Highlights
Task:
You are a nurse working in an Orthopaedic ward in an inner-city hospital. Miss Jean Button is scheduled for theatre this morning and you are completing her admission.
Miss Button has sustained a fracture to her L) neck of femur following a fall. She was independent prior to her injury.
She has osteoporosis and regular exacerbations of her dermatitis. She is retired now but was a cook/kitchen hand in her working career and still likes to bake regularly. Prior to her fall, Miss Button, lives alone in her own home and is determined to remain at home.
Miss Jean Button has no known allergies. Her DOB is 16/1/1954, and her medical record number is 9393567.
PMH: Osteoporosis, Atopic Dermatitis
PSH: Tonsillectomy as a child
PFH: Sister MND, Father CHD
Vital signs
• Pulse:110 beats per minute
• BP:130/85 mm Hg
• SaO2: 97% on room air
• Respirations: 20 breaths per minute
• Temp: 36.5 oC
• Pain score: 2/10
• Consciousness: Response to voice
Visual observations:
She appears anxious and grimaces with pain on movement. Jean’s Left leg is shortened and externally rotated.
Current medications include:
• PO Celebrex 200mg daily
• PO Panadol Osteo 2 tablets BD but she states she frequently forgets to take these.
• PO Ostelin (Cholecalciferol) 25mcg
Practical Skills 3
Part A – Underpinning knowledge-based case study questions
Part A – Underpinning knowledge-basedcase study questions
Performance criteria Record of results
Q1 In what way did osteoporosis contribute to Jean's fracture?
Q2 Jean has had surgery to repair the fracture neck of femur. On her return to your ward, what observations will you conduct?
Q3 What will be the impact on Jean’s activities of daily living post her surgery?
Q4
Discuss 3 community referrals that you might make to provide further support and assist Jean to remain in her own home following her discharge from hospital.
Q5
Discuss the process of metabolism, nutrition and body temperature regulation.
Q6
Discuss biological maturation, inheritance and ageing.
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