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case study of patient Frank Wright Assignment

   

Added on  2021-02-20

11 Pages1995 Words19 Views
Healthcare and Research
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Acute care
case study of patient Frank Wright Assignment_1

TABLE OF CONTENTSINTRODUCTION...........................................................................................................................1PART A ..........................................................................................................................................1Case analysis, Patient assessment and care priorities for first 24 hours post surgery ...............1Three potential clinical issues .....................................................................................................2Prioritized interventions...............................................................................................................2PART B ...........................................................................................................................................3Clinical issues related to co-morbidities......................................................................................3PART C ...........................................................................................................................................4Discharge plan ............................................................................................................................4CONCLUSION ...............................................................................................................................4REFERENCES................................................................................................................................5
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INTRODUCTIONClinical reasoning cycle is defined as the reasoning approach used by the nurses andhealth professionals to assure that using a well-defined and systematic process they can assessthe condition of their patients and effective care outcomes can be provided. The reasoningapproach not only assist in delivery of accurate clinical outcomes but also provides anopportunity to reflect upon clinical decisions (Goldsmith and et.al. 2017). The post surgery careis very critical and essential for the patients as it involves variety of clinical risks. Nurses must identify such risks and develop nursing interventions so that surgerycomplications can be addressed. The report will discuss the case study of patient Frank Wrightwho has undergone a complete knee replacement. It will give an analysis of nursinginterventions and issues so that post surgical care plan can be devised and quick patient recoverycan be assured. The study will also discuss the co-morbidities and discharge plan for patient aftersurgery. PART A Case analysis, Patient assessment and care priorities for first 24 hours post surgery The first step in the clinical reasoning cycle is to analyse the situation of patient and tocollect and process the necessary information. It helps health professionals to set well-definedgoals and objectives for the care strategy. Frank Wright is 76 year male who has been shifted toward after knee replacement surgery. Prior to the surgery patient had high blood pressure(140/95) with history of hypertension. However, after the surgery along with the otherparameters such as heart rate, respiration rate and blood pressure all are within normal range.The patient also had history of osteroporosis which makes bones very weak. Thus even aftersurgery he is required to be very careful. Post surgery patient is taking dose of Aspirin and morphine which are very reactive. Inaddition to this patient also had history of hypercholesterolemia. Thus, proper attention and caremust also be given to the food intake of patient so that there are not additional complexities. Inthe first 24 hours patient must be kept under regular monitoring so that infection risk, bloodclots, abnormalities in parameters can be identified. Along with the pain management nurses alsoemphasis upon the mobility issues and regaining of knee strength so that patient can bedischarged from the hospital at the earliest. 1
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Three potential clinical issues Frank Wright may face various critical issues affecting his health in the first 24 hourspost surgery. The foremost and most common issue is the infection risk. Post surgery it is quitecommon that individual may suffer from bacterial infection due to surgery (Artz and et.al. 2017).The individuals with bone diseases are more prone to such infections after total kneereplacement. The infection can be caused to other organs such as kidney, prostate or mouth andeven in knee which can remain undiagnosed for months and has higher mortality rates. Another clinical issue which may arise is the risk of blood clots or deep vein thrombosis(DVT) which can even block the normal blood flow. DVT after knee surgery can even occurwithin few hours of surgery as well as after few weeks (Rawal, 2016). Thus, it must beimmediately treated and reported. Though this clot has minor risk but if it travels and dislodgesto lungs or heart then it may cause potential harm to the patient. The third most common complication after knee surgery is the risk of pneumonia. Thesmoking habits and bacterial infections make individuals more vulnerable to the risk ofpneumonia. Frank Wright also has smoking habits as well as infection risk thus this complicationmust be monitored. Prioritized interventionsOn the basis of above assessment and clinical risks various nursing interventions areprioritized for Frank Wright. The nurses must monitor the skin integration or the skinsurrounding incision. It will help to analyse and detect any kind of infection at the initial stage.After surgery DVT has been one of the major risk factor for the patient and thus nurses mustassure that smoking and weight of the patient is managed (Devine and et.al. 2016). For thispurpose along with the family support nurses can also work in collaboration with psychologistsso that smoking habits can be controlled and DVT risk can be minimized. The continuous movement must also be encouraged by the nurses. Since risks ofpneumonia is very critical nurses and patient must observe the breathing pattern and coughissues. Nurses must provided breathing exercise education to patient so that pneumonia risk canbe managed. The multidisciplinary team including dietician and physiotherapists in nursing willassist in managing fall risks and infection risk due to medications. 2
case study of patient Frank Wright Assignment_4

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