Posted: May 11th, 2022

NRSG258 2021 Assessment 1- Case Study

NRSG258 2021 Analysis 1- Case Analysis
Incident: 72 yr outdated female Mrs Geraldine Berry sustained left fractured neck of femur (#NOF) and laceration to her head 5cm whereas strolling her canine.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 Current Medicines: Coversyl 5mg
Doxepin 25mg every day
Atorvastatin 40mg every day
SHx: Lives with aged husband. Is the primary carer for aged husband who has had a stroke beforehand and is mildly impaired. Attends church every Sunday and is responsible for arranging flowers for every Sunday service. She has started volunteering on the St Vincent De Paul’s Meals on Wheels distribution centre two days each week. She misplaced two children 5 years prior to now in a automotive accident. Geraldine is nervous who will maintain 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 every week. She misplaced two children 5 years prior in a fender bender. Geraldine is nervous who will take care of her important totally different and their canine Nala Geraldine and her husband haven’t any children or kinfolk shut by.
Current presentation
Day three put up op left full hip substitute, rising ache in hip unable to weight bear, ache ranking at current 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 appears pink and swollen.
Observations – 10am Day three
Pulse Cost – 120
Respiratory cost – 22
Blood pressure – 120/80
Ache ranking – 7/10
Sa02 – 96%
Temperature – 39.1
BGL – 6.eight mmol/l
Glasgow Coma Score 15
Heat, ache and redness at suture web site Refusing to mobilise ensuing from ache
NRSG258 Mannequin 1 Feb 2021
Questions
1. Using the CRC and the information provided about Geraldine, decide the irregular cues, and deal with why these are thought-about irregular (200 phrases) (LO4).
2. Using associated literature, deal with the pathophysiology related to the two post- operative issues with concern from the irregular cues you may have acknowledged in question one (500 phrases) (LO1, LO4).
three. Using the template provided beneath, full the entire sections which embrace (200 phrases) (LO4, LO5):
a. b.
Set up the nursing intention for each acknowledged drawback/disadvantage (2). Itemizing a minimal of two nursing interventions for each drawback/disadvantage.
Draw back Intention Interventions 1.
2.
4. Using associated literature, current a rationale for the listed interventions and deal with how the interventions shall be evaluated (500 phrases) ( LO1, LO3, LO4, LO5).
5. Set up 2 medicines that had been prescribed for the affected particular person’s pre-operative scenario. (Coversyl 5mg, Doxepin 25mg every day, Atorvastatin 40mg every day) used on this case look at. Current the mechanism of movement, negative effects applicable dosage and contraindications for each remedy. Make clear how this may impact Geraldine throughout the post-operative interval (400 phrases) (LO1, LO3, LO4, LO5).
6. Using the Roper-Logan Tierney Model, decide one (1)
potential cultural/biopsychosocial drawback/disadvantage and deal with the way it will impact the affected particular person post-operatively or on discharge (200 phrases) (LO3, LO2).

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