NURSING MANAGEMENT ASSIGNMENT.

Running head: NURSING ASSIGNMENT
NURSING ASSIGNMENT
Name of the Student
Name of the University
Author Note

1NURSING ASSIGNMENT
Criteria 1
An 81 year old female patient has been diagnosed with dyspnoea at the GP clinic as
stated by the patient that she is facing breathing issues when lying flat. The GP found crepes in
both of her lungs along with elevated jugular venous pressure. The GP suggested the
administration of oral Lasix as the patient found with normal renal function and vital signs
however, her respiratory function was not normal. Next day the patient has again been admitted
to the hospital as her condition did not improved and the medication process was not effective
for her at all. With time the patient was deteriorating and the visiting medical office (VMO) has
been attending her and suggested an X-ray and blood test. The VMO have acknowledged that the
patient has diarrhea and tender abdomen. Based on this diagnosis the VMO organised a
ventilation/perfusion (V/Q) process. The patient found to be dizzy and atrial fibrillation found to
be happening in the patient’s body after the V/Q process. Thus the V/Q process was highlighted
as inter-determinate by the VMO. The patient this point found to be refusing food or liquid
intake and complaining about her abdominal pain. Next day the VMO suggested mobilization for
the patient as the patient found as depressed and also anxious at this point of the diagnosis. Based
on the discharge note of the nurse it has been found that the respiratory rte of the patient was 28
to 30 and other vital signs are normal. At this point it has been found that the patient is
deteriorating with her health condition, immobile and with time she is developing back pain and
abdominal pain is getting higher as well. The development of the condition of the patient can be
related to the absence of the responsible doctor for her and it has also been seen that the doctor
could not be contacted in this point. On the other hand the respiratory rate of the patient reached
40 which is very high and she found with a tachycardia attack as well. Her skin was getting pale
and she has been feeling woozy. At this point a RN has been involved for the investigation of the

2NURSING ASSIGNMENT
condition of the patient and also the issues with the patient as well. The patient found with a
rising dizziness, abdominal pain (8/10) and her blood pressure was very low (89/53) along with a
very high respiratory rate up to 44 per minute. Hence, the RN organized a locum to observe the
patient. After this condition the RN involved an En for the patient as well. Next observation
highlighted that the patient’s diarrhea was getting higher and also the vital signs were not normal
as well. At this point the clinical nursing manager arrived and stated that the patient needs some
medication and thus she told the nurse to take the medicine from the drug safe of another patient.
After this the RN conducted an ISBAR for the patient in terms of the discharge plan and also the
transportation for the patient to a rural hospital. However, before the transport the on call doctor
arrived and inserted a large bore IV cannula in the patient’s body to sustain the diarrhea of the
patient. Ultimately next morning, due to septicemia the patient tragically died when the patient
was evaluated by the air evacuation team.
Criteria 2
Based on the above case description the patient was found vulnerable to many factors of
her health condition. However, there is no proper treatment was provided to the patient. On basis
of this description it can be stated that the patient was neglected in the process of treatment.
Based on the condition it can be stated that the case is highlighted with the issues of ageism that
is the discrimination based on the age of the patient (Kydd & Fleming, 2015). Hence, the context
it can be found that the negligence and also the mal practice of ageism has been conducted by the
clinical staffs here. On the other hand the ethics of care has also been breached in different times
as there is no proper observation of the patient, medication and also the process of the diagnosis
should be considerate about of the age of the patient. Thus it can be stated that the
discrimination, negligence and the ethics of care has been breached in this case scenario. On the