NRSG370 Analysis Job three: Case Analysis – Med Surg #2
Mr Peter Ling: Put up-operative inguinal hernia restore
Mr Peter Ling a 67-year-old man who’s admitted to the Surgical ward, following an open mesh inguinal hernia restore. He had provided to ED with a 6-hour historic previous of a R non-reducible tender, inguinal mass, submit commencing a model new health heart/weight lifting regime.
Earlier Medical Historic previous: Mr Ling is retired, lives collectively along with his partner, ex-smoker and is obese, with a physique mass index (BMI) of 30. By the way in which, he is an ex weight lifter. He is on therapy for hypertension and hyperlipidaemia, which are every properly managed, and he moreover has mild congestive coronary coronary heart failure (CHF).
Mr. Ling was recovering properly, nonetheless on Day 2 submit op, he has develop right into a bit agitated and confused, complaining of significant left calf ache.
In your analysis:
• Essential indicators: Temp: 39.3oC, RR: 25, HR:100 widespread, SpO2 95% on room air (R/A), BP: 170/90, Ache score 7/10 (wound website online and left calf), GCS 14/15
• Bodily analysis: Mr. Ling is careworn and confused to time and place. His chest is obvious, pores and pores and skin is dry, post-op surgical wound dressing is oozing inexperienced purulent discharge and tender to the contact. His left calf appears larger than the suitable and it is pink, and warmth to the contact.
Investigations:
• Haemoglobin 16.5 gm/dl,
• WCC, neutrophils and CRP – all elevated
Nursing notes:
• Mr. Ling has an 18g Cannula in his Correct arm
• He has tolerated weight-reduction plan and is voiding properly
• Bowels opened yesterday
• Agitated and confused to time and place on analysis this am.
You are the registered nurse caring for Mr. Ling.
Analysis Job three: Case Analysis
School college students will full a 1700 Phrase case look at which discusses the supply of ethical, licensed, evidence-based, holistic person-centred care along with the establishment of actual trying and associated aims by the theoretical examination of a selected nursing specialty case look at using the Medical Reasoning Cycle (Levett-Jones, 2018).
Case Analysis Selection
School college students ought to select and reply to the case look at questions that shows their allotted medical placement specialty. If in case you haven’t been allotted a specialty placement by the highest of week 4, please search recommendation out of your LEO campus bulletins dialogue board and the introductory lecture for instructions on learn the way to proceed. In case you might be repeating the unit, or for another goal unsure which case look at to complete, please contact your campus LIC.
Please phrase – in no way should you repeat the an identical case look at twice.
There are a selection of case analysis on LEO net web page beneath the case look at tile:
• Choose the one which biggest shows your specialty placement
• BNBP school college students – ought to do ‘Extreme Dependency’ Case Analysis
Case look at conditions may very well be found on LEO by this hyperlink: https://leo.acu.edu.au/course/view.php?id=27543§ion=4
School college students are anticipated to utilize the Medical Reasoning Cycle (Levett-Jones, 2018) as a framework to plan and contemplate person-centred care. You are being requested to imagine by the case scenario after which concentrate on how information was collected and the form of information collected, decide points and nursing factors, decide and state the targets and concentrate on how care was provided with the intention to take care of the issues and contemplate the interventions carried out: (analyse and decide a nursing factors/points/desires, set targets, concentrate on the nursing interventions and contemplate the interventions of care carried out). School college students are anticipated to make use of the medical reasoning cycle to take care of the case scenario using the following format:
• Current an introduction
• Ponder the person’s state of affairs
• Collect, course of and present related nicely being information
• Set up and prioritise three (three) nursing points/factors based mostly totally on the nicely being analysis information that you’ve got acknowledged for the person on the centre of care.
• Arrange aims for priority of nursing care related to the nursing draw back/factors acknowledged
• Discuss concerning the nursing care of the person; hyperlink it to analysis information and historic previous.
• Contemplate your nursing care strategies to justify the nursing care provided
• Mirror on the person’s outcomes/your finding out
• Current a conclusion
Submission: Your Case Analysis must be clearly labelled Analysis three – Case Analysis and uploaded throughout the associated drop area positioned in your campus tile on the LEO website online (Analysis three).
