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Case Scenario

Identification

Mr. Hassan Faizan, 62 years old.

Situation

Hassan is here in the emergency department due to pain.  Current pain score is 8/10. 

Hassan’s wife Farah and one of his sons are in the waiting room; they are stressed.

Background

Allergies: - nil

Medications: lipitor, atenolol

Past history: hypertension, elevated cholesterol

Last ate & drank: 2 days ago, due to nausea

Events:

Suffering right sided flank pain for two days

Hassan’s weight is 130kgs. Hassan is married to Farah aged 58 years. They have two sons who live nearby and visit regularly. Farah and their son are worried as they do not understand what is happening. 

Assessment

Temperature = 38.0°C

Pulse rate = 116 beats per minute, capillary refill = 3 seconds

Respiratory rate = 26 breaths per minute

Blood pressure = 115/70 mmHg

Oxygen saturation = 96% on room air

GCS = 15

Hassan’s current pain score is 8/10, localising to his right flank and radiating to his groin region. He is diaphoretic, grimacing, and crying intermittently. The urine is blood stained. The pain has been low to moderate intensity for several days, at midday the pain intensity increased dramatically. 

The family are stressed as they do not know what is wrong with Hassan and suspect the worst. Hassan and Farah were born in Iran and moved to Australia 6 years ago. They are both fluent in conversational English but have only moderate English reading skills.

 

Part 1.

Using the information in the ISBAR handover to answer the following questions.

Conduct a focused assessment of the neurological system.

What information from the case scenario informs the neurological assessment?
What information do you need to complete the neurological assessment?
What neurological system investigations are required for this patient?
If the function of the neurological system has changed, why?

 

Conduct a focused assessment of the respiratory system.

What information from the case scenario informs the respiratory assessment?
What information do you need to complete the respiratory assessment?
What respiratory investigations are required for this patient?
If the function of the respiratory system has changed, why?

 

Conduct a focused assessment of the cardiovascular system.

What information from the case scenario informs the cardiovascular assessment?
What information do you need to complete the cardiovascular assessment?
What cardiovascular investigations are required for this patient?
If the function of the cardiovascular system has changed, why?

 

Conduct a focused assessment of the renal system.

What information from the case scenario informs the renal assessment?
What information do you need to complete the renal assessment?
What renal investigations are required for this patient?
If the function of the renal system has changed, why?

 

Conduct a focused assessment of the gastrointestinal system.

What information from the case scenario informs the gastrointestinal assessment?
What information do you need to complete the gastrointestinal assessment?
What gastrointestinal investigations are required for this patient?
If the function of the gastrointestinal system has changed, why?
SCIENCE
HEALTH SCIENCE
NURSING
NUR MISC

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