Highlights
Task:
Shift handover:
Identify: Mrs Amity Purple, IIRN: 123678, DOB: 19/02/1962 Situation: Amity is a 57 year old Caucasian lady from Darwin. She has been admitted to the CDU medical ward with exacerbation of COPD. She has a 2/7 history of dyspnoea, productive cough and a lever. Background: Amity lives in a two story home with her hushand. She is independent with her cares. She has a past medical history of: T2DM, smoker (20 per day), HTN, hyperlipidaemia and obesity. No known declared allergies (NKDA). She is obese (BMI 30) and drinks 1 bottle of wine every night. Assessment: Airway: Own, patent Breathing: KR 26. Sats 89% on KA. Circulation: IIR 89 bpm, BP 160/95 mmHg. Disability: GCS 15/15, 2/10 sharp chest pain on inspiration Exposure: Temp 38.6:C
Task 1: Consider the patient
Based on the case scenano and in academically sound sentences/paragraphs:
• Define the patient's presenting disease (NSTEMI or exacerbation of COPD) • Discuss the pathophysiology of the disease. • How does the condition link with the patient's past medical history?
(Approximately 500 words)
Task 2: Care plan
Based solely on the handover you have received and using the template provided. complete a nursing care plan for your chosen patient Your plan must address the physical, functional and psychosocial aspects of care.
Three (3) nursing problems have been provided for you. For each nursing problem on your care plan you need to complete the following sections
• What it is related to? • Goal of care • Interventions • Rationales for interventions • Evaluation
Nursing problem: Acute Pain Nursing problem: Risk of impaired gas exchange (Hypoxia) Nursing problem: Anxiety
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