Mrs. Kimberly Carey a 42 year-old-female, was admitted this morning to the surgical ward, where you are working
Mrs. Kimberly Carey a 42 year-old-female, was admitted this morning to the surgical ward, where you are working as a Registered Nurse (RN). Her admission notes outline that she was admitted to the ward for management of acute cholecystitis whilst waiting for her scheduled laparoscopic cholecystectomy. Kimberly is a mother to two primary school aged children and works part-time as a librarian at the National Library of Australia. Kimberly has a supportive husband, Bob, who works in the Australian Public Service with the Australian Taxation Office. Kimberly is a practicing Jehovah’s Witness. Kimberly has a medical history of diagnosed asthma, anxiety and obesity (current BMI is 30 kg/m2). Kimberly was noted to have been feeling anxious about her surgery pre-operatively, specifically outlining concerns regarding difficulty performing usual caring role, work commitments and changes to body image due to scaring. The laparoscopic cholecystectomy has concluded and, following a four (4)-hour operation, she has returned to the Surgical Ward. The Post-Anaesthetic Care Unit (PACU) RN is currently providing you with a clinical handover and informs you that Kimberly required an open cholecystectomy for a gangrenous gallbladder. You review the surgical site with the PACU RN and you note a surgical wound to her right sub-costal region that is closed with staples and covered by a clear Comfeel® dressing. You note that the dressing is intact with a small amount of blood along the incisional wound. There is also an Exudrain®, on suction, from the surgical site. Kimberly currently has a Fentanyl PCA insitu and is receiving intravenous fluid therapy. The PACU RN informs you that Kimberly received a total of 80mcg of fentanyl in PACU before the PCA was commenced. Kimberly is also receiving supplemental oxygen therapy via nasal prongs at 2 litres/min. She is drowsy but rouses to your voice and describes pain at her surgical site as 8 out of 10. Kimberly’s husband (Bob) expresses concern about her drowsy condition and is asking you whether it is normal to have so much fluid collecting in the drain. Vital sign observations on return to ward. HR: 107 bpm NIBP: 92/63 mmHg RR: 21 breaths/min SPO2: 97% @ 2lpm via NP T: 37.3 ⁰C Medications charted on the NIMC (National Inpatient Medication Chart). Flixotide 100mcg inhale BD. Ventolin 5mg inhale PRN/QID. Fentanyl PCA 10mcg/mL IV, bolus dose 20mcg with lockout time 5min. Enoxaparin 40mg S/C Nocte To commence DAY 2 post-operatively. Cephazolin 1g IV TDS. response to the case study that demonstrates critical analysis of the given clinical data, use of the nursing process to prioritise your approach to nursing care, and synthesis of these points into a holistic, person-centred care approach that is relevant to the post operative phase of a perioperative patient. Your response must: Identify one (1) nursing priority for each of the following areas in relation to the case study: (i) pain, (ii) wound, (iii) elimination, and (iv) patient education, Identify and describe any comprehensive nursing assessments you would undertake to develop a nursing plan of care that addresses the four (4) nursing priorities identified, Outline a rationale for undertaking each of those nursing assessments identified, including reference to any additional assessment findings you would seek to identify or questions you would ask. Students are encouraged to take into consideration the person’s demographics, history and pre-operative health issues when discussing their approach to assessment, and Discuss recommendations for ongoing care including interventions and collaboration within the interdisciplinary team to address the nursing priorities identified. Please present your responses to the questions using structured paragraphs. It is recommended that you paraphrase the question in your opening topic sentence. Headings can be used to support the student in addressing the requirements of the assessment. If headings are included this will count towards the overall word count of the assessment. In text citations must be used throughout your responses, following APA 7th edition requirements. A reference list should be placed at the end of the document encompassing all sources cited in your responses and following APA 7th edition requirements. You must include a list of references at the end of your submission. You will be assessed on the use of evidence-based practice guidelines and contemporary peer reviewed academic literature.
Collepals.com Plagiarism Free Papers
Are you looking for custom essay writing service or even dissertation writing services? Just request for our write my paper service, and we'll match you with the best essay writer in your subject! With an exceptional team of professional academic experts in a wide range of subjects, we can guarantee you an unrivaled quality of custom-written papers.
Get ZERO PLAGIARISM, HUMAN WRITTEN ESSAYS
Why Hire Collepals.com writers to do your paper?
Quality- We are experienced and have access to ample research materials.
We write plagiarism Free Content
Confidential- We never share or sell your personal information to third parties.
Support-Chat with us today! We are always waiting to answer all your questions.
