CASE STUDY ONE
You are a RN working in ED, looking after Mrs Wong, an 93 -year-old with an admitting
diagnosis of Acopia. Mrs Wong is alert and orientated, has mild urge urinary
incontinence and general frailty. All acute interventions have been completed for Mrs
Wong, but the wards are full, so she will spend the next 8 hours (+) on an ED trolley in
a corridor.
1. What is the potential impact on staff and patients of a diagnosis based on
labelling of a patient? In this case the label of ‘Acopia’.
2. How do normal physiological changes of ageing increase the risk of Mrs Wong
developing a pressure injury in this scenario? Consider integumentary system
plus 2 other body systems in your answer and provide detailed science based
rationales for why physiological changes mentioned impact pressure injury risk
for Mrs Wong.
3. Provide detailed evidence based nursing interventions with rationales that
should be implemented for Mrs Wong to reduce the risk of her developing a
pressure injury while in ED? Do not include referrals in your answer.
CASE STUDY TWO
You are a RN working in community care, visiting Mr Adomos, a 78-year-old Greek
gentleman with a chronic and painful venous ulcer on his lower leg. He takes multiple
medications for chronic illness, and a codeine-based medication for pain. Mr Adomos
lives alone in his own home.
4. How would Mr Adomos’ chronic pain impact on his ability to maintain a safe
environment?
5. Why is Mr Adomos, as an older adult, more vulnerable to adverse drug events?
Consider anatomical, physiological and behavioural considerations associated
with ageing.
6. Detail evidence based nursing interventions and rationales to reduce the risk of
Mr Adomos’ experiencing an adverse drug event in relation to his codeinebased medication. Do not include referrals in your answer.