NRSG370 Evaluation Job three: Case Research – Med Surg #2
Mr Peter Ling: Put up-operative inguinal hernia restore
Mr Peter Ling a 67-year-old man who’s admitted to the Surgical ward, following an open mesh inguinal hernia restore. He had offered to ED with a 6-hour historical past of a R non-reducible tender, inguinal mass, submit commencing a brand new fitness center/weight lifting regime.
Previous Medical Historical past: Mr Ling is retired, lives together with his spouse, ex-smoker and is overweight, with a physique mass index (BMI) of 30. By the way, he’s an ex weight lifter. He’s on treatment for hypertension and hyperlipidaemia, that are each nicely managed, and he additionally has gentle congestive coronary heart failure (CHF).
Mr. Ling was recovering nicely, however on Day 2 submit op, he has develop into a bit agitated and confused, complaining of serious left calf ache.
In your evaluation:
• Very important indicators: Temp: 39.3oC, RR: 25, HR:100 common, SpO2 95% on room air (R/A), BP: 170/90, Ache rating 7/10 (wound web site and left calf), GCS 14/15
• Bodily evaluation: Mr. Ling is stressed and confused to time and place. His chest is evident, pores and skin is dry, post-op surgical wound dressing is oozing inexperienced purulent discharge and tender to the touch. His left calf seems bigger than the appropriate and it’s pink, and heat to the touch.
Investigations:
• Haemoglobin 16.5 gm/dl,
• WCC, neutrophils and CRP – all elevated
Nursing notes:
• Mr. Ling has an 18g Cannula in his Proper arm
• He has tolerated weight-reduction plan and is voiding nicely
• Bowels opened yesterday
• Agitated and confused to time and place on evaluation this am.
You’re the registered nurse taking care of Mr. Ling.
Evaluation Job three: Case Research
College students will full a 1700 Phrase case examine which discusses the availability of moral, authorized, evidence-based, holistic person-centred care together with the institution of real looking and related objectives by the theoretical examination of a specific nursing specialty case examine utilizing the Medical Reasoning Cycle (Levett-Jones, 2018).
Case Research Choice
College students should choose and reply to the case examine questions that displays their allotted medical placement specialty. If in case you have not been allotted a specialty placement by the top of week four, please seek advice from your LEO campus bulletins discussion board and the introductory lecture for directions on find out how to proceed. In case you are repeating the unit, or for some other purpose not sure which case examine to finish, please contact your campus LIC.
Please word – not at all must you repeat the identical case examine twice.
There are a number of case research on LEO web page beneath the case examine tile:
• Select the one which greatest displays your specialty placement
• BNBP college students – should do ‘Excessive Dependency’ Case Research
Case examine situations could be discovered on LEO through this hyperlink: https://leo.acu.edu.au/course/view.php?id=27543§ion=four
College students are anticipated to make use of the Medical Reasoning Cycle (Levett-Jones, 2018) as a framework to plan and consider person-centred care. You’re being requested to assume by the case situation after which focus on how knowledge was collected and the kind of knowledge collected, determine issues and nursing points, determine and state the goals and focus on how care was offered with the intention to deal with the problems and consider the interventions carried out: (analyse and determine a nursing points/issues/wants, set goals, focus on the nursing interventions and consider the interventions of care carried out). College students are anticipated to use the medical reasoning cycle to deal with the case situation utilizing the next format:
• Present an introduction
• Contemplate the individual’s state of affairs
• Gather, course of and current associated well being info
• Establish and prioritise three (three) nursing issues/points based mostly on the well being evaluation knowledge that you’ve recognized for the individual on the centre of care.
• Set up objectives for precedence of nursing care associated to the nursing downside/points recognized
• Talk about the nursing care of the individual; hyperlink it to evaluation knowledge and historical past.
• Consider your nursing care methods to justify the nursing care offered
• Mirror on the individual’s outcomes/your studying
• Present a conclusion
Submission: Your Case Research needs to be clearly labelled Evaluation three – Case Research and uploaded within the related drop field positioned in your campus tile on the LEO web site (Evaluation three).
