35821/05: Implement, Monitor and Evaluate Nursing care Plans Case Study - Medical Science Assignment Help

Assignment Task:

Task:

Maida is a 73-year-old lady who lives independently at home with her partner, Glenda. Maida was standing on the ladder cleaning their front gutters and as she was coming down the ladder lost her footing and fell on her left side from 40cm above the ground. Maida called out to Glenda who assisted Maida to her feet. Glenda phoned the GP surgery who advised her to call for an Ambulance to take Maida to Care Shore Hospital.

The Ambulance arrives and assesses Maida, IVA is established and NaCL 0.9% is commenced. Maida has a 12 lead ECG recorded and she is transported to Care Shore Hospital. Currently, the Ambulances are banked up and there is a one (1) hour wait. Maida remains in the Ambulance whilst waiting to be transferred to the ED.

On presentation to the ED, Maida is alert and orientated. She looks pale and is cool to touch, her L) Leg is externally rotated and shortened, and her pain score is 9/10 radiating down her L) Leg. Maida is administered Intranasal Fentanyl as per the “fractured hip protocol.”

Past Medical History:
Depression and Anxiety (diagnosed 30 years ago as a result of childhood trauma)
Anorexia Nervosa
Spontaneous L) Calf DVT 2 years ago.
Medication
Nil medication is taken
1800 Maida’s vital signs are as follows:
 Temperature: 36.8oC
 BP: 175/90 mmHg
 Pulse: 62 beats per minute
 Respirations: 26 breaths per minute
 SpO2: 92% on air
 Pain Score: 9/10, L) hip
 GCS: 14

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