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Case is Closed pneumothorax: Mr John Hayes - Nursing Essay Writing Assignment Help
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Internal Code: 1IIIE
Case is Closed pneumothorax
Mr John Hayes has been admitted to the emergency department after a car accident. His details are:
Age 68, T 36.5, P96, RR 28, BP 160/95, oxygen sats 92%, Pain score 9/10. He has pain over his left chest and decreased air entry to his left chest. His GCS is 15. He had no LOC and was able to extricate himself from the car. The airbags had inflated.
Johns’ weight is 130kgs. John is married to Beryl aged 65 years. They live in a high set house and struggle to get up and down the stairs into the house. They have 2 sons who live nearby and visit regularly. Both John and Beryl have poor eyesight and wear glasses.
John has been xrayed and this has been assessed by the doctor.
Part A
This case study requires you to:
Apply evidence based principles to correctly assess this patient. Detail the types of assessment you would do now for this patient in their current state. Use a systems framework to do this. eg CNS, CVS, Respiratory, Abdo, renal and social/ other.
Describe the urgent appropriate care for this patient, being aware of the prioritisation needed. You need to cover the care for the first 1-2 hours only.
Part B
He has been diagnosed with a left pneumothorax.
John is now day 5 days post injury and preparing to be discharged from hospital. Please outline the discharge advice for this patient and what educational considerations may be needed for this patient, considering the principles of equity, self-determination, rights and access to this case.
Aim for references that are less than 5-6 years old. Use textbooks, current articles that support your assignment and a pharmacology textbook. Quality is more important than quantity, but 10-15 references would be good.
Introduction 2-3 sentences
Discuss how you would access the patient using framework CNS, CVS, Respiratory, Abdo, renal and social/ other.
Then discuss the priorities of care main area only
Discharge planning .