Posted: May 11th, 2022

NRSG258 2021 Assessment 1- Case Study Incident: 72 yr old

NRSG258 2021 Evaluation 1- Case Research Incident: 72 yr previous 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 answerable 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 youngsters 5 years in the past in a automotive accident. Geraldine is anxious who will take care of her husband and their canine Nala. Geraldine and her husband don’t have any youngsters or family close by. Present presentation Day three publish op left complete hip substitute, rising 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 crimson and swollen. Observations – 10am Day three Pulse Price – 120 Respiratory fee – 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 web site Refusing to mobilise as a consequence of ache NRSG258 Model 1 Feb 2021 Questions 1. Utilizing the CRC and the knowledge introduced about Geraldine, determine the irregular cues, and focus on why these are thought of 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 have got recognized in query one (500 phrases) (LO1, LO4). three. Utilizing the template supplied under, full all of the sections which embody (200 phrases) (LO4, LO5): a. b. Determine the nursing purpose for every recognized difficulty/downside (2). Checklist at the very least two nursing interventions for every difficulty/downside. Drawback Aim Interventions 1. 2. four. Utilizing related literature, present a rationale for the listed interventions and focus on how the interventions will likely be evaluated (500 phrases) ( LO1, LO3, LO4, LO5). 5. Determine 2 drugs that have been prescribed for the affected person’s pre-operative situation. (Coversyl 5mg, Doxepin 25mg each day, Atorvastatin 40mg each day) used on this case research. Present the mechanism of motion, negative effects appropriate dosage and contraindications for every remedy. Clarify how this may 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 difficulty/downside and focus on how this can have an effect on the affected person post-operatively or on discharge (200 phrases) (LO3, LO2).

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