Nursing Shock Case Study

School of Nursing ASSESSMENT COVER SHEET Student Name(s): JAYA SHREE BHURTEL Student No.(s): N9580689 Note: If this is a group assessment submission, please list the student name and numbers of all group members in the above box. Unit Name: Integrated Nursing Practice 3 on Campus Unit Code: NSB 236 Due Date: 22nd September 2017 By 8:45 PM Lecturer’s/Tutor’s Name: Dr. Naomi Tutticci Tutorial Day/Time: Monday 11am-13pm Assessment No. 1 Assessment Title: The Deteriorating Patient: Case Studies (Hypovolemic

DOI: 10/3/2014.Patient is a 61-year-old right hand dominant male trailer driver who sustained injury to his right shoulder and right wrist while he was cranking a landing gear when it swung back and hit him in the arm. Per OMNI, he was underwent a right shoulder hemiarthroplasty on 05/18/15. Per the medical report dated 03/10/16, the patient was prescribed with ibuprofen 800 mg as needed. Patient was also advised to massager the left elbow with Voltaren gel and to engage in home exercises and

Analysis of Disease: Septic Shock Septic shock, a potentially lethal drop in blood pressure due to infection, is not completely understood even with the progress made in science and medicine throughout the years (Heuther & McCance, 2012). It is one of the most common causes of death in the intensive care unit (ICUs) in the United States of America each year, with a mortality rate of 28 to 60 percent (Heuther & McCance, 2012, p. 632). Septic shock is most commonly caused by bacteria, often gram-positive

Patient is a 55-year-old male assembler who sustained a work-related cumulative trauma injury on 4/3/2012 to his neck, wrists, hands, fingers, upper extremities, right shoulder, nervous system, and sleep. Per OMNI, he was diagnosed with cervical spine sprain/strain; right shoulder/arm sprain; right shoulder rotator cuff tear and labral tear; right elbow lateral epicondylitis; right wrist sprain; carpal tunnel syndrome; and constipation. Electrodiagnostic testing Report dated 05/12/15 showed bilateral

hypotensive, tachypnoeaic, had an oxygen saturation level of 88% and was becoming confused and drowsy. It became apparent that Lily had become hypovolaemic. The hypovolaemic shock seen in this patient was of a particular critical nature due to the fact that her dialysis treatment had moved her rapidly through the first two stages of shock with her compensatory mechanisms failing very quickly (Tait, 2012). It was also much harder to identify the early signs of

intervention. I recognise there are other elements to the Surviving Sepsis Bundles, however due to word limitation; the focus will be on fluid intervention. The essay will be written as a Case Study format. To maintain patient confidentiality any identifying features have been removed in keeping with the Nursing and Midwifery Council (NMC) Code of Professional Conduct (NMC, 2008) the patient will be referred to as Mr X. Mr X was an 80-year-old male admitted to ITU, from the Medical Assessment Unit

and aetiology. Whilst looking at the deterioration post operatively, again assessing the pathophysiology and nursing management that will be undertaken regarding the new patient condition. It will then be suggested that an interdisciplinary approach be taken to the patients care and justification of this method and referral to other healthcare professional will be reviewed. The case study given outlines the patient, Janet Jackson a 40 year old single mother of 3 with the condition and diagnosis

Evidence-based practice (EBP) is at the epitome of our nursing profession. In situations such as working on a critical care unit, the use of EBP is not only necessary to ensure safe management and appropriate care of our patient's, but to also ensure the proper maintenance of life. Through examining the research available concerning the circulation aspect of the A-E assessment (i.e. Airway, Breathing, Circulation, Disability and Exposure); it has become apparent that there has been a significant

After reading the case study, I believe groups Mrs. Osaki might identify with would include senior citizen, mother, grandmother, women, caregiver, Japanese America, immigrants, Asian Americans, widow and groups who share the same cultural and personal beliefs. Mrs. Osaki’s national origin, language, gender, social class, culture, size and location of the community interact with each other. Mrs. Osaki’s national origin interacts with her language. She spoke Japanese because she lived in Japan. This

ASSIGNMENT # 1 1. Adam Smith, 77 years of age, is a male patient who was admitted from a nursing home to the intensive care unit with septic shock secondary to urosepsis. The patient has a Foley catheter in place from the nursing home with cloudy greenish, yellow-colored urine with sediments. The nurse removes the catheter after obtaining a urine culture and replaces it with a condom catheter attached to a drainage bag since the patient has a history of urinary and bowel incontinence. The patient