Nursing care- Nursing Assessment Help

Assessment Task:

Nursing care- Nursing Assessment Help

Scenario 

CASE: Mr Smith is a 35-year-old gentleman who presented to the Emergency Department with frank PR bleeding and mucous discharge for the last 7 days.  He also complained of loss of appetite, abdominal pain, multiple loose stools per day and malaise. He had painful decreased movement in the cervical vertebrae and mild joint pain in both knees. His blood screen showed Haemoglobin 107 Iron and Ferritin was low, raised leukocytes and he was CRP 22.  He was clinically dehydrated. On DRE there was fresh blood and mucous on the glove.  Mr. Smith was diagnosed 10 years previously with ulcerative colitis and was medicated with Azathioprine but did not continue to follow up with his gastroenterologist and ceased taking the medication after 2 years.  He had resumed smoking cigarettes as he had read it may be of benefit and insisted this worked better for him than medications. He was booked for an urgent colonoscopy the following day and admitted to the ward to be monitored and prepared for the procedure. Mr. Smith had no other known comorbidities and was active and employed full time.  He was taking Ibuprofen sporadically for the last 2 months for increasing joint pain. 

Ensure that you consider the following essential components 

• Analyse the symptoms that the patient in the scenario has presented with and identify further assessments and diagnostics that you would need to develop an appropriate care plan, what tools would assist to monitor the patient. Support your position with evidence.
• Examine nursing care required for this patient including procedure preparation and identify the priorities that you would consider in their care. Justify your answer using the current literature. 
• Evaluate the elements you consider highly relevant and necessary to include in an education session for a patient with this condition. Include pharmacological considerations as well as other general nursing care and discharge advice.

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