HLTEN512B,HLTEN513B and HLTEN505B
Mon Tran is an 85 year old widowed gentleman who was born in Combodia and has two sons. Mon speaks fluent english having come to australia as a young man to work as well as fluent vietnamese. Mon has lived with one of his son’s since his wife died 4 years ago and has very limited physical contact with his other son as he lives interstate. He is very active within his local Buddhist community. Mon has a vision impairment and can moblise independently with a frame when at home. Mon has been transferred to your unit from the intensive care unit.Mon was electively admitted to the hospital 5 days previously with Benign Prostatic Hypertrophy(BPH) and underwent a Transurethral resection of the prostate (TURP).His past medical history includes poorly controlled Non-insulin Dependent Diabetes Mellitis,Hypertension and recurrent urinary tract infections.While undergoing surgery he had an acute Myocardial Infraction(AMI),and was admitted to intensive care for further stabilisation and management On transfer to your unit, Mon’s vital signs were BP 175/100, Temp 38, Respiration 18, Pulse 90,BGL 12mmol/L, Oxygen Saturation 94% on 4L oxygen via nasal specs. Neurologically Mon was easy to rouse. He was not oriented to person but was unaware of the time and place and he was responding to direct commands.His conversation was inappropriate at times in both English and Vietnamese(his first language) and he was confused nursing staff with his family members. Mon has a patient IVT of 0.9% Normal Saline flowing at 1.25 mls/hour.The cannula was inserted in his R arm 24 hours ago. He has a triple lumen IDC insitu that requires hourly urine measures and is currently undergoing bladder Irrigation. Telemetry is still in place and will be reviewed by the Doctors tomorrow regarding ceasing it. 4 hourly vital signs are medically requested. Due to Mon’s current health state,he is on strict rest in bed (RIB) and tires easily. He has a medical order for sliding scale insulin (Actrapid) and requires 4/24 BGLs. Mon requires a vegetarian diabetic diet and is on a 1.5 litre fluid restriction. He has recently been screened and shown to have a positive MRSA culture within his urine. A referral for cardiac Rehabilitation, Dietitian, Physiotherapy and an ACAT assessment for home support services. Discharge plans are for Mon to return home to live with his son when well enough to do so. Medications are as follows: Verapamil 240 mg daily, Atenolol 100 mg daily, Glycerol CR 30mg BD, Glycerol Trinitrate 400mg as required, Humulin 30/70 16 units TDS, Enoxaparin 40mg QID as required, Ceftazidime 1g IV QID On speaking to the doctor, you find out that on discharge Mon will require ongoing Insulin to help manage his unstable diabetes instead of the oral hyperglycemic medication he was previously taking. The Assignment details: 1. Age and gender for the client including a summary of the nursing admission assessment/client history of the client 2. The clients Medical History and a brief summary of what these conditions means to the client in relation to their care requirements. please ensure you have covered each medical condition in relation to their definition, pathophysiology and nursing interventions. 3. Describe in detail the nursing care that may be given to your client. State why these nursing interventions may be undertaken and any outcomes for the client in relation to their medical history and the nursing process. keep this relevant to your client.This is to be presented as a care plan listing the nursing diagnosis, 4 nursing interventions, their rationales and the outcomes that are anticipated for the client form the care provided. (12 nursing actual or potential problems including the diagnosis, 4 interventions per diagnosis, rationales and outcomes anticipated) for example: 1. NURSING DIAGNOSIS-potential for unstable blood glucose levels related to lack of client/family education/non-compliance,as evidenced by hyperglycaemia-(12mmoi/L),changes in diabetes management and insulin requirements EVALUATION-The client will demonstrate blood Glucose levels within normal range and an understand and compliance with diabetic management routines. Panning Rationale 1.BGLs completed and recored 4/24 rationale is Hyperglycaemia impaires homeostasis impacting: vision, cardiovascular health REFERENCE FOR EACH RATIONAL 4.describe in detail any other care that has been referred for your client. state why the referral was undertaken and any outcomes for the client(i.e. physiotherapy/exercise programs) that may be appropriate. 5. list the medication IN DETAILS that the client is prescribed and why they are prescribed(i.e. what class of medication are they, basic mechanism of action of the medication, what condition that they prescribed for, any interaction/side effects with other medication and medical conditions, nursing considerations when administering these medications, any other nursing care that can be provided to assist with the administration and counteraction of the side effects of the medications. This is case Scenario and i need one reference is in from that information.(Celtic Training, 2015) this is intext reference and each paragraph need in text referrence.Place this order with us and get 18% discount now! to earn your discount enter this code: special18 If you need assistance chat with us now by clicking the live chat button.