Critical Case Analysis - Case Study

Assignment Task

Introductions

The postoperative case of Ani Hakavalu presents a complex scenario within the complex field of healthcare that requires careful use of Tanner's Clinical Judgement Model (Wright & Scardaville, 2021). The essay unfolds through the phases of Tanner's model—Noticing, Interpreting, Responding, and Reflecting—examining Ani's clinical presentation, potential differentials, and the ultimate diagnosis of pulmonary embolism (PE). Its analysis outlines a therapeutic plan using the Fonua Model for cardiovascular and respiratory stabilisation, with the reflection emphasising the continuous evaluation and modification of strategies, underscoring the significance of Tanner's model in navigating complex clinical scenarios.

Case presentation

Ani Hakavalu, an 82-year-old Tongan woman, recently underwent a total hip joint replacement (THJR) and was presented with rapid breathing three days post-surgery. Ani, a widow, lives with her three grandchildren, son, and daughter-in-law. Even though Ani's surgery recovery is going well, she mentioned having an odd awareness of her breathing. Her medical background includes depression, GERD, moderate COPD, colon cancer, and hypertension. Objective evaluations showed alarming vital signs, including a respiratory rate (RR) of 34 rpm and a significant drop in oxygen saturation (SpO2) to 82% on room air. These findings were in contrast to the consistent reading from the night before. 

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