CASE STUDY ONE: Mr Dan Smith Mr Dan Smith is a 42-year-old mechanic who sustained a minor head injury and fracture of his Right distal tibia and fibula in a motor bike accident. He was brought into University Hospital last night by ambulance where he has been admitted to Ward 1B at University Hospital. He is awaiting an open reduction and internal fixation (surgical repair) of his fracture. Nursing Assignment Help
Socially, Dan loves riding his motor bike and is a regular at the Australian MotoGP. He owns his own business and lives with his 7-month pregnant partner.
His has an unremarkable past history, does not take any regular medications other than paracetamol for the occasional headache, and has no allergies. Dan is a 30-packet-per-year smoker and likes to meet his mates at his local pub every Friday for a couple of drinks.
You and your buddy nurse have just received handover from the night shift nurse and note that the surgical registrar has requested hourly neurovascular observations be performed on Mr Smith until he undergoes surgical repair.
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Question 1a (approx. 80 words) Discuss how you would perform neurovascular observations on Mr Smith and outline how the nurse would recognise a compromise in the neurovascular status of Mr Smith. Nursing Assignment Help
Dan is now Day 1 post surgery and is tolerating diet and fluids well. His pain has been well controlled via a Patient Controlled Analgesia (PCA) which was taken down this morning and he has been charted for oral analgesia in its place. At 1000, Dan buzzes his call bell and asks for assistance to have a wash as his partner will be visiting soon and he wants to look presentable. As a MNSc student, you understand that the extent with which the nurse may need to help with personal hygiene will depend on the patient’s physical abilities, health problems and the degree of hygiene required, however, there are a number of governing guidelines that nurses should follow when providing hygiene to their patients.
Question 1b (approx. 150 words) Outline six (6) of these guidelines and discuss how you would implement them in your nursing care while assisting Dan with personal hygiene.
In preparation for assisting Dan with personal hygiene, you question Dan about his level of pain, as you understand that movement may cause additional pain. Dan reports a current numerical pain score of 7/10 and indicates he would like to take some additional pain relief prior to having a wash. You discuss this with your buddy nurse and together you agree on the most appropriate medication to administer.
Question 1c. (approx. 70 words) Using the chart below choose the most appropriate medication to be administered. Provide a rationale for the use of this medication. Nursing Assignment Help
