Mr. John Douglas Case Study - Nursing Assignment Help

Assignment Task:

Task description:

The goal of this case study is for you to present a response to a clinical scenario in which you demonstrate evidenced based principles for care assessment and the management of the chosen case.

Case 1

Pneumothorax TOD Group ONLY Mr. Luke Hayes is a 25 year old man who has been admitted to the emergency department at 2000 hrs with right chest pain after a motorbike accident. He suffered no LOC. He is feeling SOB. He was wearing a helmet and now has a CSpine collar in situ which the QAS put on after the accident. Current obs: T 36.5, P102 and regular, RR is 30 and shallow, BP 100/60, oxygen sats 92% on 2litres via the nasal prongs. Pain score 9/10. His GCS is 15. Luke’s weight is 80kgs. Luke is married to Julie aged 24 years. They live in a rented house and have 2 young children. Allergies- Nil Current medications- nil Past illnesses- appendicitis at age 11. Last ate- dinner at 1800. Chops and vegetables.

Case 2

Pulmonary Embolism TOE Group ONLY Mr Harold Bates is a 75 year old retired schoolteacher who is driven to hospital by his wife following a one hour history of sudden increasing shortness of breath and pleuritic right sided chest pain which came on while watching TV. Mr Bates is a known smoker, pale, sweaty and anxious on arrival and denies any regular medications. Harold lives in a suburban area lives with his wife Jean in a high set house with 12 steps to enter the home. He has two daughters who live nearby. Harold had recently suffered from a fractured femur from a fall which was repaired and he was now fully mobile. T 36.5 PR 98, irregular, RR 28, BP 140/80, Oxygen sats 93% on room air, GCS 15, BMI 27. Allergies- nil Current medications- atorvastatin daily Past illnesses- pneumonia in 2018, hypercholestolaemia, fractured NOF 6 months ago.

Case 3

Septic Shock TOF group and G/H groups/ all other students Mr. John Douglas is a 70 year old man who has been admitted to the emergency department after feeling unwell for 4 days at home with nausea and vomiting. His current observations are: T39, HR 120, RR 24, BP 90/60, and his oxygen sats are 92%. GCS is 15. He has generalized abdominal pain which is 7/10. He has not opened his bowels for 4 days and has abdominal distention. He weights 88kgs. He still works as a factory worker. He admits to drinking 6 stubbies of beer a night. He smokes a packet of cigarettes a day and has done this for 30 years. He does little exercise, but his job involves being on his feet all day. On assessment of John’s knowledge of his condition, he admits that he only did Grade 5 of primary school, and really cannot read well. He is divorced and has no children. Allergies- nil Current meds- nil Past illnesses- diverticulitis, right carpel tunnel repair 6 years ago.

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