UNIT NAME HLTEN 505C UNIT TITLE Contribute to the Complex Nursing Care of Clients

UNIT TITLE Contribute to the Complex Nursing Care of Clients

 

Case Study 1 for Assessment C1
There is a 500-word maximum word limit for Part One of this evaluation.
Question and Answer in Part Two
To complete this evaluation, the assessment must be presented as a single document without any portions or scenarios. Candidates must follow the assessment guidelines while submitting their work. Harvard referencing must be used, and suitable, high-quality references must be used. It is necessary to use a variety of books, websites, and periodicals in addition to website information when acquiring information. Questions/Tasks This assessment consists of two components, both of which must be provided together as a single document rather than separately. Only one of the following scenarios must be selected by the learners in order to pass this assessment.
SCENARIO
The 56-year-old Mrs. Gay McMann is being admitted for elective total hysterectomy surgery.
Background of the client:
Degenerative arthritis of the spine and both knees (damaged 4 years ago, resulting in a 40-kilogram weight increase from being unable to walk and exercise as before)
She is dangerously fat, weighing 140 kg and standing 176 cm tall.
When she gets the flu or a cold, or when the weather changes, she develops reactive asthma.
She shares a home with her spouse and their five adult children.
She works full-time in the customer service sector, spending much of the day on her feet and putting up with pain.
Medications:
Everyday, 15mg of mobic
Fish oils with omega-3 daily
Glucosamine 2 daily
Advil prn
She experiences shortness of breath after activity, according to Mr. McMann, and diabetes and heart disease run in her family.
Upon assessment, she seems content, although she is a little worried about the potential risks of surgery given her weight. Gay desires to get the sacraments and see her priest.
Concern is also expressed because Gay is the primary caregiver for a daughter who has a chronic condition.
first part
Students must write an information sheet regarding one of the surgeries featured in the case studies that is no longer than 500 words.
The information sheet must address the following requirements: A description of the procedure; expectations before and after the procedure; expected results; recovery durations; Options for rehabilitation in South Australia: Pain and management of this procedure
Phase II
Respond to the following queries:
1. What nursing actions must be performed when the patient comes for admission to the operating room?
2. What does consent entail and why is it necessary?
3. The pre-op ECG has been requested by the doctor. What is an ECG, and why would one be needed before a procedure?
4. Did the patient ask to see a priest before the operation? Given the time limits, must we accommodate this, and if so, why?
5. For cultural reasons, the patient has asked that no male nurses give treatment.
What exactly is cultural nursing, and are we required to abide by this request?
6. How would you convey this wish to everyone involved in the patient’s care?
7. How would you arrange the space for your patients’ post-surgery return?
8. What tools would you require to help you care for this patient after surgery?
9. Describe how an ISOBAR handover works and what the handover’s goals are.
10. Explain the purpose of a catheter and how it is handled.
11. Can you explain how to remove the catheter and the IDC after it has been removed?
12. Describe how to administer and keep track of intravenous therapy.
13. Describe how to remove an IV cannula when it’s no longer necessary.
14. Identify two pain scales that can be applied following surgery and explain which option would be best for your patient given the circumstances.
15. How else could we help manage pain besides prescription drugs?
16. You are helping your patient get up and take a shower on Day 2 following surgery.
Your patient complains of SOB, chest pain, and dizziness when rising from a seated position.
Describe what you would do and why.
17. During a follow-up evaluation in the afternoon, when the chest pain and event from the morning have subsided, you notice that your patient is complaining of a sore L. calf. Upon closer inspection, the L calf is noticeably larger than the right, and it is also hot to the touch and sore. How would you respond? What might be the reason?
18. The client is preparing for discharge on Day 4, but when does it actually begin?
19. You observe that the patient is flushed in the face as they pack their back. They are grabbing at the area of their wound. How would you respond?
20. Based on your clinical observations, you note that the patient’s PR is 110, their temperature is 38.9, and their BP is 100/70. When you examine the wound, you find that there is a lot of offensive-smelling yellow ooze coming from the staples that are on the outside of the wound. What do these findings imply?
How will you use nursing interventions, and why?
22. What is a heart rate of 110 beats per minute called?
23. What is a temperature of more than 38 degrees called?
24. The infection is determined to be MRSA when the results of the wound swabs are received. What is MRSA, and what steps will you need to take to control it?
25. What details would you give the client to help them understand what has happened and the guidelines for handling hospital-acquired infections?
26. The patient gets a urinary tract infection while they are in the hospital. What clinical symptoms would the patient complain of, and how would this be diagnosed?
Define what a urinalysis would reveal to be present in the urine.
28. The patient was scheduled to be released on Day 5, but post-operative problems caused the release to be postponed by an additional 5 days. This has now led to additional social and financial obligations. How can you help this patient with the problems that have come up?
29. The patient is ready to be discharged; what steps are necessary?
Provide a list of community resources that could help your patient while they are recovering at home.

 

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