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10198 – Case Studies for Professional Discussion Table of Contents Overview of Case Studies...

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10198 – Case Studies for Professional Discussion
Table of Contents
Overview of Case Studies ............................................................................................................................... XXXXXXXXXX1
Case study 1 ................................................................................................................................................... XXXXXXXXXX2
Case study 2 ................................................................................................................................................... XXXXXXXXXX3
Case study 3 ................................................................................................................................................... XXXXXXXXXX6
Case study 4 ................................................................................................................................................... XXXXXXXXXX7
Case study 5 ................................................................................................................................................... XXXXXXXXXX8
Overview of Case Studies.
The following case studies will be used to assess students for the second assessment - Professional Discussion.
Students will be allocated one of the scenarios at random on the day of the assessment by the marker.
Where there are two scenarios related to a case study, only one scenario will be examined.
For example: If allocated to the scenario of a person experiencing, or at risk for, impaired skin integrity the student
will not be required to also outline to care of a person experiencing impaired elimination during the assessment.
Students are encouraged to prepare for the assessment throughout the semester by completing the modules as
guided by the marking ru
ic.
Case study 1
• A person experiencing impaired oxygenation (Acute shortness of
eath).
• A person during a perioperative episode of care (Post-operative phase).
Case study 2
• A person experiencing impaired tissue perfusion (Acute chest pain).
Case study 3
• A person experiencing impaired tissue perfusion (Acute confusion).
• A person with, or at risk for, an acute infection (Surgical Site Infection, Sepsis, and Antimicrobial
Stewardship).
Case study 4
• A person experiencing fluid imbalance (Bleeding, and Acute decrease in blood pressure).
Case study 5
• A person experiencing, or at risk for, impaired skin integrity (Pressure injury prevention, and Invasive device
management).
• A person experiencing impaired elimination (Abdominal pain in the postoperative phase).
2
Case study 1
You are working a morning shift on the Orthopaedic Surgical Ward as a Registered Nurse (RN).

Introduction
Bob is a 59-year-old male, day 2 post right total hip replacement.
You are walking towards Bob’s room to take routine vital signs when the visitor that was in with Bob comes rushing
out for the room and heads straight to you saying that they are “wo
ied about Bob, he seems really short of
eath
and not quite right…please come quickly”.
You enter Bob’s room and note that the bed is in a supine position and Bob is holding onto each of the side rails in an
attempt to sit upright.

Situation
Bob experienced a short episode of post-operative delirium which has now resolved. Since the surgery Bob has been
experiencing significant acute pain issues at the surgical site and is under the care of both the orthopaedic surgical
team and the Acute Pain Service. As a result of the delirium and ongoing pain issues, Bob has not been up out of bed
since prior to the surgery.
Yesterday the Acute Pain Service increased the bolus dose on the Fentanyl PCA with the view of commencing Bob’s
physiotherapy regime this afternoon.
During the morning round the Surgical team have confirmed that the plan is for mobilisation as tolerated this
morning with a physiotherapy review this afternoon, Bob had expressed to you that he was wo
ied that it might
make the pain worse.

Background
Medical History
• Osteoarthritis
o Usually takes Panadol® Osteo TDS
Social History
• Bob is a cu
ent smoker and a social drinker,
o Bob tells you “that he usually has a few too many drinks on the weekend after golf”.
• Bob lives by himself in Queanbeyan and is estranged from family.

Assessment
Airway
• Patent
Breathing
• Spontaneous effort
• Sp02 85% on room air
• Strong productive cough.
Circulation
• Dual Heart sounds
• Peripheral pulses thready, regular
• Cap refill >3 secs.
• NIBP 128/ XXXXXXXXXXmmHg
(usual SBP 120mmHg)
• HR 123/min.
• Tympanic Temperature 37.7°C
Disability
• GCS 15 (E:4, V:5, M:6)
• Restless/Unsettled
• Blood Glucose Level 5.4 mmol/L
• States to have mild feeling of nausea.
Exposure
• Pale and diaphoretic
• Cyanosis to lips and peripheries
• IV Cannula to right cubital fossa.
o Plasma- Lyte 148 infusion continues at
100ml/hr.
• Dressing to surgical site intact.
• Haemoserous fluid to drain
o approx. 100mL in total
o 5mL since last hour
• IDC insitu, draining >0.5ml/kg/hr, straw
coloured urine.
• Pain at surgical site 6/10,
o PRN Paracetamol charted.
3
Case study 2
You are the registered nurse receiving handover, from an ambulance crew, for a new patient admitted to your ward.
Introduction
Aaron is a 48-year-old male, transfe
ed by ambulance from work.
Situation
Whilst at work today Aaron experienced severe nausea and vomiting, followed by a syncopal episode. Noting the
events Aaron’s colleagues promptly called an ambulance, explaining to the call operator that Aaron appeared to be
“greyish in colour and sweaty”.
During the ambulance transfer:
• An IV Cannula was inserted to his right cephalic vein
• Aaron experienced sudden onset, sharp central chest pain, scored 5/10 on examination.
o No other changes to his vital signs were observed.
• 12 lead ECG was performed, showing
Answered Same Day Oct 25, 2021

