Analytical Essay on Health Planning & Pofessional Nursing Care to Deterioration Patient Case Study - Nursing Assignment Help

Assignment Task

Description:  

This assessment task allows students to demonstrate theoretical clinical knowledge around nursing  assessment, pathophysiology of factors impacting on clinical deterioration, planning of nursing care, nursing  and medical management, and evaluation of care. Students are required to answer the case scenario  questions provided.  

Students should attempt all questions in the case study:  

You are a Graduate Nurse commencing your afternoon shift on a surgical ward. You have arrived in  recovery to collect your patient, Mr Yousef Kahil.  

• 72-year-old Male who has had a Hartmann’s procedure resulting in the formation of a colostomy.  

• Past Medical History: Newly diagnosed bowel cancer, hypertension, hypercholesterolemia, current  smoker (20 pack per day), Chronic Obstructive Pulmonary Disease.  

• Nil Known Allergies.

Question 1: Describe the Hartmann’s Procedure including definition, indications, and complications.  Ensure you apply this discussion to Mr Kahil.

You are handed over that the procedure went well with no complications. Mr Kahil was stable throughout the  recovery period. His observations pretransfer to the ward are:  

• Alert and coherent  

• Temperature: 35.9 and warm on palpation 

• Pulse: 72 bpm and regular  

• Blood Pressure: 110/72mmHg (MAP 65mmHg)  

• Respiration: 16 bpm  

Mr Kahil is transported back to your ward for ongoing management. When you arrive on the ward you notice  that Mr Kahil appears to be diaphoretic and cool to touch. You immediately complete a set of vital signs:  

• Drowsy 

• Temperature: 35.1 and cool on palpation 

• Pulse: 102 bpm and regular  

• Blood Pressure: 91/58mmHg (MAP 60mmHg)  

• Respiration: 14 bpm  

• SpO2: 92% on 1lt intranasal delivery  

• Pain: 1/10 (localised to abdomen, dull in characteristics)  

Question 2: Review the above vital signs of Mr Kahil. Using your knowledge of the common  causes of clinical deterioration in the postoperative patient; state which likely reversible cause  (one of the 4H’s & 4T’s) Mr Kahil is experiencing and describe its pathophysiological cause  resulting in Mr Kahil’s deterioration. Ensure you include a discussion of the pathophysiology of the  reversible cause and link to the above vital signs.

Question 3: Discuss THREE specific nursing assessments that would be prioritised for Mr  Kahil’s deterioration (excluding vital signs). For EACH nursing assessment, ensure your discussion  includes a description of these assessments in the context of Mr Kahil’s condition AND clear rationale  as to why these assessments would be priority. 

Question 4: Discuss THREE specific nursing interventions that YOU as a Registered Nurse  could initiate to manage Mr Kahil’s deterioration. For EACH intervention, ensure your discussion  includes link to evidence-based practice AND provides rationale as to how it would improve the  physiological outcomes of Mr Kahil’s condition.

Questions 5: Mr Kahil is prescribed a bolus of intravenous isotonic crystalloid fluids. Describe  the indication for and physiological effect of administration of bolus fluids. Ensure you link to the  pathophysiology occurring in Mr Kahil’s deterioration and how intravenous fluids may assist. (

Question 6: Describe THREE nursing evaluations that you would complete in response to the  assessments and interventions you have completed. For EACH evaluation, provide a brief rationale  as to how these evaluations will assist in preventing the further clinical deterioration of Mr Kahil.

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