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I: Fei Hong is a 70-year-old female.

S: Fei was recently diagnosed with bowel cancer and an open colectomy with stoma formation was completed on her one (1) day ago. Fei has a nasogastric tube (NGT) insitu and is fasting. She will commence NG feeds later this shift after review by the surgical team. Fei has an ileostomy and has been assessed as being MRSA+, requires contact precautions for all nursing care.

B: Medically, Fei Hong has some hearing and sight impairment, and wears glasses and bilateral hearing aids, but is on no regular medications, other than PRN (as required) pain relief. 

Socially, she lives with her daughter Yu Yan, son-in-law George and their children – three-year-old twins – and Yu Yan’s 17-year-old son Jason from a previous relationship. 

Fei Hong has no other extended family as she immigrated to Australia 16 years ago to help her daughter raise her son. She speaks little English and is Buddhist. 

A: Fei Hong’s current observations are: 

Temp 36.1
BP 105/68
Respirations 18
HR 64
Height: 156cm
Weight: 46kg. 
BMI of 19
Pain 4/10

Fei states that she is anxious about recovering from surgery and how to care for her stoma. 

R: continue post-operative care, two (2) hourly observations, assess, monitor, and treat pain, and gentle mobilization. One person assists with ADLs

 

1. Fei has a history of hearing and sight impairment, she wears glasses and has bilateral hearing aids. Discuss how these conditions may affect the care you provide to Fei. Consider safety precautions and communication in your response

 

2. You are reviewing Fei’s nursing care plan and note that the physiotherapist has ordered that Fei mobilizes with a walking stick. Fei is very unsteady when using the walking stick and tells you she feels like she is going to fall and is scared to use it. Describe how you will manage this situation. Who should you discuss the situation with?

SCIENCE
HEALTH SCIENCE
NURSING
NURS CHCDIS007

 
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