country
$20 Bonus + 25% OFF
Securing Higher Grades Costing Your Pocket? Book Your Assignment at The Lowest Price Now!

Complex Area In Nursing: Case Study

tag 169 Downloads5 Pages / 1,234 Words tag Add in library Click this icon and make it bookmark in your library to refer it later. GOT IT

Question:

Sonia is a 36 year old involved in a motorcar accident (MCA) on her way home from work Friday night. Her medical diagnoses are:

L Pneumothorax (ICC inserted)

Lacerated spleen

L shaft of femur

Suspected internal bleeding not identified during surgery.

Sonia:

• Has had a general anesthetic and a laparotomy with repair of the liver laceration.

• Was infused with 4 units of whole blood during surgery

• Has an epidural line for analgesia.

• Has an indwelling urinary catheter in situ

• IVT 8/24

• O2 via facemask delivered at 8L/min

• GCS 15

• Vital signs currently stable

Explain in detail the assessments you would implement over the shift to identify if she is bleeding internally and her condition deteriorating so you could quickly inform medical staff.
 
 

Answer:

Complex Care in Nursing

Sonia is a working lady who is 36 years old. She has met a motor car accident on her way home from work Friday night. Immediately has been admitted to a hospital by local people. After examining her, the doctor decided to operate her injury immediately. Her medical diagnoses were L Pneumothorax, Lacerated spleen, L shaft of femur. During the operation, the internal bleeding was not recognized. At that time her condition was very critical. She has had a general anesthetic during operation and a laparotomy with repair of the liver laceration. Because of her internal injury she was infused with 4 units of whole blood during surgery. She had an epidural line for analgesia and had an indwelling urinary catheter in situ. Because of her critical condition oxygen is delivered to her via face mask at 8L/min. Glasgow coma scale (GCS) is a neurological scale by which the consciousness of a patient can measure. And the resulting points score between three and fifteen. Here resulting score for Sonia is fifteen. So the level of consciousness is improved slowly.

She is provided intravenous therapy eight hours in a day for her unconsciousness. And it is noticed that her condition is improved by the time and the vital signs were stable. After examining her condition the doctor said that “she is now out of danger.” Sonia was transferred from Operation Theater to the intensive care unit ward. Now the responsibility comes to a nurse to take care of her immediate after the operation. The nurse is well known about the condition of the patient and it is her duty and responsibility to check her health improvement as well as response to medication. Sonia is now in a better condition but the nurse cannot take any risk about her health. The nurse should check her saline bottle in a specific time interval and the medicine which is prescribed by the doctor should be given timely. It is also very important that the doctors are immediately informed of the abnormal condition of the patient. The nurse should not leave the patient for a minute because she is just operated and she has several internal injuries. The nurse should be very attentive towards the patient (Cognet and Coyer, 2014).

 

The entire care of Sonia is the responsibility of the nurse. The nurse can consult with the doctor if she wants. While leaving the shift the nurse should give full information about the condition of Sonia so that the second nurse should be able to handle her condition. Without delay the nurse should inform the specialist physician (inform hepatology doctor if the problem related to the liver or pulmonary doctor if problem related to lungs or the surgeon). So the nurse should be aware of all this and if the specialist doctor is not present at the hospital then they should call the doctor immediately and consult with the doctor about her present condition (Godfrey, Parten and Buckner, 2006). After that, the advice which is given by the doctor should be maintained. Intensive monitoring is needed for a critical patient (Le et al., 2014). The nurse should have knowledge about the electrocardiogram because the electrocardiogram monitoring is needed for a critical condition patient after the operation (Spahn et al., 2013). The heart rate is detected by the alarm to reduce the risk. The hemodynamic stability for a critical care patient is determined by heart rate and rhythm. The nurse should check the temperature because the change in temperature is not good for a post operative patient. The change in temperature enhances the chance of infection (Rastegar, 2005). The nurse should check the blood pressure at a specific time intervals. Most importantly the nurse should maintain a flow sheet to record the report of a patient for a specific time interval. When the doctor will come it is the responsibility of a nurse should inform each and every details of a patient (Rossaint et al., 2010). Considering this report the doctor will decide if she needs more care or change in medication dose or change in therapy. So it is clear a night shift nurse has much more responsibilities to maintain. Hygiene is very important for a post operative patient. The bowel function is monitored by the nurse. The contamination during handling is avoided. Post operative care by nurse is an important role to reduce the life threatening risk of a critical patient.

