Paper on Integrated Nursing Practice
Added on 2020-02-24
9 Pages2114 Words107 Views
Running Head: Integrated nursing practice Integrated nursing practice Name of the StudentName of the University Author Note
1INTEGRATED NURSING PRACTICEIntroductionThe paper deals with the case study of Jim Cooper, a 67-year-old male an emergencydepartment patient transferred to respiratory medical unit. The assignment addresses the part oneof the case study that is the morning shift. The paper aims to identify the five patient healthissues that can be addressed by nurse as per scope of practice. The three health issues that are ofhighest priority will be discussed along with rationale supported with the current literature. Thepaper will outline the nursing role in addressing the top three priority patient health issuesidentified from the case study. The health issues will be addressed using assessment,coordination of care and provision of care.Identification of patient health issuesWhen Jim was presented to the respiratory unit, the past medical history reported ofproductive cough and shortness of breath that is more than usual. He has been to GP for oral ABand has been reported to face difficulty in caring for himself recently. He was experiencingtrouble in sitting in chair for past few nights. As per the past medical history, Jim was diagnosedwith COPD, 5 years ago, and in addition, reflux and hypercholesterolaemia were mentioned inthe past medical history. Based on the assessment, the vital signs include heart rate of 118 beats/min, respiratory rate of 36 breaths/min, SpO2 88% RA – 93% 2L O2 NP and BP 146/92 mmHgand temperature 38 ̊C oral. The auscultation report showed scattered wheezes throughout bothlung fields. The case details recommend on treatment with oxygen, IV fluids, IVAB,Prednisolone and physiotherapy.Based on the above data collected, the five health issues of the patient identified are-
2INTEGRATED NURSING PRACTICE1.Risk of increased cough due to ineffective airway and COPD 2.Troubled breathing related to shortness of breath 3.Risk for increased anxiety and depression due to social isolation4.Risk of infection in the respiratory tract 5.Exacerbation of COPD due to alcohol consumption These five health issues are chosen as they can be addressed by the Out of the five patient health issues, the three priority issues are-1.Troubled breathing related to shortness of breath 2.Increased cough due to ineffective airway and COPD3.Risk of infection Priority health issuesHealth issueRationale1.Troubled breathing related to shortness ofbreath This is the priority nursing issue and it needsto be addressed immediately as it may lead topatient death due to low oxygen. Impairedgaseous exchange leads to the incompleterelease of carbon dioxide. This leads totrapped air and increases the shortness ofbreath, which increases blood pressure,increases tightness in chest and tachycardia. Ifuntreated it will make the patient fatigue andweak. Untreated dyspnea will increasesignificant imbalance between carbon dioxideand oxygen and consequently death (Burt &Corbridge, 2013). Therefore, this healthissue is ranked 1 for nursing intervention 2.Increased cough due to ineffective airwayand COPDIneffective airway clearance increases thecough, and sputum production. If thiscondition is left unattended, it will increasethe difficulty in breathing and weakness.
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