Mr Peter Case Study – Importance of the Nursing Care – Nursing Assignment Help

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Assignment Task :

This is an academic essay, requiring students to discuss the needs of the pre-operative/ post-operative, general surgical patient.

HACN 3 Surgical Case Study – Todays date and time: 10/3/20, 1300

PLEASE READ THE CASE STUDY INFORMATION AND ASSIGNMENT INSTRUCTIONS CAREFULLY, BEFORE YOU BEGIN.

Preoperatively:

Identity – Mr Peter Thompson, DOB 3/3/56

This is Mr Peter Thompson, he is a 64-year-old man. He has NKA (Nil Known Allergies). He lives at, 5 Park Tce, Alberton, South Australia.

Situation – Mr Thompson has a two day history of increasing abdominal discomfort. He has not had his bowels open for 5 days. He presented to emergency department this morning, at 0800, due to his increasing abdominal discomfort. He also reported having no appetite, feeling nauseous, fatigued and lethargic.  Investigations in the ED revealed a small bowel obstruction.

Background – Mr Thompson lives alone. He has two supportive children, a daughter Hanna, who is 30 years old and a son Thomas, who is 28 years old. His wife, Cheryl, of 44 years passed away 5 weeks ago following a prolonged battle with cancer. Mr Thompson had worked as a store manager but resigned from work, in the final months of his wife’s life, to stay home and care for her.

Assessment – Mr Thompson is admitted to your ward with acute abdominal pain. His diagnosis, a small bowel obstruction, requiring surgery tonight. (A possible complication from previous bowel surgery, following a traumatic abdominal injury. Peter sustained this injury, as he was involved in a car accident (MVA- multi vehicle accident) 15 years ago).

On arrival to the ward, you take his nursing history and admission. In doing so you conduct a top to toe assessment, including vital signs. Mr Thompson’s vital signs are stable, except for an increased respiratory rate. Vital signs are HR 70bpm, regular, BP 140/75, Resps 24bpm, Sa02 98% on room air, Temp 36.6 degrees Celsius. Mr Thompson feels nauseated and has a pain score of 5/10. His abdomen is firm to palpate and distended. He is sitting in a semi fowler’s position, in bed. Mr Thompson has a naso gastric tube insitu. It is on free drainage. A small amount of yellow/green fluid has drained.

Part A – PRE-OPERATIVELY: 600 words (approximately, this is a guide only)

1. Please describe and evaluate, (hence use the literature to assess the importance) the care Mr Thompson will require to prepare him for theatre, including – documentation, nursing care and patient education.

Part B – POST-OPERATIVELY – It is important Mr Thompson’s post-operative care is thoroughly planned. To do this, please: 

2. Identify and validate the care Mr Thompson requires in the first 4 hours, on his return to the ward. To validate the care required, please use the literature to support and describe the importance of the nursing care you have identified. So why is this nursing care important to the patient’s well-being? Consider his presentation, which is described in the post-operative handover (ISBAR details), including his vital signs. In your description of your post-operative care clearly determine and justify the nursing care Mr Thompson requires, on the ward. 600 words (approximately, this is a guide only)

3. Please identify the documentation tools you will use and evaluate their importance. 300 words (approximately, this is a guide only)

4. Post-operative education is very important. Please identify and discuss the post op education you will provide to Mr Thompson, in these first four hours Mr Thompson is back on the ward. 250 words (approximately, this is a guide only)

 

 

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