University : Australian Catholic University UniLearnO is not sponsored or endorsed by this college or university.
Subject Code : NR5G258
Country : Australia
Assignment Task:

Task:

Incident: 72 yr old female Mrs Geraldine Berry sustained left fractured neck of femur (eN0F) and laceration to her head 5cm while walking her dog. Tripped on an uneven pathway. 
PMH: Hypertension and depression Current Medications: Coversyl 5mg Doxepin 25mg daily Atorvastatin 40mg daily 
SHx: Lives with elderly husband. Is the primary carer for elderly husband who has had a stroke previously and is mildly impaired. Attends church every Sunday and is responsible for arranging flowers for every Sunday service. She has started volunteering at the St Vincent De Paul's Meals on Wheels distribution centre two days a week. She lost two children 5 years ago in a car accident. Geraldine is concerned who will look after her husband and their dog Nala. Geraldine and her husband have no children or relatives nearby. 
Current presentation 
Day 3 post op left total hip replacement, increasing pain in hip unable to weight bear, pain score currently 7/10. Geraldine has been prescribed oral tramadol tds, Ibroprofen pm, paracetamol pm, IV Amoxicillin 1000mg tds and Clexane 40mg SC BD. Suture line on hip appears red and swollen. 
Observations — 10am Day 3 Pulse Rate - 120 Respiratory rate - 22 Blood pressure - 120/80 Pain score - 7/10 Sa02 - 96% Temperature — 39.1 BGL — 6.8 mmo1/1 Glasgow Coma Score 15 Heat, pain and redness at suture site Refusing to mobilise due to pain 

 

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  • Posted on : April 28th, 2019
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