Case Study A Naomi Bowling is an 80-year-old woman admitted to a Sub-acute hospital ward from home. She presented to hospital today with a 10 day history of nausea, vomiting, diarrhea and decreased mobility. Naomi lives with her husband of 55 years, both are retired teachers. Naomi normally walks with a walking stick. Her husband helps with cooking and shopping.
On assessment: BP 95/56, Pulse 118, Respiratory Rate 24, Temperature 37.7. Her mucous membranes were dry and her skin turgor was delayed.
Case Study B Ron Marking is an 88 year old man admitted to the Rehabilitation Unit. Ron was brought to hospital by his daughter today. He presented with an 8 day history of coughing, fever, headache and decreased mobility. Ron voiced problems with eating and has not opened his bowels for 4 days. Ron lives with his daughter and her family (husband and two young children). She helps him with activities of daily living. Ron has an unsteady gait, and walks with a 4 wheelie walker. He is a retired Church Pastor.
On assessment: BP 125/70, Pulse 105, Respiratory Rate 28, Temperature 37.8.
Using the chosen case study, you will need to discuss all the questions below.
Part One: Critical Reasoning (1200 words)
Discuss factors to consider when obtaining health assessment data from the patient. Content should include, but not be limited to, factors such as age, sex, and culture (400 words).
Discuss risk assessments which you will undertake for this patient and give rationales for the choice of your assessments (400 words).
Discuss the implications of hospitalisation on the patient/family and significant others and how to overcome them (400 words).
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