Janet Hua  Monash Health Gastroesophageal Reflux Disease Case Study - Nursing Assignment Help

Assignment Task

CASE SCENARIO

• Janet Hua is a 72-year-old retired teacher,she was BIBA (brought in by
• ambulance) to Monash Health post fall (this morning). Janet was playing golf
• with a friend and slipped on the frosty ground, falling onto her leftside. Janet
• is complaining of pain 8-9/10, localised to her left hip and buttocks. Janet is
• distressed and has asked if you can contact her NOK (next of kin).
• Janet is diagnosed with a left #NOF (fractured neck of femur) and is scheduled
• for surgery tomorrow morning 0700hrs.
• Vital signs
• Temperature – 36.2°C
• BP – 138/92
• HR – 113
• RR – 20
• SpO2 – 98% RA
• On Examination: Janet’s leftleg is internally rotated, and bruising is noted on
• her hip and buttocks.
• GCS = 15; PEARL
• 2
• Past history: Osteoporosis(left and right hip), Type 2 Diabetes Mellitus
• (T2DM), Gastroesophageal Reflux Disease (GORD), Smoker (approx. 20
• cigarettes/day)
• Family history: Osteoporosis, Peptic Ulcer Disease (PUD)(mother); T2DM
• (father)
• Current medications: Metformin 500mg/bd; Caltrate 1200 mg/d; Ranitidine
• 150mg/d;
• Social: Janet is a widower, and lives alone. She has two adult sons, who both
• live Interstate. Janet states that she has a close network of friends.

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