Planning, Implementation, and Evaluation of Professional Nursing Care With Patient Case Study - Nursing Assignment Help

Assignment Task

Description:  
This assessment task allows students to demonstrate theoretical clinical knowledge around nursing assessment, the pathophysiology of factors impacting on clinical deterioration, planning of nursing care, nursing and medical management, and evaluation of care. Students are required to answer the case scenario questions provided.  
Students should attempt all questions in the case study:  
…You are a Graduate Nurse commencing your afternoon shift on a surgical ward. You have arrived in recovery to collect your patient, Mr. Yousef Kahil.  
• 72-year-old Male who has had a Hartmann’s procedure resulting in the formation of a colostomy.  
• Past Medical History: Newly diagnosed bowel cancer, hypertension, hypercholesterolemia, current smoker (20 pack per day), Chronic Obstructive Pulmonary Disease.  
• Nil Known Allergies.  
Question 1: Describe Hartmann’s Procedure including definition, indications, and complications.  Ensure you apply this discussion to Mr Kahil. 
You are handed over that the procedure went well with no complications. Mr Kahil was stable throughout the recovery period. His observations pretransfer to the ward are:  
• Alert and coherent  
• Temperature: 35.9 and warm on palpation 
• Pulse: 72 bpm and regular  
• Blood Pressure: 110/72mmHg (MAP 65mmHg)  
• Respiration: 16 bpm

Question 2: Review the above vital signs of Mr Kahil. Using your knowledge of the common causes of clinical deterioration in the postoperative patient; the state which likely reversible cause  (one of the 4H’s & 4T’s) Mr Kahil is experiencing and describe its pathophysiological cause resulting in Mr. Kahil’s deterioration. Ensure you include a discussion of the pathophysiology of the  reversible cause and link to the above vital signs

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