Nursing - Mr John Brown Assessment Answer

Internal Code: 1AFFCB

Mr. John Brown Mrs. Beverley Smith Case Study Assessment Answer

Assignment Task: Mr. John Brown Case Study - Mr John Brown is a 43 year old male who is transferred to your high dependency unit from the surgical ward. He is 3 days post admission with a large ulcer to his right lower leg. He has had the ulcer for a number of weeks and it was not healing at home. He has been deteriorating for the past 4 hours and his observations on arrival to you are as follows: Spo2 93% on room air Pulse 115 beats/min Blood Pressure 110/65 Respiratory Rate 32 breaths/min Tympanic Temperature 38º C. Mr Brown has a history of obesity, Type 2 diabetes and hypertension. You note he has not had any of his daily medications today including his Atenolol or Metformin. On arrival to your department he is complaining of urinary frequency and you note he has not had a fluid balance chart maintained prior to arrival. He has a PICC line inserted into his right brachial vein due to difficult IV access and the need for intravenous antibiotics. He is transferred to your department on a cardiac monitor. You also note he has a dressing on his right leg and you cannot see in the notes when this wound was last reviewed/ redressed. You are required to do the following: 1. Identify potential complications this patient is at risk of delveloping 2. Prioritise your nursing assessments and subsequent interventions in light of this patients’ current state. Your essay should include a detailed rationale of the nurse’s role in relation to providing effective nursing care for this patient. This assessment requires you to critically analyse and synthesise the evidence for best practice as a registered nurse in the care of a deteriorating patient. Ensure you are using current nursing literature with a focus on research papers and journal articles. You must write an essay with a word limit of 2,500 words. When providing your response, you should consider any potential complications the nurse might expect Mr Brown to encounter? You should outline the nursing interventions in order of priority that would be appropriate to prevent Mr Browns condition from getting worse and to prevent further development of any complications you identify. This assessment should be submitted in a modified essay format. This means students are required to include an introduction, body and conclusion in their work. Headings are acceptable but dot points, lists, pictures and tables are not. Mrs. Beverley Smith Case Study: Mrs. Beverley Smith is a 66 year old female who is transferred to your high dependency unit from the surgical ward. She is 3 days post a fall in the garden where she sustained four right sided rib fractures. She also sustained a large skin tear on her right arm. She has been deteriorating for the past 2 hours and her observations on arrival to you are as follows: Spo2 89% on 2L oxygen via Nasal Prongs Pulse 110 beats/min Blood Pressure 95/50 Respiratory Rate 32 breaths/min Tympanic Temperature 37.8º C. Mrs Smith has an indwelling catheter insitu and her fluid balance chart shows a decreased urine output over the past 4 hours. Respiratory assessment reveals decreased air entry bilaterally. She has a central venous catheter inserted into her left subclavian vein and is currently on a cardiac monitor. You also note she has a dressing on her right arm and you cannot see in the notes when this wound was last reviewed. You are required to prioritise your nursing assessments and interventions in light of the patients’ current state and potential complications she may have developed. Your essay should include a detailed rationale of the nurse’s role in relation to providing effective nursing care for this patient. This assessment requires you to critically analyse and synthesise the evidence for best practice as a registered nurse in the care of a deteriorating patient. Ensure you are using current nursing literature with a focus on research papers and journal articles. You must write an essay with a word limit of 2,500 words. When providing your response, you should consider any potential complications the nurse might expect Mrs Smith to encounter? You should outline the nursing interventions that would be appropriate to prevent these complications from occurring or from getting worse. This assessment should be submitted in a modified essay format. This means students are required to include an introduction, body and conclusion in their work. Headings are acceptable but dot points, lists, pictures and tables are not.

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