Mrs. Connie Brownstone is a 79 year old women admitted to the Emergency Department (ED). Connie was brought into the ED by her daughter with a one-day history of fluctuating shortness of breath/dyspnoea unrelieved by medication.
Triage Nurse Assessment:
Due to her respiratory distress, Connie was triaged as a category 2, as per the Australasian Triage Scale, and brought directly from the waiting room into a HDU monitored cubicle where you are the ED nurse allocated to her care (Department of Health and Aging, 2009). Oxygen of 6L/min was applied via the Hudson Mask.
Cubicle Nurse Assessment:
FBE Within normal limits
Urea & Electrolytes Within normal limits
C-Reactive Protein Within normal limits
Blood Cultures Pending
Troponin Within normal limits
Chest XRAY Hyperexpanded lungs, no consolidation or effusion
Arterial Blood Gas (ABG) pH 7.48, PaO2 60, PaCO2 30, HCO3 24 (Respiratory Alkalosis)
Normal ABG Ranges pH 7.35-7.45, PaO2 85-90, PaCO2 35-45, HCO3 22-26
Student are expected to use the Clinical Reasoning Cycle (Levett-Jones, 2018) as a framework to plan and evaluate person-centred care. You are being asked to think through the case scenario and then discuss how data was collected and the type of data collected, identify problems and nursing issues, identify and state the objectives and discuss how care was provided in order to address the issues and evaluate the interventions carried out: (analyse and identify a nursing issues/problems/needs, set objectives, discuss the nursing interventions and evaluate the interventions of care carried out). As per lecture notes, students are expected to apply the clinical reasoning cycle to address the case scenario:
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