Implement to prepare audrey for her surgery

Assignment Help Other Subject
Reference no: EM131274927 , Length: word count:2500

Critical Thinking Scenario

Mrs. Audrey Smith is a 75 year old female who arrived to the Emergency Department at 1045. She was found lying on the kitchen floor by a neighbour at 0925 and an ambulance was called immediately. Mrs. Smith stated that she had tripped over her dog.

Mrs. Smith has been diagnosed with a fractured left NOF (neck of femur), soft tissue injury and bruising to her left shoulder as well as a small haematoma to her left forehead. She is oriented to time, place and person. She is eye opening to commands and is able to understand and perform what is asked of her, for example when asked to perform deep breathing and coughing exercises, she responds to the instructions appropriately. GCS is 14. Neurological observations are ordered hourly.

Audrey. (preferred name), is transferred to your ward at 1400 with an IVT and IDC in situ. She is alert but anxious and speaks frequently about her dog, Rufus. Audrey is concerned that there will be no-one to care for him when her neighbour goes back to work. Surgery for arthroplasty - L hip is scheduled for 1700.

Patient Details

Name: Mrs. Audrey Smith
Address: 440 Collins St.
Melbourne Vic 3000
DOB: 31/12/38
Age: 75

Past Medical History
AF Hypertension
L CVA - 2008 T2DM - 2008
GORD
Osteoporosis
Total hysterectomy - 1995
Depression - 2011

Medication History

Digoxin 62.5 mcg OD
Warfarin 2 mg OD (INR result 2.0 in ED) Coversyl 5 mg OD
Vitamin D 1,000 units OD
Metformin 500mg BD (BSL 5 @ 1200) Esomeprazole 40 mg OD
Efexor 150 mg OD
Caltrate 600 mg OD Mylanta 15-30 mls prn

Allergies

Bactrim

Social History
Husband died in 2010
1 adult daughter who lives in Queensland & sees her mother infrequently Council home care once per fortnight
Attends Senior Citizens once per week with her neighbour
Past history
Social drinker
Non-smoker (25 years)

Nursing Assessment
Slight right-sided weakness
Chronic constipation
Mild to moderate urinary incontinence
Anorexia
Early morning wakening

You reassure Audrey that you will do your very best to meet her needs.

The Task

BASED ON THE SCENARIO YOU WILL:

1. Admit the patient using critical thinking skills interventions related to Audrey's: to assess and prioritise nursing

- Safety
- Hygiene & Comfort
- Nutrition
- Elimination
- Activity levels
- Psychosocial needs

All interventions must be accompanied by a relevant explanation.

2. Provide an explanation of the 8 diagnoses referred to in Mrs. Smith's past medical history. Indicate how they affect the care that you provide to Audrey.

3. Use critical thinking skills to discuss each of Audrey's prescribed drugs using the following criteria:

- Indications for use

- Nursing implications

- Indicate how they affect Audrey and the care that you provide to Audrey

4. Discuss the specific nursing actions you will implement to prepare Audrey for her surgery and explain your reasoning.

5. Discuss the immediate nursing interventions you will implement when Audrey returns to the ward at 2000 and explain your reasoning.

6. Mrs. Smith is to be discharged 10 days post-op. She will be admitted to a fast track rehab facility. Describe 4 nursing interventions you will implement to prepare Audrey for this transition and explain your reasoning.

Reference no: EM131274927

Questions Cloud

Explain role capitalism plays in corporate decision making : Explain the role capitalism plays in corporate decision making. Discuss if you believe it is possible for a company to cater to both its best interest and that of the consumer conjointly or if one always has to prevail. Justify your response.
Find the carbon content of the steel : A steel microstructure contains 75% martensite and 25% ferrite; the composition of the martensite is 0.6% C. Using Figure 12-28,
What adjustments are your priority as a result : What adjustments are your priority as a result of your most recent customer survey? What is your most effective strategy when it comes to customer retention?
Steps of the most commonly used rulemaking procedure : OSHA is part of the U.S. Department of Labor.- What are the steps of the most commonly used rulemaking procedure? Which steps are missing in this case?
Implement to prepare audrey for her surgery : Discuss the specific nursing actions you will implement to prepare Audrey for her surgery and explain your reasoning and discuss the immediate nursing interventions you will implement when Audrey returns to the ward at 2000 and explain your reasonin..
Discuss effect on state regulation if the federal government : Discuss the effect on state regulations if the federal government, through the Environmental Protection Agency, changes the standards for air pollution and carbon dioxide emissions.
Difference between solid-state phase transformations : What is the di¤erence between solid-state phase transformations such as the eutectoid reaction and the martensitic phase transformation?
What should you do/ you want with the product positioning : Imagine it was back in 1970-1980 where computers and laptops were very rare/unpopular. You open your computer company and you want to enter the market, what should you do/ you want with the product positioning?
Find ways to achieve economies of scope by leveraging assets : Find ways to achieve economies of scope by leveraging assets and capabilities across business units. Find ways to enhance market power by pooling and negotiating or vertical integration.

