The DeteroRATing Patient Table of Contents: Issues and Concerns
Added on 2021-02-20
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THE DETERIORATING PATIENT
TABLE OF CONTENTSOutline the issues and concerns...................................................................................................1Discuss assessments and interventions appropriate for this client with rationale, ensure youstay relevant to your clinical area and are culturally safe ...........................................................1Care plan and provide a rational for each nursing action............................................................2Personal Evaluation of progress...................................................................................................3REFERENCES................................................................................................................................5
OutlinetheissuesandconcernsIn regard to the concerns, the blank expressions and absent mindedness while saliva wasdrooling from his mouth are directly indicating towards the ailing conditions. His erraticconditions of heart and his ailing age would also increase the time of recovery (Kutzleb, Duran& Flynn, 2015). It also requires to understand that he was brought top the hospital after collapsewhich shows poor oxygenation levels and signs of fatigue and weakness. The vital signsrecorded in the early hours of morning defines the flags in terms of acquiring the nearby placesof normal range. For instance, the BP levels is also above the normal range and thus, it has alsoincreased the deteriorating levels of Orkins.Moreover, the issues involve Orkin's strength component where its upper and lowerextremities in the right side comes under 3/5 and the upper and lower extremities on the left sidefor 4/5. With the GCS of 13, it was shown that he is undergoing mild levels of coma and must begiven assistance while conducting tasks or performing daily chores. Despite this, the patient wasreluctant in attending to the needs of personal hygiene and it might be due to the presence offemale nurse (Webster, Ekers & Chew-Graham, 2016). This also led to know the discomfort hefelt while being at hospital. Rationale for assessmentsandinterventionsThe process for conducting assessments included about role of professionals like nursesand general practitioners to know the reason behind the collapse (Arakaki, Uehara & Gushikawa,2016). It shed light on noting down about medication including diamicron of 80 milligrams to betaken daily, simvastatin of 20 milligrams in evening and amlodipine of 5 milligrams in morning.In addition, it also highlighted the admission time when he was observed overnight. It includedabout his unresponsive attitude for brief time, went to use wash rooms twice and absence ofbowels. However, later in morning, he looked little lost and was lying on the right side in slumpyway. He also had slurry speech and saliva was drooling which signifies towards the absentmindedness. Alongside, urine odour was prevalent and was strongly presented. Here, the rationale includes conducting interventions that is beneficial to nursing, it wasseen that primary and secondary assessments are important to include. For e.g. his heart rate isnormal as 98 bpm. The oxygenation levels is nearby the normal levels between 95 and 100 %and has been recorded as 93 % that clearly defines the poor blood oxygenation. Additionally, thenurses easily take stats and maintain cordial relations to know the progress. For instance,1
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