Case Study of Amira Mitri - Medical Science Assignment Help

Assignment Task

Task

Introduction:

This essay will demonstrate the principles of evidence-based and person-centred care when delivering effective care plans to patients with an acute medical or surgical condition as a Registered Nurse (RN). Evidence-based and person-centred care is vital to the registered nursing role comprising patient values and preferences this facilitates effective foundations of nursing care. Furthermore, exploring the case study of Amira Mitri, a 48-year-old female who underwent a laparoscopic division of abdominal adhesions due to a complete small bowel obstruction (SBO), also the surgical history of two caesareans and an appendicectomy. Amira also has asthma and Type 2 diabetes and a body mass index (BMI) of 28. In relation to the case study risk factors, pathophysiology, post-operative assessments and complications will be discussed, a care plan will be developed.

Comprehensive Assessment:

• Identifies TWO comprehensive post-operative assessments that an RN would undertake for the patient and discusses how these would be undertaken.
• Provides a rationale for each assessment relating to the patients condition and justifies why the assessment is necessary with current evidence-based literature

Plan (with justification):

• Identifies the potential complication of post-operative wound infection and discusses the risk factors (5) and pathophysiology (5) of the potential complication.
• Discusses ONE nursing assessment used to identify the complication. (5) ??Develops a plan of care by:
• Using TWO nursing interventions to address how to reduce the development of a post-operative wound infection (5)
• Applying these TWO nursing interventions to the patient. (5)
• Uses current evidence-based literature to justify why the plan is appropriate for this patient. (5)

Client Scenario:

Amira Mitri is a 48-year-old woman who has returned from surgery. Amira underwent a laparoscopic division of abdominal adhesions due to a complete small bowel obstruction (SBO). Amira has a surgical history of two caesareans and an appendicectomy. Amiras medical history includes asthma and Type 2 diabetes. Amiras Body Mass Index (BMI) is 28.

Amira presented to her General Practitioner (GP) 5 days ago, complaining of abdominal pain and vomiting, and she could not tolerate eating or drinking. Amira also stated she had not had a bowel movement or passed flatus for 2 days. Amiras abdomen was distended and bowel sounds were absent. Amira described her pain as severe and cramping, which would come and go in waves, and she rated her pain level at 8/10. An abdominal CT identified large, dilated loops of the small bowel.
Amira is married with two children who live at home, and she owns a cafe?. She works in the cafe? seven days a week and states she has been gaining weight over the last ten years due to her busy lifestyle and tends to eat fast foods on the run.

Amira has returned to the surgical ward. She is receiving IVT of Normal Saline 0.9%. She is drowsy but rousable and is complaining of pain (rating 6/10). Her vital signs on arrival to the ward are: BP 145/70, HR 98bpm, temp 35.9 degrees, SpO2 99% on 8 litres of oxygen via a Hudson mask. She has an indwelling urinary catheter in situ with 60mL of yellow urine output, and a nasogastric tube on free drainage with fourth-hourly aspirates. She has patient-controlled analgesia (PCA) in situ.
You have been allocated to care for Amira as a Registered Nurse.

Body of essay:

1. Outline the risk factors and pathophysiology of the clients presenting condition.

2. Identify TWO (2) comprehensive post-operative assessments that an RN would undertake for the client. Using current evidence-based literature, justify why each assessment is necessary for the presenting condition.(Remember that your assessments need to be specific to the care of the post-operative client).

3. Discuss the potential complication of post-operative wound infection, including the risk factors and pathophysiology of the complication itself, and ONE (1) nursing assessment used to identify the potential complication.

4. Develop a plan of care to reduce the risk of the potential complication (post-operative wound infection). Within this plan of care, you are required to identify TWO (2) nursing interventions to reduce the development of post-operative wound infection, ensuring you outline how these would be applied to the patient. You must use current evidence-based literature to justify why your plan is appropriate for this patient.

5. Using the Gibbs Reflective Cycle framework, reflect on the process you used to develop the plan of care, ensuring you outline what you have learnt from designing the plan

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