HLTAMB007 - Assess And Deliver Basic Clinical Care With John Case Study - Nursing Assignment Help

Assignment Task

Case Study : 

You are working under your scope of practice as a Cert IV graduate. Someone presents to you  looking pale, sweaty and looking scared. You introduce yourself to your patient. 

• 1. What is the first assessment you conduct (state all of the components of this assessment), and what information are you hoping to gain from it?
• You have conducted this assessment and ask the patient what has caused them to seek help  today. They tell you they are suffering from chest pain. 

2. Using the information provided below, sort it into the correct history-taking assessment framework

John woke up at 7am today and had gluten-free toast for breakfast (he is allergic to gluten). After  breakfast he moved his bowels, which is when he noticed central chest pain/heaviness, radiating  up to his left jaw. He also noticed some tingling down his left arm and was so nauseated that he  vomited up his breakfast. John immediately took his morning tablets of Aspirin and Perindopril,  which he takes for Angina and Hypertension. John tried resting, but this didn’t help the pain. The  pain was an 8/10 despite these medicines so he took 1g Paracetamol and decided to present to  you for further treatment.

3. From this information, conduct a correct pain assessment using your OPQRST framework.

You get out your kit and assess the patient further. You decide to conduct a perfusion status  assessment. 

4. What are the components of a perfusion status assessment, and what sort of specific information will you be looking for?

5. State two key drugs in your scope of practice that are indicated for this patient’s presentation, and list the following using your drug therapy/CPG protocols:

• Indications for the drug 
• Contraindications for the drug 
• Presentation of the drug (i.e. what does the medication actually look like) − Dose indicated for this patient, including any possible repeat doses

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