Mercy Memorial Hospital (SMMH) David Robert Jones Case Study - Management Assignment Help

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Mercy Memorial Hospital (SMMH) David Robert Jones

Hello Tem These are the question files and the instructions to be follwed. Varsha Varun12:24 (13 minutes ago) to me       Clinical ScenarioMr. David Robert Jones is a 58-year-old male living in rural South Australia. He is the primary carer for his wife Angela who has recently been diagnosed with early onset Dementia.Mr. Jones has been transferred to the Sisters of Mercy Memorial Hospital (SMMH) Adelaide, South Australia for investigation of chest pain and it is planned to undergo a coronary angiogram with iodinated radiocontrast medium. Mr. Jones has been diagnosed with a long history of Ischaemic Heart Disease, otherwise known as Coronary Heart Disease (CHD).Past Medical HistoryType 2 diabetes mellitusHypercholesterolaemiaChronic Kidney Disease stage 3b (CKD)HypertensionCurrent smoker 25 cigarettes a dayObesityETOH 50grams dailyMedicationsAspirin (300mg daily)Losartan (50mg daily)Atenolol (100mg bd)Atorvastatin (80mg daily)Hydrochlorothiazide (25mg daily)GTN spray as neededMr. Jones states that he sometimes has difficulty remembering when to take his medication. He commented that he does not like taking his fluid tablets before he goes out because it makes him go to the toilet too often.Upon admission, Mr. Jones is alert and orientated but appears slightly anxious. During his admission assessment, his vital signs seem unremarkable however, he has noted pitting oedema in both legs with an associated diminished pedal pulse. He states that he gets breathless on exertion and has used his GTN spray on average about 4 times a day. He states that he is worried about his wife and who will care for her while he is in hospital. Mr. Jones has been scheduled for a coronary angiogram the following morning.Nursing notes48 hours following the coronary angiogram which showed worsening coronary artery disease and poor left ventricular function), Mr. Jones’ fluid balance chart indicates that his previous 24-hour urine output has dropped from 1200 mL to 450 mL. Urgent blood tests for kidney function demonstrated a rise in creatinine and a fall in eGFR and Mr. Jones is diagnosed with worsening CKD induced by the contrast used for the coronary angiogram.Upon commencement of your shift, Mr. Jones’ vital signs are as follows: Pulse 100bpm, BP 170/90, RR 22, SaO2 94% on room air and temperature 36.5 oC.His fluid balance chart demonstrates a positive balance of over one Litre in the past 24 hours.It is noted that Mr. Jones has a haematoma on his right wrist from the previous angiogram and he is now complaining of chest pain which started ten minutes ago.Mr. Jones is scheduled for a percutaneous transluminal coronary angioplasty (PTCA) the following day.General information:This assignment must be supported by at least 20 credible references presented in UniSA Harvard Style (2018). These references should include course readings and the wider nursing academic literature. For further information, refer to Learnonline Assessment Folder for Mr. Jones’ scenario and the marking criteria. Please also refer to the Clinical and Health Science, Academic Writing Requirements located in the Learning and Teaching Resources on the Health of Adults Course Homepage. ---------------------------------------------------------------------------------------------------Assessment 1. Nursing Case StudyAssessment 1 Nursing case study (2000 words)Component of the assessment Scheme: 35%Due date: Friday 03rd September 17.00 2021Submission Process via LearnonlineTask aims:This task is your opportunity to explain the nursing care for an adult person experiencing a cardiovascular event by linking it to pathophysiology and pharmacology, explaining the nursing care required, while applying an inter-professional model of care.The course objectives being assessed are;CO 2. Perform a comprehensive health assessment on adults from a range of different cultures.CO 3.Apply an evidence-based framework to develop, implement and critically evaluate a plan of care for adults presenting with acute health problems.CO4. Explain an inter-professional model of care for the management of adults with acute health problems.CO5. Apply pharmacological knowledge and principles in the management of care for adults with acute health problems.CO6. Analyse the legal and ethical considerations in caring for adults with acute health problems.CO7. Apply the principles of quality, safety and risk management in caring for adults presenting with acute health problems.Write and present your report using the following headings:Introduction (200 Words)Introduce the person and provide a brief overview of their case. Provide an outline of the purpose and structure of the report.(You might like to think about the overview of the case study like a verbal clinical handover: what is the key information from the case study that would be relevant for the plan of care for this person?)Primary Admission Diagnosis (Ischaemic Heart Disease) (200 Words)Identify the primary diagnosis for the condition (i.e. the reason the person was admitted to hospital). Provide a brief description of the pathophysiology of the person’s condition and demonstrate how the presenting manifestations support the person’s primary diagnosis. Identify the complication experienced during the admission. Provide a brief description of the pathophysiology of this complication in relation to the person’s pre-existing medical conditions.Nursing Problems (200 Words)Using your knowledge of pathophysiology and the clinical manifestations of the person; identify two (2) nursing problems that arise because of the complication that developed during admission. These problems may be actual or potential. Provide a brief description for why these problems may or did arise in the person. Support your discussion by utilising current literature.Nursing Management (800 Words)The nursing management must focus on the Nursing Process, and the role of the Registered Nurse (RN) related to medication management for this person and address the two (2) previously identified nursing problems. Support this discussion using current literature.(This section of the report focuses on assessments and interventions that the RN conducts. Avoid reverting to simple referrals to other members of the health team. Rather, discuss what the RN physically does to provide optimal person-centered care as part of the nursing management plan. Importantly, you should prioritise the care that is provided. Consider what is the most pressing concern for the person at this stage.)Nursing Problem 1: Nursing assessment, nursing intervention, medication management.Discuss one (1) method of nursing assessment that would need to be performed related to the ongoing nursing management of this identified problem. Provide a rationale for this type of assessment and briefly describe how this assessment would be conducted in this case.Discuss one (1) nursing intervention that you would need to implement as a result of your assessment. Provide a rationale for the intervention.Discuss the role of the RN in the medication management related to the ongoing nursing management of this nursing problem.Nursing Problem 2: Nursing assessment, nursing intervention, medication management.Discuss one (1) method of nursing assessment that would need to be performed related to the second identified nursing problem. Provide a rationale for this type of assessment and briefly describe how this assessment would be conducted in this case.Discuss one (1) nursing intervention that you would need to implement related to the identified problem. Provide a rationale for the intervention.Discuss the role of the RN in the medication management related to the ongoing nursing management of this nursing problem.Discharge Planning (400 Words)The discharge plan must focus on the interdisciplinary management for this person and should refer to the nursing problems addressed throughout the report.Discuss the aim of discharge planning and the importance of using an interdisciplinary approach. Also, discuss the role of the RN in facilitating a multidisciplinary discharge plan for this person. Identify the members of the multidisciplinary health care team and the role that they would play. You can include the identified nursing problems discussed in the report.Conclusion (200 Words)Summarise the major findings of this case report. The conclusion should not introduce new material that has not been previously addressed within the report. 
 

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