Ms. Cho Chang Case Study - Gestational Diabetes Mellitis - Hyperglycaemia - Nursing Assignment Help

Assignment Task:

Marking Criteria measured:

1. Demonstrate an understanding of the pathophysiological underpinnings of health alterations
2. Articulate the role of the registered nurse in the assessment and management of healthcare
3. Application of the Social Justice Framework to a clinical scenario to encourage equitable access and participation in healthcare
4. Quality of communication including grammar and spelling
5. Accuracy of citation and referencing using the Harvard referencing system

In this task you will provide a response to a case study. There are 2 case studies; you will select and answer questions for only one of these Case studies. Please follow the steps below: 

Step 1: Choose a clinical scenario

Clinical scenario 1: Chronic Obstructive Pulmonary Disease

Mr. Krum is a 70yr/old male who presented to the ED at 8am today.

He was c/o SOB, dyspnoea, wheezing, and had a productive cough with yellow sputum. He is tachypneic with a RR 30 and has decreased sats of 87% on Room Air. Intercostal and substernal accessory muscle use is evident.

History:

Ax: nil

Meds: Ventolin 4 puffs via spacer PRN. Atrovent 500 mg BD. 

Past illnesses: Current cigarette smoker, emphysema, malnutrition

Last meal: Dinner Last Night 

Events leading up to presentation: trying to shower this morning

His vital signs are a Temp 39, GCS 15, HR 105, NiBP- 140/90, Sp02- 87%, RR 30.

He was given his regular meds and a PIVC is insitu in R) ACF - patent.  

Clinical scenario 2: Gestational Diabetes Mellitis- Hyperglycaemia

Ms. Cho Chang is an 28-year-old female who presented to the hospital with GCS- 14 confused to time and place and a BGL of 26mmol. 

1. Nil allergies, M- nil meds, P- nil past illnesses, Last meal- this morning at 0800 fruit loops, E- She is 30 weeks gestation and has had symptoms of increased thirst, increased urination, increased hunger have been ongoing and increasing over the last 2 months. 

Her vital signs are a Temp 36.8, GCS 14, HR 95, NiBP- 140/80, Sp02- 96%, RR 20. PIVC insitu R) ACF- patent.   

Step 2: Answer the following questions for your selected case 

Question 1: Identify 2 priority problems for your patient. Refer to the ABCDE framework to justify your decision. (100words)

Question 2: Explain how these problems developed and their clinical manifestations (signs and symptoms) from the case using your knowledge of pathophysiology. (400words)

Question 3: Identify 2 interventions (one for each priority problem). Provide a rationale for each intervention that refers to pathophysiology, as well as a discussion of related nursing care. 

*Monitoring such as completing vital signs and fluid balance charting is not an intervention. An intervention needs to effect a pathophysiological change. Monitoring is a related nursing consideration (400 words on each intervention= 800words)

Question 4: Outline and discuss appropriate discharge planning for this patient that Is guided by the social justice framework. (300 words)

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