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NRSG370 Clinical Integration Speciality Practice

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Question:

Students will complete a case study, which discusses the provision of ethical, legal, evidence based, holistic person-centred care including the establishment of realistic and relevant goals through the theoretical examination of a particular nursing specialty case study using the Clinical Reasoning Cycle (Levett-Jones, 2013).

Ms. Melody King presented to the Emergency department with 2-3 days of severe Right Lower Quadrant abdominal pain, which required emergency laparoscopic surgery for removal of a ruptured appendix.

She has a past medical history of asthma and depression, with her current prescribed and compliant medications list which includes:

  • Ventolin
  • Seretide
  • Sertraline

Melody’s observations were as follows:

  • BP 95/45mmHg
  • HR 120
  • Temp 38.3°Celcius
  • RR 22/min and shallow
  • SpO295% on room air

She complained of increasing nausea and centralised abdominal pain 7-8 on a scale of 0 to10. Physical assessment showed a distended abdomen and generalised abdominal guarding. To investigate her condition further, pathology results reveal a raised white blood cell (WBC) count and CRP.

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