Highlights
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. (400 words)
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
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