Remote Clinic Case Study - Nursing Assignment Help

Assignment Task :

Task:

Read the case studies below, choose only one of the following case studies to discuss, and answer all 4 of the questions listed below. You do not need an introduction or conclusion and headings are advised. You must use academic writing and reference your work using APA referencing. Your ISBAR may be presented in table format. Please do not use bullet points, instead use well-structured paragraphs.

Case Study 1 (Remote Clinic)

As the RN you arrive at the remote clinic at Wilcannia for your fortnightly visit, the population here is mainly Indigenous Australians and there is a high percentage of children in this community. It is normally quite a busy day.

The next patient you see is Ashanti, a 3 year old indigenous girl. Ashanti presents in the arms of her Mother with her Grandmother present. When asked about Ashanti’s chief complaint, her mother explains she has ‘had the runs for a few days and whatever I give her just goes straight through’.  Ashanti is lethargic and unable to walk. On examination you observe Ashanti to have cracked lips, a dry tongue, sunken eyes and looks very unwell. You ask when she last passed urine and you are told ‘it has not been for a day or so’.

Questions:

1. Discuss your A-G assessment on this patient, identify signs of deterioration and clearly state if the patient requires a clinical review or rapid response as per Between the Flags (BTF). Justify your decision with data from the case and relevant support.

2. Document a succinct and accurate ISBAR handover in verbal script format (eg. Hello, my name is...)

3. Considering the assessment findings, prioritise and discuss the immediate nursing management of the patient

4. Succinctly discuss the ongoing management of this case and integrate the relevant members of the interdisciplinary team

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