Solution

Deepika answered on Oct 26 2021
148 Votes
CASE REPORT
Case Study 1 – A person during a perioperative episode of care (For post-operative phase
Case type – surgical
Introduction
A surgical site infection is called an SSI. It occurs usually when a pathogen multiplies at the site of incision during surgery, which results in an infection. This occurs in 2-5% of cases post-operative cases. Most SSIs are caused by Staphylococcus aureus. There are three types of SSIs depending on the extent of the infection. In severe cases, there can be post-operative complications, including sepsis, where infection from surgical site enters blood causing organ failure in extreme cases. Symptoms of an SSI include fever, erythema and inflammation at the surgical site, and pus formation at the incision site. This happens due to activation of body’s immune response resulting in inflammation at the site of surgery. Treatment plans include IV antibiotics and/or draining of pus from wounds.
Situation
· Short episode of post-operative delirium - resolved.
· Significant acute pain issues at the surgical site
· Increased the dose of Fentanyl PCA
Assessment
Airway - Patent, no obstruction
Breathing – Spontaneous, SpO2 85% (room air), Strong productive cough.
Circulation - Dual Heart sounds, Peripheral pulse thread and regular, Cap refill >3 secs, NIBP 128/62 (84) mmHg (usual SBP 120mmHg), HR 123/min, Tympanic Temperature 37.7°C
Disability - GCS 15 (E:4, V:5, M:6), Restless/Unsettled, Blood Glucose Level 5.4 mmol/L, States to have mild feeling of nausea.
Exposure - Dressing to surgical site intact, Haemoserous fluid to drain (approx. 100mL in total, 5mL since last hour), IDC insitu, draining >0.5ml/kg/hr, straw coloured urine, Pain at surgical site 6/10 (PRN Paracetamol charted).
History
Medical History
• Osteoarthritis – prescribed Panadol® Osteo TDS
Social History - Bob is a smoker and drinker, and is estranged from family.
Monitoring suggested
· Heart rate
· Respiratory rate
· Systolic and diastolic blood pressure
· Monitoring of incision pain
· Monitoring of movement associated pain, pain upon pressure at the surgical site
Treatment prescribed
· Physiotherapy sessions twice a week – 30 min each for maintaining mobility and pain management
· Fentanyl 25 μg added to 0.5% bupivacaine (2 mg/kg) – for pain management
· Pus drainage, saline rinse and dressing – daily
· Topical antibiotic - neomycin/polymyxin B
acitracin zinc – with dressing
· Antibiotic - mupirocin
Discussion
Assessment revealed that no obstruction in airway, Spontaneous, SpO2 85% (room air), Strong productive cough, Dual Heart sounds, Peripheral pulse thread and regular, Cap refill >3 secs, NIBP 128/62 (84) mmHg (usual SBP 120mmHg), HR 123/min, Tympanic Temperature 37.7°C, (E:4, V:5, M:6), Restless/Unsettled, Blood Glucose Level 5.4 mmol/L, States to have mild feeling of nausea, Dressing to surgical site intact, Haemoserous fluid to drain (approx. 100mL in total, 5mL since last hour), IDC insitu, draining >0.5ml/kg/hr, straw coloured urine, Pain at surgical site 6/10 (PRN Paracetamol charted). Patient was recommended Physiotherapy sessions twice a week – 30 min each for maintaining mobility and pain managemen, Fentanyl 25 μg added to 0.5% bupivacaine (2 mg/kg) – for pain managemen, Pus drainage, saline rinse and dressing – daily, Topical antibiotic - neomycin/polymyxin B
acitracin zinc – with dressing and Antibiotic - mupirocin.
Occu
ence of post operative SSIs depends on several factors such as extent of microbial contamination, lifestyle, immune-competency, nutritional status, age, etc. Patient’s features, which are often co-related with high risk of SSIs include diabetes, cigarette smoking, alcohol use, steroid use, obesity (> 20% ideal body weight), old age, poor nutritional. The patient in the cu
ent case study is a regular smoker and a social drinker, which might have had an impact on his post-operative status i.e SSI and associated pain.
Fentanyl with a combination with bupivacaine is much better in reducing peripheral analgesia than fentanyl alone with reduced analgesic consumption.
Rate of secondary infection has also been known to be prevented with increase in the frequency of dressing.
Mupirocin is the drug of choice for treating Methicillin-resistant Staphylococcus aureus post-operative surgical wounds, with fewer side effects such as burning sensation.
References
https:
www.ncbi.nlm.nih.gov/pmc/articles/PMC6069967
https:
www.drugs.com/cg/wound-infection.html
https:
www.ncbi.nlm.nih.gov/pmc/articles/PMC4173387
https:
emedicine.medscape.com/article/188988-treatment
Case study 2 - A person experiencing impaired tissue perfusion (Acute chest pain).
Case type – trauma – cardiovascular disease
Observations
· IV Cannula in right cephalic vein
· sudden onset of sharp central chest pain, scored 5/10
· No changes in other vital signs
· ECG showed sinus rhythm, no ST depression or elevation = normal
Assessment (Ambulance)
· Cu
ent vitals: GCS 15; NIBP 138/71; Temp 37°C; RR 21/min; Sp02 97% room air; HR 89/min sinus ; pain elevation 1/10
Immediate treatment:
· Total of 5 mg IV morphine – pain reliever (opioid analgesic)
· 300mcg Sublingual GTN – treatment of angina, heart failure, heart pain
· 300mg PO aspirin – blood thinne
· 8mg IV Ondansetron – for nausea
Background - little lightheaded early morning, fatigued for the past few months, Cu
ent smoker, Social drinker.
Medical History - on medication = Mylanta™ for intermittent ‘heart burn’, in past 24 hr has little effect, visits psychologist
Social History - Lives with his wife, Works full time with overtime, wife recently closed her small business, due to COVID-19 restrictions
Nursing Assessment
Airway - Patent
Breathing - Spontaneous effort, Equal rise and fall of chest, rapid and shallow, RR - 22/min, Sp02...
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