Mr Potter Rugby Player Case Study & Glasgow Coma Scale (GCS) - Nursing Assignment Help

Assignment Task

Mr Potter,  

SITUATION: 

Mr Potter, was brought in by ambulance after he had a head on collision with another player in a rugby  league competition. The ambulance paramedics found Mr Potter conscious with multiple lacerations on  his face, profuse maxillofacial bleeding and a substantial amount of blood in his oropharyngeal cavity. The ambulance paramedics had Mr Potter in a sitting position on the trolley throughout the journey to  the hospital. 

BACKGROUND 

Mr Potter has no past medical and surgical histories. He lives at home with his parents and a younger  sister. Mr Potter claims that he is of Jehovah Witness belief and refuses any blood and blood products. He is a non-smoker and non-drinker. Mr Potter denies any illicit drug use.  

ASSESSMENT 

His Glasgow Coma Scale (GCS) is 15, moving all limbs in equal strength with both pupils equal and  reactive to light. His vital signs are as follows: Heart Rate 110 bpm Respiration 22 bpm Blood Pressure  110/70 mmHg SaO2 99%. He was unable to speak properly due to the swelling on his face. Mr Potter  reported that his “bite was not normal” when assessed. All blood investigations were done, and  haemoglobin was 115g/dL. CT Trauma done and showed a parasymphaseal fracture of the mandible (Fig  1). His 12 lead ECG showed sinus tachycardia (Fig 2). 

RECOMMENDATION 

Continue neurological observations. Mr Potter will have to be kept Nil By Mouth (NBM). He has IV  Morphine infusion prescribed to manage his pain as well as intravenous therapy. He will be going to  Operating Theatre for internal fixation of his fracture today.

 CT Maxillofacial

Question 1 

Injuries sustained during athletic pursuits account for 23% of all traumas, second only to motor vehicle injuries, and  are the leading cause of death in children (ABS, 2006). Discuss and justify with evidence how this injury could be  prevented in children?

Question 2 

Discuss and justify two (2) reasons that the paramedics had Mr Potter sitting on the trolley instead of lying down?

Question 3 

Pain is considered the fifth vital sign, and therefore should be assessed at the same time as the patient’s temperature, pulse, respiration, and blood pressure. Discuss and justify with evidence three (3) methods on how the  Registered Nurse could optimise pain management for Mr Potter?

Question 4

Pain is considered the fifth vital sign, and therefore should be assessed at the same time as the patient’s temperature, pulse, respiration, and blood pressure. Discuss and justify with evidence three (3) methods on how the  Registered Nurse could optimise pain management for Mr Potter?

Question 5 

Describe and justify using peer-reviewed evidence three (3) nursing interventions that should be implemented to  reduce the risk of complications to Mr Potter. NB: Pain should not be one of the nursing interventions?

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