Charlie Anderson: Admitted for Food Poisoning, Dehydration, and Diabetes Case Study

Assignment Task

Details

This assessment is from the material presented in the unit during the block. It would be valuable to undertake your assessment preparation as you work through each of your workshop, clinical lab and simulation session content, by taking summary notes or reminders of the important points your facilitators have directed your focus to during your classes.

Please note that if your assessment goes over the word count the information after this will not be assessed therefore make sure your word count is no more that 1650 words. Likewise, if your word count is below the allocated word count you will not have sufficient information to contribute to your grade.

The mini summaries provided via VU Collaborate learning space are also valuable tools in completion of this assessment.

The written assessment task is related to a case scenario below.

Through application of critical thinking and clinical reasoning you are to explore the following points:

• patient's history, presenting problems and the related pathophysiological processes to identify priority problems
• comprehensive assessment, i.e. specific observation, assessment tools and or tests formulate nursing interventions and or treatments, with rationales
• consider relevance of specific nursing standards, code of conduct, code of ethics and legalities and relevant legislation
• adherence to cultural awareness and diversity considerations

Scenario

Charlie Anderson, a 58 year old Aboriginal male, was admitted yesterday with dehydration due to vomiting and diarrhea after food poisoning. Charlie has a past history of Type 2 Diabetes Mellitus, current smoker, and hypertension. In your morning handover it is revealed that he hasn't had anything to eat for a few days and his IVT insitu of 5?xtrose (1 Litre) at a 8/24 rate was changed to a Hartmann's flask at the same rate at 0115 hours. According to Charlie's Electronic Medical Record his last episode of vomiting and diarrhoea was at 0015 hours. He received his oral hypoglycaemics at 0600 hours.

It is 0730 hours and when you go to Charlie's room. He complains to you of a headache, weakness and blurred vision.

Your initial primary assessment reveals:

A: Airway clear

B: Equal chest movement, no use of accessory muscles, RR 20

C: Diaphoretic, tachycardia

D: Drowsy, GCS 14/15

E: Not performed

Vital signs reveal:

HR: 115 bpm; irregular

BP: 145/80

RR: 20 breaths/min

T: 36.4

SpO2: 97% Room Air

Utilising best practice research, contemporary evidence and the nursing standards to assist, students are encouraged to link any relevant Cultural considerations, Pathophysiology and Pharmacology to the case study patient to compliment any suggested nursing care and management.

1. Based on your initial impression what do you think is NOW wrong with Charlie? In your answer please provide relevant pathophysiology.

2. What clinical impression, together with signs and symptoms, is Charlie presenting with that formed your impression of the condition you believe he is now suffering from and why do these signs & symptoms occur (the underlying pathophysiology)?

3. Discuss the nursing care and management, using evidence-based literature, required for managing and maintaining Charlie's potential diagnosis (what do you think is now happening), in a culturally safe manner, with rationales as to why this care is provided. Include relevant medical and pharmacological treatment options.

4. List two ACUTE potential problems that Charlie is at risk of due to this current condition that you think is occurring. Provide rationales as to why these are potential risks and three nursing management preventative strategies for each of these problems.

Essay Structure

Your case-study essay should be structured as follows:

Introduction

• Start by setting the context and providing relevant background information.
• Include a statement that is a response to the case-study-essay question, and that summarises the main aim or points of the case-study essay.
• Outline the main ideas to be discussed in the case-study essay, in the order they appear in the body of the essay.

This Medical Science has been solved by our PhD Experts at My Uni Paper.