Assignment Instructions

Explain what your patient’s diagnosis is this and how you would manage this..

Advanced recovery

Taking handover in the recovery area/post anaesthetic care unit for a surgical patient who has just had a laparotomy for a small bowel obstruction.

Situation: Mr Jones a 45-year-old man had a laparotomy for a small bowel obstruction. He is currently in recovery with you. He appears clammy, sweaty, and says he is feeling unwell. He is also complaining of abdominal pain.

Background: He is normally fit and well at home and usually runs marathons regularly. He has an allergy to Penicillin and weighs 90kgs. Mr Jones was brought into hospital, as he has been unable to open his bowels for 3/7 days. He has coffee ground vomit for the last 2/7 days. He was intubated with a size 8.0 ETT and is now extubated without any adverse effects. A Nasogastric tube is also insitu.
Assessment: Distended abdomen on arrival to the hospital. Continuous episodes of coffee ground vomiting prior to attending theatre.

The anaesthetic ODP has handed this patient over to you. Post Laparotomy your patient has a large vertical scar present to the abdomen, dressing slightly stained with blood, otherwise intact. The abdomen is slightly distended. The patient says he is getting palpitations and feels like his heart is racing.

Airway: patent, no obstructions.
Breathing: No trauma. Bilateral chest rise. Equal breath sounds on auscultation. No stridor. Wheezing present. Increased breathing rate – RR 26.

Circulation: HR is 145 and regular. BP is 88/54. ECG has normal sinus rhythm and he has an arterial line insitu. A urinary catheter was inserted during surgery to monitor his urinary output. His urinary output is 15mls/hr.

Disability: BM 5.6mmol/L. He is not diabetic. The patient has a GCS of 15/15 on initial arrival to recovery. The patient was given a dose of Amoxicillin and Metronidazole at the start of the laparotomy, which was 6 hours ago. His pain score is 7/10.

Exposure: His temperature is 38.3; he is shivering (rigouring) and saying he is feeling cold.

Recommendation: The ODP handing the patient over to you says the patient has been stable and is well with no complications.

Assessment guidance
Write an essay including the following topics:

Using the entire case study, build a clinical picture of what led to the patient presenting with these symptoms. (100 words)

Explain what your patient’s diagnosis is this and how you would manage this. (100 words)

What other post-operative interventions will you undertake for this patient’s management (200 words)

Demonstrate the appropriate use of A-G approach in the management of this patients care. (400 words)

Critical appraisal: What does the current evidence say about the care interventions needed for this patient’s clinical state? (400 words)

Over all, need to demonstrate an in-depth understanding of the patient’s clinical condition, the symptoms associated with it and the management plans needed to ensure this patient recovers well. This essay should be written in the third person and Mr Jones should only be referred to as “the patient”.

The post Explain what your patient’s diagnosis is this and how you would manage this. appeared first on Bestchoice Writers.

Explain what your patient’s diagnosis is this and how you would manage this.

Calculate Price


Price (USD)
$

Why Choose Us For Your Assignment?

Privacy

We value all our customers' privacy. For that reason, all information stays private and confidential and will never be shared with third parties.

Punctuality

With our service you will never miss a deadline. We use strict follow-ups with our writers to ensure that all papers are submitted on time.

Authenticity

We have no tolerance for plagiarism. All papers go through thorough checking to ensure that no assignments contain plagiarism.

Money Back

You feel unsatisfied with your results? No worries. We offer refunds to our customers if any paper is not written according to the instructions.

Clients Love Us

Client #121678
Client #121678
Read More
This is by far the best I have ever scored in a custom essay. I am surprised the writer handled this assignment so well despite the short notice. I will definitely use your service next time.
Client #21702
Client #21702
Read More
When I was recommended to you by my friends, I wasn't sure you could deliver excellent results for Masters research papers until I submitted my first order. I am all yours now.
Client #20730
Client #20730
Read More
Excellent Services! You are the only assignment helper I can rely on. I have worked with many before and your services are exceptional. I have recommended you to my friends and the results are similar.
Client #20387
Client #20387
Read More
I rarely write reviews online but your services are worth promoting. My paper was so urgent I was sure I was gonna miss the deadline but you turned things around. You are awesome!
Client #20189
Client #20189
Read More
I am a satisfied customer. I know I should have given a 5 star because you deserve it but I will give 4.6 because I almost missed a deadline because of a revision. Luckily it was minor and the writer acted promptly.
Client #20187
Client #20187
Read More
Great paper but there is still some room for improvement. I am impressed by your fast responses and how you tacked my concerns professionally. Thank you for being among the few genuine essay writing service providers.
Client #19783
Client #19783
Read More
I can't thank you enough for being a great part of my college life. I recommended you to two more of my friends. I am sure they will be making their orders soon. I love the fact that you offer free pages for referrals. I will be referring a few more and maybe I won't have to pay for my next two paper, LOL.
Previous
Next