Subject Code : NRSG258
Assessment Task:
NRSG258: Mrs Gina Bacci Case Study Assessment Answer

Case Scenario
Mrs Gina Bacci is a 49year old Italian lady (with poor English) who was admitted to hospital 2 weeks ago for surgery following complications from a right foot ulcer. She underwent surgery under general anaesthetic, for partial amputation of forefoot and the great and first toes. She has a history of; Type II diabetes (diagnosed 6years ago); Peripheral vascular Disease (PVD); and Obesity (BMI 40.4m2; Height 165cm weight 110kgs). Due to her worsening diabetes she has been commenced on insulin during her admission to hospital.

Gina was discharged from hospital 7days ago and has presented to the outpatient department for further wound assessment and management. She is not due to see the surgeon for her follow up post-operative appointment for another 2 weeks. Current Medications on discharge one week ago are as follows:
• Novorapid TDS 12units
• Lantus 30units nocte.
• Pregabalin 75mg mane
• Paracetamol 1g QID
Mrs Bacci admits she sometimes forgets and doesn’t think she needs to take all her medications.

She is mobilising with an offloading boot and walking stick. On examination her blood pressure is 120/70mmHg; Pulse 88 bpm regular; RR 18 bpm and SpO2 at 97% on RA, temp 37.8oC Her feet and toes on her right foot are cool to touch with a capillary refill of 2-3 seconds. Mrs Bacci states that she normally has cold feet and wears bed socks. Her BGL is 12.6mmol/L. When you examine her wound you note that there is an Island film dressing along the incisional wound which is wet from serous exudate output. The wound has some dehiscence along the suture line and there is some sloughy tissue. The surrounding skin is warm, and dark pink and painful to touch.

Considering the case study above and using the clinical reason cycle write an essay that addresses the following 3 questions.

Question 1: Based on the case study, critically analyse and discuss the underlying pathophysiology and causes of the patient’s post-operative wound status.

Question 2: Identify 2 main nursing priorities of care for this patient and provide a justification and rationale for each.

Question 3: From your identified priorities, outline and justify the appropriate and safe nursing management of the patient during this time.

 


This NRSG258: Nursing Assessment has been solved by our Nursing experts at UniLearnO. Our Assignment Writing Experts are efficient to provide a fresh solution to this question. We are serving more than 10000+ Students in Australia, UK & US by helping them to score HD in their academics. Our experts are well trained to follow all marking rubrics & referencing style.

Be it a used or new solution, the quality of the work submitted by our assignment experts remains unhampered. You may continue to expect the same or even better quality with the used and new assignment solution files respectively. There’s one thing to be noticed that you could choose one between the two and acquire an HD either way. You could choose a new assignment solution file to get yourself an exclusive, plagiarism (with free Turnitin file), expert quality assignment or order an old solution file that was considered worthy of the highest distinction.

Eureka! You've stumped our genius minds (for now)! This exciting new question has our experts buzzing with curiosity. We can't wait to craft a fresh solution just for you!

  • Uploaded By : Noah
  • Posted on : December 26th, 2018

Whatsapp Tap to ChatGet instant assistance