NRS72007: Human Response to Health Breakdown - Mr George Singh Case Study - Report Writing Assessment Answer

Internal Code: 1AGEBA

Mr. George Singh Case Study Assessment Answer

Assignment Task: Mr. George Singh Case Study - Mr. George Singh is a 76-year-old male, of Indian heritage, who has just been admitted to your medical ward through the Emergency Department with complications from his existing Stage 3 Chronic Obstructive Pulmonary Disease (COPD) following a bout of pneumonia. He has no known allergies. You are the primary Registered Nurse providing care for Mr. Singh. PMHx ? COPD ? Depression ? Diabetes Mellitus Type 2 ? Ischaemic Heart Disease (IHD) ? R) Below Knee Amputation (BKA) ? Ex-smoker. 3 packs per day x 50 years Social History ? Emigrated to Australia 52 years ago. Naturalised Citizen. ? Widower ? Retired farmer. ? One son – lives in Melbourne, sees Mr Singh x 3 times per year. One daughter who lives locally and recently diagnosed with diabetes, is an active participant with her father’s care. ? Currently living in own home utilising community nursing services x 3 times per week. Assistance with domestic chores. ? Strong ties to the local Sikh community who check on Mr Singh daily ? Minimal exercise due to shortness of breath on exertion ? He is very thin and states he has no appetite Objective data ? Spirometry – not attended. Machine broken at GP clinic ? CXR – not attended. Direct admission ? Blood tests – not attended. Direct admission ? RR – 32 breaths per minute ? HR – 108 bpm ? Temp 37.9 o ? SpO2 – 87% He is currently on 6L O2 via a Hudson Mask ? BP at GP clinic– 122/72 ? Very productive cough ? Short of breath ? Extensive use of accessory muscles ? ECG – not attended ? He has not yet been seen by an admitting physician Current Medications ? Salbutamol MDI as required ? Tiotropium Bromide Mane ? Budesonide Turbuhaler BD ? Prednisolone 5mg Mane ? Metformin 1000mg BD ? Panadol Osteo 1330mg TDS

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