Nursing Case Study Assignment (Doc)
Added on 2020-10-05
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Nursing Case study
Table of ContentsINTRODUCTION...........................................................................................................................1DISCUSSION..................................................................................................................................1PART 1............................................................................................................................................11.1 Interpretation of charts.....................................................................................................11.2 Relevant pathophysiology to Mrs Anthony’s abnormal results.......................................11.3 Nursing care plan for Mrs. Anthony.................................................................................2Evaluate a plan of care for adults presenting with acute health problems.............................3PART 2............................................................................................................................................4Inter-professional model of care for management of adults with acute health problems......4Pharmacological knowledge & principles in management of care for adults with acute healthproblems.................................................................................................................................4Legal and ethical considerations in caring for adults with acute health problems.................5Principles of quality, safety and risk management in caring for adults presenting with acutehealth problems......................................................................................................................6CONCLUSION................................................................................................................................7REFERENCES................................................................................................................................9APPENDIX....................................................................................................................................11
INTRODUCTIONNursing is a kind of medical profession in which a person have various role soresponsibilities towards patients and other relevant activities. A registered nurse utilise nursingknowledge and complex judgement to assess health needs and provide care to requiredindividuals. They may practices in variety of clinical contexts depending upon their educationaleducational preparation and practice experience (Chinn, 2011). Below mention report is based on case study of individual person named as Mrs. MarlaAnthony who is suffering from hypoglycaemia. This assignment will discus about roles ofregistered nurse in relation to consent & mandatory reporting. It also includes explanation forregistered nurse standards for practice along with impacts of these norms on roles of nurse(Doherty and Purtilo, 2015). The cultural, legal and ethical considerations for infants, children &young people along with framework to minimise heath issues by health promotion, qualitysafety, risk management are given below.DISCUSSIONPART 11.1 Interpretation of chartsAccording to reports of pathological tests of Mrs. Anthony, it is advice to monitor bloodglucose level (BGL) in every 4 hours so that appropriate steps can be taken immediately due toanalysed some abnormalities in the same. She is nil by mouth orally and not able to eat anythingcomfortably because of her weak or unstable situation. It is also interpreted that her regular urinetesting results: 53, 67, 27, 85, 101, 95, 76, 85 and 92. A device is utilising for draining urine onregular basis which is known as IDC that is Indwelling Urinary Catheter (Ogden, 2011). ThisIDC is inserted into bladder of Mrs. Anthony via urethra and remains in situ to drains urine. 1.2 Relevant pathophysiology to Mrs Anthony’s abnormal resultsThe hypoglycaemia is kind of health issue which can affect people with both Type 1 andType 2 diabetes and can be divided into two sections such as Fasting hyperglycaemia andpostprandial or after-meal hyperglycaemia. In case of Mrs. Anthony she is suffering from Type 2diabetes in which extremely high blood sugar can lead to potentially deadly condition in thatbody process sugar. It is known as hyperglycaemic hyperosmolar nonketotic syndrome (HHNS)1
in which urine may become dark and a patient get severely dehydrated. It is essential to changeregular eating habits to control sugar levels along with taking required medications on time(Coleman and et. al., 2012). Kind of hypoglycaemia can be determined by carrying out blood testor urine test of patient in an accurate manner to find out actual problems. Several earlysymptoms which can be observed are explained further – Impaired insulin secretion through a dysfunction of the pancreatic β-cellImpaired insulin action through insulin resistancePlasma insulin concentration is insufficient to maintain normal glucose homoeostasis.There are various kinds of medications which should be provided but patient have tochange habits and adopt healthy activities on regular basis to maintain sugar level to stay wellbeing. 1.3 Nursing care plan for Mrs. AnthonyIn case of Mrs. Anthony, she is suffering from hypoglycaemia in which fasting plasmablood sugar levels are less than 50 mg /%. Apart from this, she was admitted to emergencydepartment (ED) post multi-trauma of car versus tree at a high speed which results into severalproblems like, multiple fractures in both legs from impact, nil loss of consciousness, mild smokeinhalation from being trapped in the car for 15 mins, but no external burn injuries and nil knownallergies (Bauman And et. al., 2012). She needs an effective treatment including oxygenation andother requirements medications to make her stable. A nursing plan for Mrs. Anthony which involves several interventions:Check serum glucose before and after meals.Monitor: glucose, pallor, cold sweat, skin moist.Monitor vital signs.Monitor consciousness.Monitor sign of nerves, irritability.Perform oral administration of sweet milk 20 cc X 12.Analysis of environmental conditions that could potentially cause hypoglycaemia.Weight checks every day.Check for signs of infection.Avoid the occurrence of hypothermia.Collaborate provision of oxygenation.2
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