 phrases) (LO4, LO5):
a. b.
Set up the nursing intention for each acknowledged issue/draw back (2). Itemizing at least two nursing interventions for each issue/draw back.
Draw back Function Interventions 1.
2.
4. Using associated literature, current a rationale for the listed interventions and concentrate on how the interventions will in all probability be evaluated (500 phrases) ( LO1, LO3, LO4, LO5).
5. Set up 2 medication that had been prescribed for the affected individual’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, negative effects acceptable dosage and contraindications for each medication. Make clear how this may occasionally affect Geraldine inside the post-operative interval (400 phrases) (LO1, LO3, LO4, LO5).
6. Using the Roper-Logan Tierney Model, set up one (1)
potential cultural/biopsychosocial issue/draw back and concentrate on how this will affect the affected individual post-operatively or on discharge (200 phrases) (LO3, LO2).
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