NUR251 - Nursing Care of a Patient with Medical Condition - Mr. William Case Study - Nursing Assignment Help

Assignment Task

Assessment purpose Learning objectives
• Are developing the ability to locate, interpret, integrate, synthesize and apply nursing knowledge from NUR251 to a relevant nursing practice scenario in medical surgical
settings
• Are developing appropriate critical thinking, clinical reasoning and sound clinical decision-making processes and strategies essential for safe, evidence-based and competent nursing practice in medical surgical settings
• Are able to focus their attention to the needs of the individual patient as the key concern of nursing practice in medical surgical settings
• Are able to explain and justify or defend their nursing care decisions
• Have a developing understanding of the role and scope of practice of the registered nurse in the Australian health care context
• Are progressing towards the level of professional written communication required for nursing practice in Australia
• Are demonstrating ethical and professional practice by adhering to the University’s academic integrity standards and plagiarism policy

Case scenario
Identify: Mr William Blue, HRN: 123456, DOB: 26/01/1953
Situation: William (known as Bill) is a 68-year-old Indigenous man from a remote community in the NT. He has been admitted to the CDU medical ward with Acute Kidney Injury (AKI) secondary to dehydration. He has a 3/7 history of confusion, fatigue, decreased urine output, and decreased skin turgor. He has now been transferred to the CDU Medical ward for continuing care.

Background: Bill lives with his wife, his 2 adult children and 6 grandchildren in a single storey home. His wife is supportive and the family help where possible. He is usually independent with his ADL’s. He has an extensive past medical history including: T2DM (on insulin), HTN, Hyperlipidaemia, chronic kidney disease stage 3 (Baseline eGFR 40 ml/min/1.73m2), previous toe amputations due to diabetes and has a history of falls. No known drug allergies (NKDA). He is obese (BMI 30) he drinks 3 bottles of beer every night.

Assessment: Airway: Own, patent

Breathing: RR 23, O2 Sats 93% on RA.
Circulation: HR 62bpm, BP 95/65 mmHg.
Disability: GCS 14/15, he is drowsy and ‘wants to be left alone to sleep’.
Exposure: Temp 37.8 oC, BGL 3.9mmol/L
Bill looks unwell. He is restless and confused. His urine is dark in colour and offensive smelling. He has passed approximately 30 ml of urine in 6 hours. He had 2 x IVC’s inserted to both ACF’s and is not tolerating any food due to nausea. He last opened his bowels this morning and says it was ‘like liquid’.

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