Briefly discuss what the likely discharge planning education and allied health input (if required) would be needed for Mrs Cook.
Nursing Management of patientNUR251 Assessment 1: Case Study. Semester 2 2015
Description: Written assignment Focus: Nursing management of patient Length: 2000 words Weight: 40% Relates to objectives: 1-5 Due: Week 7 Monday 31st August 2015
Please address the essay criteria related to this case study in essay format. You may use appropriate headings to direct the reader. Use the suggested word count and weightings when addressing your criteria.
Essay Criteria: Case Study
Mrs Georgia Cook is a 39 year old lady who is day 3 post L) sided CVA. Three days ago she was suddenly unable to verbalise words whilst talking on the phone. Mrs Cook was found by her husband 30 minutes later and taken to the Emergency Department; he stated that she didnt seem to recognise him and was unable to move very much. On arrival she had dense R) sided hemiplegia was aphasic incontinent and displaying signs of agnosia. A head/brain CT scan revealed an ischaemic area no bleed was seen.
Medical History Mrs Cook is a maths teacher at a middle school she is mildly overweight on the oral contraceptive pill (OCP) has mild hypercholesterolemia Type II Diabetes Mellitus and had a cholecystectomy two years ago. Her medications include: OCP atorvastatin metformin and multi-vitamins.
Social History Mrs Cook is married to Tom and they have 2 young teenagers (Sommer 13 Damon 15); she is active in her childrens school committees and plays social netball twice a week.
Nursing Notes Overnight Mrs Cook received regular pressure area care. At times she appeared uncomfortable; paracetamol was offered and eventually given with good effect. She remains hemiplegic though RN Bronwyn (the morning shift nurse) thought she elicited a response from her R) hand. Mrs Cook is now showing signs of expressive aphasia but is frustrated++. An NGT is insitu and she is for dietician review ASAP as her weight continues to decrease. The speech pathologist will also have some input to assess her dysphagia. Her BSL and vital observations remain stable though patient hypertensive -150/88
Medications charted: Clexane S/C Aspirin 100mg Atorvastatin Ramipril multivitamins Omeprazole IV Metoclopramide N/Saline 8/24.
Currently Mrs Cook has an IDC insitu draining well. Her bowels have been loose and she has developed some redness to her perianal area. There is also some concern about mild pressure area at her r) heel. RN Bronwyn also voiced some concerns about unilateral neglect; the doctor will investigate this further today.
Mrs Cooks husband is handling the situation well as can be expected but is struggling with her condition and is worried about the future. When her children come in to see her they are unsure what to do or say. Often Mrs Cook is teary when they leave.
NUR251 Assessment 1: Case Study. Semester 2 2015
150 words
(Intro & Conclusion)
30 marks
Essay Criteria A: 100 words/5 marks
What sort of stroke has Mrs Cook had provide rationale for your answer
Essay Criteria B: 200 words/10marks
Discuss Mrs Cooks medication in relation to her condition. Is there any other medication you would add or withhold?
Essay Criteria C: 200words/10 marks
Is Mrs Cook at risk of developing Increased Intracranial Pressure (IICP)? Provide rationale for why/why not
What are the signs and symptoms of IICP and what nursing assessments would you conduct to identify this?
Essay Criteria D: 1000 words/30 marks
Highlight areas of concern (physical mental social emotional) throughout Mrs Cooks case study and discuss nursing management care and rationale for these.
Essay Criteria E 200 words/10 marks
Briefly discuss what the likely discharge planning education and allied health input (if required) would be needed for Mrs Cook.
Essay Criteria F: 150 words/5marks
What lifestyle choices or health promotion would you recommend to reduce the risk of someone developing a CVA? Provide rationale for your answers
Submission Outline:
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