Ryan Kelter Spinal Cord Injury Case Study - Canadian Fundamentals of Nursing - Medical Sciences Assignment Help

Assignment Task

Ryan Kelter

Ryan Kelter is a 33-year-old male who has been admitted to a community rehabilitation unit. He was injured in a motorcycle accident that caused a spinal cord injury (SCI). As a result of the SCI, he cannot fully empty his bladder. Because of this, he needs to undergo straight catheterization q8 and PRN.

You are the practical nurse learner assigned to Mr. Kelter. You understand the importance of keeping Mr. Kelter on his bladder schedule to prevent a urinary tract infection. Upon reviewing the previous shift’s documentation, you see Mr. Kelter was last catheterized at 1500 for 450cc. It is now 2000, you have completed a head-to-toe assessment with vital signs on Mr. Kelter, and he now states that his bladder “feels full”. You review his orders and note the following:

Physician Order: Intermittent catheterization q8 and PRN for patient comfort.

You complete a PRN intermittent catheterization on Mr. Kelter for his comfort. Based on the previous shift’s nursing notes, you select a 14 French straight catheter for the procedure.

• Review the steps for intermittent catheterization (skill 43-2, page 1189). 

• Review legal guidelines for documentation (table 15-1, page 234), examples of criteria for documentation and reporting (table 15-2, page 240), as well as sample narratives (box 15-2, box 15-3 page 242, 244) 

• Consider the objective and subjective data collected below

• Complete a DARP-style documentation for the procedure you performed on Mr. Kelter. Please use the blank DARP word document provided and upload your DARP into the assignment dropbox on D2L by the assigned due date.

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