Professional Studies and Interprofessional Practices

Professional studies and inter-
professional practices

SECTION 1 Assessment and Actions
Immediate actions for patients
Assessment: In the present case situation a male patient who has been admitted for investigation
of seizures is found on floor. The patient was on floor before nurse entered room. The immediate
action in this scenario will be to detect consequences of fall. In this nurse will be engaged in
analyzing any urgent problem. In this they will be involved in controlling bleeding and airways.
If in any case situation fracture is been detected, then patient must not be moved and sharp
objects must be removed. If there is no sign of injury or obvious fracture, then patient must be
provided with assistance back to bed. If the person is lying down, turn them on their side, with
their mouth pointing to the ground. The water, food, pills must not be given if patient is not fully
aware. It will assist nurse in controlling saliva falling out of patient’s mouth, so that they can
breathe more easily.
Hypothesis: The hypothesis for these actions is that there are chances that a person may be on
floor because of seizures. It is necessary to stop falling saliva from patients mouth as nurses has
responsibility to make sure that patients breathing is fine. During a tonic colonic seizure, a
person may fall on floor because of it (Nunnery, (2019). This usually happens when the muscles
of chest triggers. So breathing must be appropriate. When the seizure will end the muscles will
be able to relax easily and by this the breathing will be able to resumed easily. It is also
necessary to provide adequate assistance to patient lying on floor. This is because if any kind of
seizure would have appeared, it can be frightening for patient. Nurses should also ensure that
they patient is safe once they have woken up. If there is a loss of consciousness, nurse should
check about how long it has lasted.
Actions and rationale: It is really necessary for nurses to make this type of immediate actions as
it will assist in enhancing wellbeing of patient. It has also been analyzed that if these necessary
steps are not being taken by nurses then wellbeing and quality of life of patients can be lowered
down (Maurício et.al., (2017).. The reason for not placing sharp objects close to patient is that
they can get injured and also other type of harm can be faced by them. It is also necessary to
provide them with adequate oxygen facilities, if breathlessness is being felt by patient. It is also
important to make sure that they promote airway clearance. This can be done by maintaining
lying position and also to loosen clothes of patients from their neck side. Once the patient
1

become conscious nurses is being engaged in improvising self-esteem of an individual as by
lying on floor because of any reason, this can frighten them so self-esteem must be improved.
SECTION 2 Prioritization
The order which will be followed for these requests made to nurses, will be as followed. It
includes following:
Patient 4: Mr Stavropoulos has been admitted for acute asthma. He is due for ventolin and
prednisolone at 0800. His BGL at 0700 was 4.6 mmol/l. It was being analysed that blood sugar
level is normal. So this decision is being taken by nurse to take Mr. at first. This is because the
signs and symptoms for their acute asthma can be managed. Main reason for taking him as first
is that acute asthma can be life threatening. It is a condition of severe asthma and can affect the
patients well-being conditions severely. Patient can lose their lives if not taken at priority. It has
also been analysed that immediate attention will be provided to patient 4 so that their well-being
and health outcome can be enhanced. It has also been analysed that for more adequate attention
nurse should also be engaged in informing their health care professional. This will assist them in
improvising quality of life of patient. Adequate and immediate attention needs to be given to
patient so that their well-being and health outcome can be enhanced and improved. This will
assist nurse in enriching quality of patient 4 life.
Patient 2: Mrs Walters will the first priority as she needs to get ready as soon as possible. One of
the reason for patient becoming first priority is that ANUM is been searching for pre-operative
checklist of Mrs. Walters. All the preparations related to operations is due and it will take place
within the period of half an hour. So this is first and foremost priority of nurse. In this nurse will
be engaged in making patient undergo various tests such as blood, x-rays which is necessary for
surgery. All the report is to be given to ANUM on timely basis which is really necessary to be
done. There are other various procedures which needs to be take place before surgery so Mrs.
Walter will become first priority (Hudacek, DiMattio & Turkel, (2017). Also, main role of nurse
in making patient go to surgery is to check that all necessary documents are been signed by
patients and other parties. All the chart needs to be filled before going to operations theatre.
There are various preparations that needs to be done like cutting down of patients nails and also
the preparation related to taking care of their hygiene condition is also needs to be done.
Patient 1: Mrs. Peterson requires assistance for removing the en-suite. She had suffered from
stroke and is also been marked at high risk of fall. So in the order of priority she will be in the
2