NUR241 - Health Alterations Case Study - Nursing Assignment Help

Assignment Task

What you need to do:    

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.
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
MsCho 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. 
A- 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 ofincreased 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: Identify2 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 relatednursing 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)

Considerations: 
1. Make sure you draw on best available evidence to support your assessment. Journal articles and text books must be no older than 7 years old.  
2. Referencing correctly is an easy way to secure marks so put effort into this. Make sure you reference from peer reviewed journals that are related to the topic. For example; do not use references that are related to oxygen administration in children as this information is not transferable to this patient. It needs to be applicable to this patient. 
3. Do not use google! Use the library databases.     
4. Draft safe assign is set up for you to use so you can check your referencing in your assessment. Be sure to fix any issues before submitting your final assessment.
5. This is an academic writing: use third person, do not use ‘I’
6. Make sure you use correct medical terminology within your assessment. 

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