Sonia has just been operated and transferred to the intensive care unit ward and her internal bleeding was not recognized during the surgery. When she was admitted to emergency ward the doctors diagnosed her external injury. Because of the internal bleeding the nurse should maintain an extra care of her. The internal damage was not recognized externally by the nurse. There are various symptoms that help in recognizing the internal hemorrhage (Willey, 2005). The restlessness of the patient is an important sign for internal bleeding. Anxious expression, weak pulse, moist skin, cold, sighing respiration, thirst, increasing pallor, falling temperature and longing for fresh air are the symptoms for recognition of a internal bleeding of a patient (Mongin-Bulewski, 2011). These vital symptoms should be checked the nurse every minute and the nurse should inform the doctor immediately if any mentioned sign is observed.

 

References:

Cognet, S. and Coyer, F. (2014). Discharge practices for the intensive care patient: A qualitative exploration in the general ward setting. Intensive and Critical Care Nursing, 30(5), pp.292-300.

Godfrey, B., Parten, C. and Buckner, E. (2006). Identification of Special Care Needs. Dimensions of Critical Care Nursing, 25(6), pp.275-282.

Le, H., Khankhanian, P., Joshi, N., Maa, J. and Crevensten, H. (2014). Patients Recovering From Abdominal Surgery Who Walked With Volunteers Had Improved Postoperative Recovery Profiles during Their Hospitalization. World Journal of Surgery, 38(8), pp.1961-1965.

Mongin-Bulewski, C. (2011). Bleeding risk assessment and management in patients with AF. Nurse Prescribing, 9(8), pp.370-372.

Rastegar, D. (2005). Fumbled Handoffs. Annals of Internal Medicine, 143(7), p.542.

Rossaint, R., Bouillon, B., Cerny, V., Coats, T., Duranteau, J., Fernández-Mondéjar, E., Hunt, B., Komadina, R., Nardi, G., Neugebauer, E., Ozier, Y., Riddez, L., Schultz, A., Stahel, P., Vincent, J. and Spahn, D. (2010). Management of bleeding following major trauma: an updated European guideline. Critical Care, 14(2), p.R52.

Spahn, D., Bouillon, B., Cerny, V., Coats, T., Duranteau, J., Fernández-Mondéjar, E., Filipescu, D., Hunt, B., Komadina, R., Nardi, G., Neugebauer, E., Ozier, Y., Riddez, L., Schultz, A., Vincent, J. and Rossaint, R. (2013). Management of bleeding and coagulopathy following major trauma: an updated European guideline. Critical Care, 17(2), p.R76.

Willey, J. (2005). Internal Bleeding. Clinical Nurse Specialist, 19(3), p.161.

OR

Cite This Work

To export a reference to this article please select a referencing stye below:

My Assignment Help. (2016). Complex Area In Nursing: Case Study. Retrieved from https://myassignmenthelp.com/free-samples/complex-area-in-nursing-case-study.

"Complex Area In Nursing: Case Study." My Assignment Help, 2016, https://myassignmenthelp.com/free-samples/complex-area-in-nursing-case-study.

My Assignment Help (2016) Complex Area In Nursing: Case Study [Online]. Available from: https://myassignmenthelp.com/free-samples/complex-area-in-nursing-case-study
[Accessed 28 May 2020].

My Assignment Help. 'Complex Area In Nursing: Case Study' (My Assignment Help, 2016) <https://myassignmenthelp.com/free-samples/complex-area-in-nursing-case-study> accessed 28 May 2020.

My Assignment Help. Complex Area In Nursing: Case Study [Internet]. My Assignment Help. 2016 [cited 28 May 2020]. Available from: https://myassignmenthelp.com/free-samples/complex-area-in-nursing-case-study.


MyAssignmenthelp.com is the pioneer of providing top-quality essay help at an affordable price. With the strength of 3000+ qualified and experienced experts, we are competent of providing best quality essay assistance in more than 100 subjects. Students, who wonder, 'who can help me with my essay' find our online essay help services beneficial and useful. Contact our 24x7 live customer support team to get high-quality essay writing help at an affordable price.

Latest Management Samples

MGT5STR Strategic Management 3

Download : 0 | Pages : 27
  • Course Code: MGT5STR
  • University: La Trobe University
  • Country: Australia

Answer: Introduction Telstra is one of the largest and leading telecommunication and information service organization, and it’s also one of the largest internet service provider and mobile operators. The company offers its services mostly at home and at a business with core access, local, mobile and internet services, as well as long-distance telephone call services around Australia (Philip, 2000). Telstra Corporation Limited is the Aust...

Read More arrow

MKT230 Market Research For Government And Local Authorities

Download : 0 | Pages : 11
  • Course Code: MKT230
  • University: Charles Sturt University
  • Country: Australia

Answer: Background to the research problem It is certain that not all tourists have the same taste in terms of the location and the quality of services. As they could belong to different regions, they could be of different age groups and earn different income as well as have different tastes and preferences to live their lives in a particular manner. As put forward by Jaafar et al., (2011) the tourists have different choices when it comes to se...

