Assessment about Pancreatitis 2022

Case 1 Pancreatitis 1
Case 1 Pancreatic
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Case 1 Pancreatitis 2
Introduction
Assessment is an essential component of practice in nursing, that is required for the general
planning and provision of the centered care for the patient and the family. The role of a nurse
according to the Nursing and midwifery Board of Australia in the national competency standards
for the registered nurse is conducting a comprehensive and systematic nursing assessment,
consultation with the people/ groups including interdisciplinary in planning care and effectively
responding to clinical situations that are ever changing. The case of choice is case 1 pancreatitis;
that of Mr. John who has been admitted to the emergency department. With his medical
condition and the medical history, it will be possible to perform systematic assessment and
identify priorities of treatment. After that, a discharging plan will be formulated for the patient
that properly aligns with the framework of the social justice.
Systematic assessment
CNS (Central nervous System)
Document any differences between the assessments of the right and the left limb, the movements
inn both the leg and the arms. There should also be checking the size of pupil, the shape and its
reaction to light. The need for the vital signs; the changes in the vitak signs suggests that there is

Case 1 Pancreatitis 3
a deterioration in the brain. The pater of respiration gives a clear evidence if the functioning of
brain. Alterations in temperature may suggest that there is a dysfunction in the hypothalamus or
the stem of the brain. As the intracranial; pressure increases, the blood pressure increases too. An
increase in pulse rates at first is because of the compensatory mechanism, and it exhibits a
reduction due to elevated intracranial pressure (Hanson et al., 2016). Size, mobility and the shape
of the head should be observed, measure the circumference of the head, over the most prominent
skull bones for instance occipital and frontal bones. Inspection of the spine as you look for
dimples, limbs, hair, midline or deformities. A review on medical history should be carried out
regarding the attainment of developmental milestones including the onset of regression or
progression. Have in mind also attaining rolling, crawling, walking sitting and development of
language and other related practices (Louveau et al., 2015). You could then observe the tone,
posture, spontaneous and controlled movement, movement ad strength coordination.
CVS (CENTRAL VASCULAR SYSTEM)
This involves evaluation the cardiac output and includes inspection which involves examination
of the circulatory and hydratory status of upper and lower extremities. Existence of edema
(whether centrally or peripherally. Status of hydration including oral mucosa and the anterior
fontanels. Palpation is meant to identify pulse rate for both the central and peripheral, the volume
and the rhythm of the condition including diaphoresis and turgor. Auscultation of the apical
pulses for consistency- there should be a similarity between the rate and the rhythm.
Auscultation of the chest should be meant to determine any abnormal heart sounds and murmurs.

Case 1 Pancreatitis 4
The blood pressure reading for Mr. John is ideal and healthy since it is 100/60. It is also
considered optimal and thus he is not at a higher risk of getting cardiovascular diseases.
However, the RNN would advise that he avoids taking foods that would in any way cause an
increase in blood pressure since there are higher possibilities of increasing the blood pressure
especially at optimal (Austin et al., 2016). Mr. John has a normal resting heart rate and therefore
any assessment on the same will reveal that his heart rate is normal. The oxygen level saturation
suggests normalcy. A normal oxygen saturation levels ranges between 95- 100%. It then
suggests that he is less likely to suffer from hypoxemia. Cardiac sound will be determined
through stethoscope and identify the kind of the sound produced by the heart (Salamini et al.,
2016). An abnormal cardiac would suggest abnormality of the heart and thus at higher risk of
developing complications.
Respiratory assessment
the renal system assessment included all aspects of elimination of urine. Inconsistence, frequency
and the pattern f urination all factors to be considered. The skin conditions, diet and fluid
restrictions is among other factors of consideration.
Respiratory distress may because any other conditions including respiratory illness. Assessing
the security of the conditions of respiration includes the history, the onset and the duration of
symptoms for instance shortness of breath and coughing, identify the triggers to the situation
(whether it is the pollen or dust). Make general observations regarding the appearance of the
patient for example alertness, orientation. Additionally, you should observe the color (whether it
is pink flushed) it is also important to determine the respiratory rate depth and the rhythm. The
rhythm would be fast or slow, regular or irregular. The depth of the breath could be deep,
shallow or normal. There will be use of accessory muscles like intercostal, substernal retractions