Reviews

len1274927

11/12/2016 5:07:30 AM

6 Discharge planning demonstrates contextualised conclusions and strategies 4 Conclusion: 4 Case study format is adhered to utilising proper headings and clear and concise information. 4 Grammatical style/spelling/ sentence structure 4 6 Critical thinking skills are demonstrated in a systematic and logical manner. Citing and referencing is consistent with APA style Demonstrates use of appropriate/current literature. 6 80

len1274927

11/12/2016 5:07:21 AM

1 Introduction: 4 Interpretation, analysis, reasoning, explanation and relevance of nursing problems and interventions. Prioritisation is evident. 15 5 2 Definitions of diagnoses are accurate and demonstrate understanding of pathophysiology 4 3 Drug therapy is discussed using reasoned conclusions that are appropriate to the care of the patient 8 4 Pre-operative care is discussed using appropriate prioritisation. reasoning and relevance to the patient 8 5 Post-operative care is discussed using appropriate prioritisation, reasoning and relevance to the patient 8

len1274927

11/12/2016 5:07:00 AM

Critical Thinking Criteria • Communication is effective and provides a clear explanation of all points • Accurate interpretation of data • Inductive and/or deductive reasoning is used to identify relevant information • Conclusions are appropriate to the care of the patient • An explanation of why or how care is delivered demonstrates adequate contextual reasoning • Refer information back to Audrey • Utilisation of contemporary resources and clinical guidelines

len1274927

11/12/2016 5:06:48 AM

Presentation of Written Assignment: Please follow these guidelines; • Submit via email to the address specified on Assessment Timetable Timeline. • Late submissions will incur a 10% penalty for each day that it is late • Word process your assignment and use Arial 10 font and double space • Cite and reference according to the APA Referencing Guide • Failure to cite and reference will result in a Not Yet Competent (NYC) • A pass mark of 65% must be attained • Students must write in third person • Students must adhere to a 2,500 word limit. In calculating the number of words for the purposes of enforcing the word limit, 10% over the word limit will be granted, to cover headings and in-text citations • Work judged in excess of 10% as stipulated, will be returned for rewriting and re-submission and can only attain the pass mark, subject to assessment criteria • Utilise a case study format using headings provided, which will include an introduction and conclusion. Do NOT use essay format. • Demonstrate critical thinking by identifying priority nursing interventions

len1274927

11/12/2016 5:06:27 AM

• This cover sheet must be =law and attached to each Assignment. • This cover sheet must be signed, STUDENT NAME Surname: Date Group Started: /20 Group: ONE TWO THREE (circle appropriate group) Student ID Number (if known) Assessment Task: Due Date: „,„„/ ,,,,,,,,, /20,,.., Date Submitted: / /20..... Student Email: Student Mobile: Statement of Authorship: This assignment is my original work and no part of it has been copied from the work of another student or from any other source except where due acknowledgement is given. *I have a photocopy or electronic copy of this work which can be submitted if the original is lost or damaged. *No part of this assignment has been written for me by any other person

Write a Review

Other Subject Questions & Answers

  Ancient religion with contemporary group

There are many religions in the world today and each of them has a different view of viewing God and the world.

  New ideas regarding software design-carol

With a couple of new ideas regarding software design, Carol and Ray start a partnership that, with business success, becomes Pacific Applications Company.

  Spent in an experiment makes data inaccurate

Chuck wagon is very excited about the within-subjects approach. Now I’ll never need to run large numbers of subjects again, he says. However chuck has forgotten that within-subjects designs may be a) useless) impossible) confounded by order effects, ..

  Use information to identify the presence of injury risks

Use information to identify the presence of  injury risks in the nursing home facility.

  What is minimal viable population

What is a minimal viable population? Why are Zoos and Animal Conservationists concerned with this for tigers or snow leopards? Name four other species and their population problems/solutions.

  How the selected hospital performs on these indicators

Write a paper of 1,000-1,200 words that analyzes how the selected hospital performs on these indicators versus two of its competitors. Include your thoughts on the pros and cons of publically reporting these data sets

  Describe five principles of the empowered workplace

1 describe and explain five principles of an empowered workplace.2 explain how one-way communication can affect

  Advantages to the use of technology

There are many advantages to the use of technology; however, it is not always the most appropriate mode of communication. Explain this truth and give specific examples of when using technology is inappropriate.

  Discuss the sun is causing most of the warming of the earth

Discuss The sun is causing most of the warming of the Earth. A very good website that discusses some of these topics is the Skeptical Science website.

  Discuss the effects of your own enculturation

Identify three premises reasons from the Procon.org website that support your position and explain why you selected these specific reasons - Discuss the effects of your own enculturation or group identification that may have influenced your biases.

  Details for school or program presented on individual pages

Details for each school or program presented on individual pages. A summary of why the school or program is innovative and/or unique.

Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd