HLTENN011 : Implement and Monitor Care of a Person with Acute Health Problems – Health Assignment Help

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Assignment Task :

Scenario – Mr Jason McFarlane

I:  Jason is 17 year old male

S: Presented to the accident and emergency department after a motor vehicle accident (MVA). An X-ray confirmed a fractured right (R) tibia and broken ribs. He also has concussion from a head injury sustained in the MVA.

B: Jason has no significant medical or surgical history. He has an allergy to Morphine.

Social History (SHx):

• Lives at home with mother, step-father and siblings.

• Recently completed high school, waiting to hear if he has a place in university

• Recently obtained his driver’s licence

• Has a girlfriend Lucy

• Spends a lot of time playing computer games, is not very physically active.

A: Jason is 88kg and 172cm in height. Current vital signs Resp 28, O2 Sats 97% on room air (RA), BP 130/85, HR 110, Temp 37, and pain 6/10.

R: Jason is scheduled to have surgery to repair his fractured tibia, an open reduction and internal fixation (ORIF). He needs to be prepared for surgery planned this afternoon.

Question 1 

Outline your nursing actions for preparing Jason for theatre. Include in your answer:

What information is required to complete a pre-operative checklist, what nursing assessment should be completed, what education/ information would you give to Jason and his family?

Question 2  

What is the current best practice in the prevention of venous thrombosis (VTEs) following major surgery? 

 

Question 3  

Outline the difference between elective and emergency surgery.

Question 4

Jason has returned from Theatre after having an ORIF (R) tibia, repaired under spinal anaesthesia. Outline what the immediate post-operative care would be when Jason returns to the ward. Discuss the enrolled nurse’s responsibilities of caring for a patient on return to the ward post anaesthetic.

Question 5

Two hours after being admitted to the ward, Jason complains that the analgesia does not seem to be working.  

a. What assessment could you do to determine Jason’s pain? 

b. What would you do in the situation that Jason’s pain is not relieved? Who do you notify? 

c. What are some non-pharmacological methods that can be used to help with Jason’s pain?

Question 6

A percutaneous indwelling central catheter (PICC) has been inserted into Jason for long term IV antibiotics and for fluid maintenance. What is the role of the enrolled nurse to prevent infection of the site and in the management of IV fluids?

Reference required

 

 

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