Health Measures for Adult Nursing

INTERMEDIATE
SKILLS FOR ADULT
NURSING

Table of Contents
MAIN BODY...................................................................................................................................3
INTRODUCTION.......................................................................................................................3
MAIN BODY..............................................................................................................................3
CONCLUSION...........................................................................................................................6
CASE STUDY 2..............................................................................................................................6
Introduction.................................................................................................................................6
Main Body...................................................................................................................................6
Conclusion ..................................................................................................................................8
REFERENCES................................................................................................................................9
.........................................................................................................................................................1

MAIN BODY
INTRODUCTION
Adult nursing which is also known as general nursing is the nursing and care taking for
the people who are above 18. In adult nursing the health and caring in terms of their physical
health, their mental health, emotional health and etc. are taken under account. The proper therapy
is given to the adult through taking the consultation and advices from the himself and from his
families. The job of adult nursing comprises of various tasks and duties, some of the duties may
include writing the plans and records in relation with the patient health, giving the instructions of
junior staff, Framing out the operational plans and much more. The essay is upon a case study
which has been provided. In that essay the steps or the measures which suppose to take in the
situation provided has been given along with the ways in which the whole scenario can get
handled properly.
MAIN BODY
According to the case study provided initially, there was a patient by name Harry who
was admitted to the hospital with his GP attendance. Initially it was taken as a chest infection.
Later after some more deep research it was found out that Harry was diagnosed with acute
bronchopneumonia. Acute Bronchopneumonia is a sub type of pneumonia. In this the person
suffers from chest plan, mild or high fever, cough, difficulties in breathing and a type of bacterial
infection (Hall and et al., 2018). Immediately Harry was transferred to ward for the further tests
and treatments. After performing all the tests and examination it was found that he has an
Oxygen saturations of 85% upon 2 litres and has the body temperature of around 39 degree C.
His blood pressure was 110/60mm Hg, pulse rate were 125 beats in a single minute along with
the 32 breathes per minute. This calls out for the SBAR escalation. SBAR stands for Situation,
Background, Assessment and Recommendation. The situation through which the patient is
suffering gets examined and analysed properly. In the case with Harry, the current issues like
low breathing, chest pain, low blood pressure and fever (Henry, 2019). All these current
symptoms or the issues were examined. Later the history was asked from Harry about his period
from which he had his this problem. In the history it was concluded that this is the very first time
Harry is experiencing such symptoms. This means that these bacteria has developed new in his
body. After that Assessment was given to nurses with regard to the medication he will be most

suitable for. The assessment should be such that it does not provide any side effect and must cure
the patient illness. At last the recommendation is provided to Harry. In the recommendation the
course of treatment and the medication which he needs to take is given to him. With all these
results coming from the tests or examination a set of medications was provided to Harry. In that
medication chart Harry was recommended with 2 litres of Oxygen which either can provide to
him through nasal or through mask. Apart from this the medicines name by Amoxicillin 500mg
and paracetamol 1g was also written for him which he needs to take 3 and 4 times a day
respectively (Jollis, and et al., 2018).
Bronchopneumonia is a fungal infection which is caused when the virus or the bacteria
gets inside of the lungs. This disease is contagious and has the ability to get spread to some other
person who comes in the close connect to the infected person. The condition of the infected
person commonly gets better in the hospital settings. The hospital environment or the settings are
set up in such way that the patient gets better and treated in time. As mentioned the bacteria gets
inserted in lungs causing a damage to both the lungs. Slowly but steadily the respiratory systems
of a person gets affected as soon as the bacteria starts. The test for this diseases can get examined
from X rays where the infection in the cheat can get determined, CT Scan, complete blood
count, Pulse oximetry and the like.
According to the Case study provided after giving the stated medication to Harry, it has
been found out that after the 6 hours of shifting harry to ward his health condition started to get
deteriorating. He was sweating a lot and became Pyrexia. He produces the noise very time he
took the breathe. His breathing was very heavy and rapid. It was also noticed that his
tachycardia gets increase and the pulse got very weak compared to earlier record. He felt more
lethargic (Kochar and et al., 2018). At this difficult situation, necessary steps need to get take so
that lives of Harry can get save or to save his health from getting more worst. At this situation
the ABCDE approach can help the nurses in handling the situation in a much better way. This is
an approach which helps in providing the necessary emergent treatment to the patient.
A stands for Airway. The mount organs and opening get checked by the nurses or the
doctors. In this the doctors access the patient air flow in his lungs, expansion of his chest and
checks for the adventitious sounds make by the chest such as stridor or through pleural rub. As in
the case with harry he had a difficulty in taking breath in. His respiration rates was 32 breath in