Nursing Assignment: Case Study Analysis of F Davis

Running head: NURSING ASSIGNMENT
CASE STUDY ANALYSIS F DAVIS
Name of the student
Name of the university
Author note

1NURSING ASSIGNMENT
Introduction
According to Davis Boykins (2014), family centered or patient centred care are care
strategies that includes patient and their families as a primary stakeholder of care and then
depending on their healthcare priorities, provide healthcare interventions. Nursing priorities
are categorizing the healthcare complications of the patients so that depending on their
healthcare complications, interventions could be applied (Pelletier & Stichler, 2014). Hence,
according to Kieft et al. (2014), application of priority based nursing interventions help
nursing professionals to include person centred or family centred care as a holistic approach
of care.
Similar case would be discussed in this paper, as Mr Davis (25) has been admitted to
the healthcare facility after a severe motor injury. This paper would prioritise two problems
in the health condition of patient and then depending upon the identified problem, SMART
goals would be developed, so that effective care could be provided to the patient. Finally,
with proper justification, two nursing interventions would be developed for Davis so that his
health condition could be improved.
Two nursing priority for Davis
As mentioned in the case situation, Davis, a 25 year old boy has met an accident and
due to severe injuries in his leg and fractures in Mid shaft femur and proximal tibia, he has
been admitted to the emergency department of the healthcare facility. Upon admission, it was
seen that the patient developed low blood pressure and tachycardia, as per Gulati (2016),
which could be the result of hypovolemic shock that arise due to the severe blood loss and
fractures/injuries that occurred in his accident. Further, the patient rated his pain in the pain
scale as 7/10 and hence, the patient was provided with morphine so that his pain could be
controlled. Hence, after complete assessment of Davis’s health condition, two nursing

2NURSING ASSIGNMENT
priorities that should be selected for the healthcare of patient would be associated with his
severe fractures and associated lower blood pressure. As mentioned in the case study, after
accident, patient’s leg were stuck in between his vehicle for a long time and hence, severe
mid-shaft femur and proximal tibia fractures occurred. Further, due to this the patient
underwent severe blood loss and consequently, his blood pressure dropped. As per El Ayadi
et al. (2016), this is a severe condition as due to hypovolemic shock he has dropped his blood
pressure and due to this, his heart rate has increased abnormally to meet the oxygen
requirement of his body. Hence, tachycardia was also observed after the ECG related
diagnosis. Further, it was also noted that the pulse rate of patient has also increased and it is
noted as 105 pulse per minute and hence, proper intervention and nursing care should be
provided to the patient. The care plan that should be developed for this nursing problem
should be inclusive of healthcare interventions for his pain and blood pressure (Kogan,
Wilber& Mosqueda 2016). As mentioned in the case study, the patient was provided with
morphine and after administration of morphine, the pain score reduced to 4 from 7/10.
Therefore, the developed care plan has been demonstrated below:
Assessment: complete assessment of patient’s fracture would be conducted and with
complete observation of fracture and nearby areas, the blood loss rate would be assessed.
This would hence help the nursing professionals to understand the diagnosis method that
should be conducted for the complete assessment of patient’s condition.
Diagnosis: the nursing diagnoses that would be conducted for patient condition
assessment would be associated with MRI of the fracture area, with X-ray imaging and
scanning of the associated bones so that the degree of fracture and associated complications
could be assessed.