Read More arrow

HR9405 Managing People At Work For Appropriate Theories And Techniques

Download : 0 | Pages : 12
  • Course Code: HR9405
  • University: Newcastle University
  • Country: United Kingdom

Answer: Introduction Managing an organisation can be a challenging task for most managers. This is mainly because managers need to take into consideration various factors while managing an organisation. These challenges can be internal as well as external and the abilities of an individual as a manager are tested in these circumstances. For example, in terms of external issue, the managers face challenges from the business environment. The th...

Read More arrow

MRKT20052 Marketing Management And Digital Communications 2

Download : 0 | Pages : 2

Answer: Background of Ingogo Organizational analysis Ingogo offer taxi booking and payment services to their specified consumers and drivers. It also offer mobile app to their driver and business consumers . It is established in 2011 Mascot, Australia. Industry definition Organizations that offer many kinds of travel services like travel agencies, tour operators, internet reservation, and travel industry report (Ingogo, 2018)...

Read More arrow

BUSN20019 Professional Project For Incidence Of Leave Taking Among New Mothers

Download : 0 | Pages : 20
  • Course Code: BUSN20019
  • University: Central Queensland University
  • Country: Australia

Introduction Background of the Study The employee force that is existent throughout the world require leaves and holidays in order to take some rest and get their mind of the job and refresh themselves. The employees even require leaves due to health issues and therefore it is the responsibility of the management of the companies to construct plans with the help of which the employees would be receiving a definite number of leaves within a part...

Read More arrow
Next
watch

Save Time & improve Grade

Just share Requriment and get customize Solution.

question
We will use e-mail only for:

arrow Communication regarding your orders

arrow To send you invoices, and other billing info

arrow To provide you with information of offers and other benefits

1,321,585

Orders

4.9/5

Overall Rating

5,075

Experts

Our Amazing Features

delivery

On Time Delivery

Our writers make sure that all orders are submitted, prior to the deadline.

work

Plagiarism Free Work

Using reliable plagiarism detection software, Turnitin.com.We only provide customized 100 percent original papers.

time

24 X 7 Live Help

Feel free to contact our assignment writing services any time via phone, email or live chat.

subject

Services For All Subjects

Our writers can provide you professional writing assistance on any subject at any level.

price

Best Price Guarantee

Our best price guarantee ensures that the features we offer cannot be matched by any of the competitors.

Our Experts

Assignment writing guide
student rating student rating student rating student rating student rating 5/5

184 Order Completed

96% Response Time

Arapera Billing

Masters in Management, MMgt

Wellington, New Zealand

Hire Me
Assignment writing guide
student rating student rating student rating student rating student rating 5/5

203 Order Completed

97% Response Time

Richard Alpert

PhD in Psychology

London, United Kingdom

Hire Me
Assignment writing guide
student rating student rating student rating student rating student rating 5/5

234 Order Completed

100% Response Time

Samantha Ji

PhD in Chemistry with Specialization in Organic

Singapore, Singapore

Hire Me
Assignment writing guide
student rating student rating student rating student rating student rating 5/5

1592 Order Completed

96% Response Time

Jane Sima

Ph.D in Psychology with Specialization in Industrial-Organizational Psychology

Singapore, Singapore

Hire Me

FREE Tools

plagiarism

Plagiarism Checker

Get all your documents checked for plagiarism or duplicacy with us.

essay

Essay Typer

Get different kinds of essays typed in minutes with clicks.

edit

GPA Calculator

Calculate your semester grades and cumulative GPa with our GPA Calculator.

referencing

Chemical Equation Balancer

Balance any chemical equation in minutes just by entering the formula.

calculator

Word Counter & Page Calculator

Calculate the number of words and number of pages of all your academic documents.

Refer Just 5 Friends to Earn More than $2000

Check your estimated earning as per your ability

1

1

1

Your Approx Earning

Live Review

Our Mission Client Satisfaction

hi need to rework it again not good I need irac for each issue separately and not a single paragraph like this. Each issue one paragraph with the rule and application together and then a simple conclusion. I need an overall introduction and overal...

flag

User Id: 406230 - 28 May 2020

Australia

student rating student rating student rating student rating student rating

Excellent WORK, very informative, right to the point and comprehensive. really the assignment made by expert

flag

User Id: 155603 - 28 May 2020

Australia

student rating student rating student rating student rating student rating

Got credit, just a few issues with grammar and more of the descriptive style essay rather than the argumentative to battle ideas from both points of view.

flag

User Id: 142499 - 28 May 2020

Australia

student rating student rating student rating student rating student rating

Everything was up to the mark. satisfying services. i am contented with the work. the services were great

flag

User Id: 415989 - 28 May 2020

Australia

student rating student rating student rating student rating student rating
callback request mobile
Have any Query?