Scenario – Mr George McFarlane I: Mr
Scenario – Mr George McFarlane I: Mr George McFarlane is a 53year old Male. S: George has presented to hospital yesterday after he fell while getting out of his truck. The X-ray on admission showed that George has sustained a compound fracture of his right ankle, which required an open reduction and internal fixation (ORIF) to repair. Surgery was completed this morning and George has returned to the ward from the Operating theatres 2 hours ago. B: George’s past Medical History (PMHx) include: Type ll Diabetes needing close management. Records BGL daily Osteoarthritis in L) Knee Allergy to Penicillin Social History (SHx): Married for 5 years to Yu Yan, who is of Chinese heritage. She speaks English well. Has a 26 year old son from a previous marriage, who has depression and uses illicit drugs. The son visits occasionally. Lives with his wife and 3 year old twins from his current marriage. One twin has a developmental disorder. His 17 year old step son also lives with the family. Occupation: Long Haul truck driver, often isolated from family and friends as on the road and away from home due to work. Speaks to wife daily when away. ETOH (Alcohol) usage on a regular basis Smoker, averages 15 cigarettes per day Often consumes take away/ fast food diet as away from home regularly Sedentary lifestyle, often watches TV to cope with stress. Little to no exercise A: Mr McFarlane is 118kg and 180cm in height. Current vital signs Resp 26, O2 Sats 97% on room air (RA), BP 170/90, HR 110, Temp 37. R: Continue 2 hourly observations, including monitoring neurovascular observations and pain scores. Elevate right foot. Strict resting in bed until review by doctor tomorrow. Q 1 George is at an increased risk for respiratory compromise due to his history of smoking and having recent surgery. Outline: Two (2) assessments you could complete on George to evaluate his respiratory systems ( Provide two (2) assessments you could complete on George to evaluate his respiratory system.) Two (2) nursing interventions which you, as an Enrolled nurse, can implement to decrease George’s risk of respiratory complications (Consider what care you could provide to George which will assist to decrease his risk of any respiratory complications. What else could you encourage him to do which may also help.) What other health professional (not a doctor or a nurse) could assist George. Describe how they could assist George to decrease his risk of complications. ( What member of the MDT could assist George in decreasing his risk of respiratory complications? How could they help?) Q2: Due to his medical history and post op instructions of strict resting in bed, George is at an increased risk of Venous thromboembolism (VTEs) and pressure injuries. Outline: What assessment tool would you use to assess George’s risk of pressure injuries? Describe in your own words how this assessment tool works. ( Provide the name of the assessment tool used to assess a client’s risk of pressure injuries. , describe how you use the tool to assess the client) Two (2) nursing interventions which you, as an Enrolled nurse, can implement to decrease George’s risk of pressure injuries (Consider what care you could provide to George which will assist to decrease his risk of pressure injuries. What else could you encourage him to do, which may also help.) One (1) nursing intervention which you, as an Enrolled nurse, can implement to decrease George’s risk of VTE’s (Consider what care you could provide to George which will assist to decrease his risk of developing a VTE, what could you encourage him to do, which may also help.) References required
******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."
