Develop Critical Thinking for Critical Patient Care For Siomha Murphy's

Assignment Task

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

Siomha (pronounced SHEE-va) Murphy, a 23 year old female of Irish heritage, was admitted to ED via ambulance with vomiting, malaise, increased urination and extreme thirst on the background of a “nasty chest infection” which she suspects may have been Covid related.  According to her Electronic Medical Record Siomha has a past history of Type I Diabetes Mellitus since the age of 6 years old and is known to the hospital. 

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 Siomha? In your answer please provide relevant pathophysiology. 

2. What clinical impression, together with signs and symptoms, is Siomha presenting with that formed your impression of the condition you believe she 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 Siomha’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 Siomha 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.

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