Prioritization of Health Issues Case Study

PRIORITIZATION OF HEALTH ISSUES: CASE STUDY ON JIM COOPER (MORNING SHIFT)
PRIORITIZATION OF HEALTH ISSUES: CASE STUDY ON JIM COOPER (MORNING SHIFT)
Name of the Student
Name of the University
Author’s Note

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PRIORITIZATION OF HEALTH ISSUES: CASE STUDY ON JIM COOPER (MORNING SHIFT)
Table of Contents
Part One......................................................................................................................................2
Identification of five patient health issues.............................................................................3
Three health issues given highest priority..............................................................................3
Part Two.....................................................................................................................................4
Ranking the health issues in order of priority........................................................................4
Rank one.................................................................................................................................4
Rank two................................................................................................................................5
Rank three..............................................................................................................................5
Part Three...................................................................................................................................5
References..................................................................................................................................8

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PRIORITIZATION OF HEALTH ISSUES: CASE STUDY ON JIM COOPER (MORNING SHIFT)
Part One
A sixty eight year old patient named Jim Cooper was transferred to respiratory
medical unit from the emergency department during the morning shift. Post receiving the
handover, potential risk factors need to be identified along with careful assessment of his
health complications. Identification of the warning signs along with prioritization of the
health issues is a vital task as the registered nurse on duty in the morning shift so as to check
the deterioration of health along with limiting the potential risks along with providing the best
possible care to achieve optimal health outcomes for patient, Jim Cooper.
The patient vitals were analysed and on evaluation with the normal ranges, the
following critical issues were noted.
Body Vitals Normal range Patient Readings Remark
Heart rate
60 and 100 beats per minute
(bpm)
118 bpm Elevated heart rate
Rate of
respiration
12 to 20 breaths per minute 36 breaths/min High rate of respiration
Oxygen
saturation
95%-100% 88%
(RA– 93%; 2L O2
NP)
Impairment of the gas
exchange, Low oxygen
saturation
Blood
pressure
120/80 mm Hg 146/92 mmHg Increased blood
pressure noted
Temperature 36 ̊C to 37 ̊C 38 ̊C oral Hyperthermia
Auscultation Loud and high pitch of
bronchial breath sound over
Scattered wheeze
in both the lung
Obstruction in the

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PRIORITIZATION OF HEALTH ISSUES: CASE STUDY ON JIM COOPER (MORNING SHIFT)
trachea is considered normal fields airway pathway
Diagnostic test results
Spirometr
y
FEV1 at 50% predicted
CXR Lower left lobe consolidation
ECG Sinus tachycardia
ABGs
pH 7.32 and PaCO2 55mm Hg and PaO2 70 mm Hg and HCO3
25mmol/L
FBC Hemoglobin 142mmol/L, WBC 13.8x109/L
U&Es
Urea level 11.3mmol/L,
Creatinine level 75 μmol/L,
Na level 133 mmol/L,
K level 3.7mmol/L,
Cultures
Bacterial culture of sputum and urine. Pneumococcal antigen
found
Community acquired pneumonia has being diagnosed
Identification of five patient health issues
The five health issues of the patient that require nursing attention includes the
following.
i. Impairment of the gas exchange
ii. Wheezing cough and obstructed airway
iii. Hyperthermia
iv. Hypercholesterolemia