A 61yr old female patient (Mrs. Chalk) presented at the Emergency Department with dyspnoea.

A 61yr old female patient (Mrs. Chalk) presented at the Emergency Department with dyspnoea. She claims that she has been having difficulty breathing for the past 3 days. It gets worse when walking up stairs and unloading groceries form the car.

Your initial assessment of Mrs. Chalk is her inability to complete sentences, moderately obese and has an unsteady gait.

Physical assessment: BP 145/89 mmHg RR 24/min SaO2 93% with a distended neck veins and productive cough.

From the above information and your knowledge of normal parameters

Identify the likely impact of Mrs. Chalk’s condition

Discuss the likely nursing interventions to manage Mrs. Chalk.

Identify 2 actual and 2 potential problems relating to his condition

Based on Mrs. Chalk’s unsteady gait, what assessment document is required to be completed and what services will be required to be provided to comply with organisational policies and procedures (500words)

Task 2

Mr. Percy is a 45 yr. old policeman who has presented to your ward with a provisional diagnosis of prostate cancer. He has been referred by his GP. He lives with a flat mate and works up to 60 hrs per week including overtime. He does not smoke but does enjoy a social drink. Mr. Percy also experiences difficulty when emptying his bladder and suffers with retention of urine, this then leads to UTI.

Explain the anatomical position of the prostate.

What are the implications of Mr. Percy’s problem?

Once the specialist has seen Mr. Percy, he is taken to theatre for Trans Urethral Resection of Prostate a (TURP), on return to the ward state the care of the patient.e.g.Bladder Irrigation. (300 words)

Task 3

Miss Jallopi a 25yr old female presented to A&E having taken 16 Paracetomol and 32 Ibuprofen. This worked out to be 8 g of Paracetomol. She was asymptomatic on presentation, having been brought in about an hour after ingestion after her father realized she had ingested a large amount of tablets. On examination there was evidence of deliberate self-harm. She had a history of overdose with a previous attempt at 17yrs of age, was on Fluoxetine, however her GP was in the process of changing her prescription and she had been without medication for about three days.

State the signs and symptoms of Paracetomol poisoning

How would the A&E department manage an overdose on admission

Within 2 hours of admission, what would be the required treatment for Miss Jallopi.

What other health care service will assist Miss Jolllopi. With her ongoing Care. (500 words)

Task 4


 

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