NRSG258 2021 Evaluation 1- Case Research
Incident: 72 yr outdated feminine Mrs Geraldine Berry sustained left fractured neck of femur (#NOF) and laceration to her head 5cm whereas strolling her canine.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 Present Medicines: Coversyl 5mg
Doxepin 25mg each day
Atorvastatin 40mg each day
SHx: Lives with aged husband. Is the first carer for aged husband who has had a stroke beforehand and is mildly impaired. Attends church each Sunday and is liable for arranging flowers for each Sunday service. She has began volunteering on the St Vincent De Paul’s Meals on Wheels distribution centre two days every week. She misplaced two kids 5 years in the past in a automotive accident. Geraldine is worried who will take care of her husband and their canine Nala. he has begun chipping in on the St Vincent De Paul’s Meals on Wheels conveyance focus two days each week. She misplaced two youngsters 5 years prior in a fender bender. Geraldine is worried who will care for her vital different and their canine Nala Geraldine and her husband don’t have any kids or kinfolk close by.
Present presentation
Day three put up op left complete hip substitute, growing ache in hip unable to weight bear, ache rating at present 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 seems pink and swollen.
Observations – 10am Day three
Pulse Charge – 120
Respiratory charge – 22
Blood strain – 120/80
Ache rating – 7/10
Sa02 – 96%
Temperature – 39.1
BGL – 6.eight mmol/l
Glasgow Coma Rating 15
Warmth, ache and redness at suture website Refusing to mobilise resulting from ache
NRSG258 Model 1 Feb 2021
Questions
1. Utilizing the CRC and the data offered about Geraldine, determine the irregular cues, and focus on why these are thought-about irregular (200 phrases) (LO4).
2. Utilizing related literature, focus on the pathophysiology associated to the 2 post- operative problems with concern from the irregular cues you could have recognized in query one (500 phrases) (LO1, LO4).
three. Utilizing the template offered beneath, full all of the sections which embrace (200 phrases) (LO4, LO5):
a. b.
Establish the nursing aim for every recognized problem/drawback (2). Listing a minimum of two nursing interventions for every problem/drawback.
Downside Aim Interventions 1.
2.
four. Utilizing related literature, present a rationale for the listed interventions and focus on how the interventions shall be evaluated (500 phrases) ( LO1, LO3, LO4, LO5).
5. Establish 2 medicines that had been prescribed for the affected person’s pre-operative situation. (Coversyl 5mg, Doxepin 25mg each day, Atorvastatin 40mg each day) used on this case examine. Present the mechanism of motion, unwanted effects appropriate dosage and contraindications for every treatment. Clarify how this would possibly have an effect on Geraldine within the post-operative interval (400 phrases) (LO1, LO3, LO4, LO5).
6. Utilizing the Roper-Logan Tierney Mannequin, determine one (1)
potential cultural/biopsychosocial problem/drawback and focus on how it will have an effect on the affected person post-operatively or on discharge (200 phrases) (LO3, LO2).
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