Nursing Management of Patient with Witnessed Fall: A Case Study

Assessment

Table of Contents
INTRODUCTION...........................................................................................................................1
MAIN BODY...................................................................................................................................1
Deviation from normal finding...............................................................................................1
Additional information that required by nurse.......................................................................2
Pathophysiological issue........................................................................................................2
Two nursing diagnosis that need intervention and nursing management...............................3
Pharmacokinetic of prescribed medication in ED..................................................................3
Nursing management of prescribed medication in ED...........................................................5
Patient education and long term and short effect of medicine...............................................6
CONCLUSION................................................................................................................................7
REFERENCES................................................................................................................................8

INTRODUCTION
Nursing management is defined as the performance which consist of quality that is about
leadership in order to manage the function of governance and make proper decision within
workplace to resolve the issue of nurses as well as patient. It suggests the best way to improve
the patient outcome with the help of proper support and care. It includes process that is common
to all management such as planning, organising and staffing, directing and controlling (Chang
and et. al., 2018). As per this, it is also analysing that the nursing management manage the
condition of patient by providing proper education and care to the patient with may be related
with term of medicine or whether self-management that improve their health as soon as possible.
In this report, discussion is based on patient named Mrs. Shopie Joseph which is 85 years old
women was admitted to ED at 1800 with the history of witnessed fall. There vitals sign such as
157/77mmHg show the indication of hypertension whereas heart beat is 128 beat per minute
which higher than normal beat per minute which is evaluated as 72 to 80 beat per minute.
Although, the investigated are used to made which is based on abnormal activity as per test and
screening where proper diagnosis and management is used for the improvement within Sophie.
The nursing agenda is well used which may develop education such as drug interaction effect of
medication which is used (Cornwell, Wilhelm, and Leary, 2019).
MAIN BODY
Deviation from normal finding
As per the case study, it is well analysing uncertain fall has been happening with Shopie
that admitted in emergency ward. She was found on the floor by her son. The condition is critical
because Shopie is unable to walk and due to fall that affect the walking. It is well noted she had
multiple burnishing over her left arm and show the proper laceration that is noted on left lower
arm. There is some condition which show the deviation from the normal range which may
accelerate the chronic condition of patient. In addition to this, the medication is used in order to
prevent the condition that affect the function and prolonging condition of illness. The abnormal
things which is well noticed within case study that is blood pressure which is 157/77 mmHg
which is showing situation of hypertension where the blood pressure is higher. Whereas, it is also
evaluated that the heart rate of Shopie is higher that affect physiological function of body.
Therefore, respiration rate is also enhancing from 16 per minute to 28 per minute. Overall the
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situation is arising due to condition of hypertension that tend to change the overall function of
body (Dengler and et. al., 2020).
In addition, the slight investigation is used to taken which is associated with the artery and
vein of location where laceration is take place to ensure the condition of vein of left arm. X ray is
also used to in order to diagnose the bone which is generally fracture due to fall that is uncertain
and unidentified. It is also recommended that there is various factor which may render condition
of health of Sophie. Therefore, deviation which is evaluated with respect to case study is well
acknowledge hypertension, enhanced heart rate and other that is abnormal and affect health of
individual (Khan, Ekeoduru, and Tariq, 2018).
Additional information that required by nurse
In such cases, the initial additional information that nurse ask for that the height or ways
Shopie fall, and after that the site of pain and what other complication she must observed. In
addition, the nurses known the site of injury and pain. As according to proper, nursing diagnosis
and management they used to manage the condition that affected the comfort of Shopie. The site
of pain is essential to regulate pain management without it, it act as barrier for treatment and in
order to prescribe suitable medication. In this case study, the initial medication is prescribed as
per examination of body and injury majorly laceration and after this nurses require to known
about the incident and site that is predominantly affected. These question are well essential as a
nurse to show the proper concern regards with the Shopie and their situation which affect their
health. It is important for nurses ask such question which is related with and minimise the risks
of consequence that enhance chronic state of patient (Lambert and Goldman, 2018).
Pathophysiological issue
The Pathophysiological issue which is analyse within the case study is usually uncertain fall and
injury that create pain. Therefore, in depth study of injury or laceration in term of
pathophysiology of acute illness and injury well recognise the three main effector, infection,
trauma and ischemia reperfusion injury. Each of them is act initially by itself or showing the
combination with each other in order to develop the inflammatory reaction syndrome that is well
generalised in the morbid events. The laceration show deep injury skin are usually tear and due
to this sometime vine or artery is damaged that affect the overall function of blood vessels.
Shopie require bandage and instant support to cover the area of site of injury to avoid excessive
bleeding (Lambert and Goldman, 2018).
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