You are required to present a 2000 word (+/- 10%) essay based work in the exam with a clear introduction, body and conclusion. The structure of the

You are required to present a 2000 word (+/- 10%) essay based work in the exam with a clear introduction, body and conclusion. The structure of the work should include the following details:

Introduction

Main Body

Conclusion

Introduction:

This section of the essay must introduce the case scenario. This must provide an overview of the essay capturing key points. The essay should demonstrate how the confidentiality and privacy, safety of patient will be maintained. (~200 words)

Main Body:

This section should include key points such as definition, pathophysiology, and A-E assessment reflecting on the pathophysiology, pharmacological and nursing intervention. These key points may be included as a sub-heading under the main body. The work must also demonstrate an analytical approach to a range of nursing skills as well as nursing and pharmacological interventions underpinning theories to deliver safe and effective care. There is an expectation to demonstrate an on-going care and evaluation of patient care using SBAR, NEWS2 and other Multi-disciplinary team and holistic approach to care. (~1600 words)

Conclusion:

Summarise the care given in brief and any recommendations for practice. (~200 words)

Note: There is no need to reproduce the scenario as it is already known. Take care not to make assumptions before confirming the facts from valid sources.

You are required to submit the exam cover sheet available in a BB shell to receive the feedback. If you do not submit this, you will not receive your feedback.

You are allowed to take the reference list up to 15 references relevant to your chosen scenario.

Scenario 1:

X is a 65 year-old gentleman with a history of chesty cough and mild fever for the last 3 days. Followinhis visit to the GP, he was referred to hospital for management with IV antibiotics and further monitoring. He was admitted immediately to the Acute Medical Unit where he was formally diagnosed to have bilateral lower lobe pneumonia. On admission, he had a productive cough and complained of general pain in his ribs when coughing and breathing deeply, felt lethargic and has signs of dehydrations.

Ward baseline Observations

Oxygen saturations 93% on 2 litres (24%)

Temp 38.30C

Blood Pressure 110/60mm Hg

Pulse 106 beats per minute

Respiratory rate 28 breaths per minute

Medications as per drug chart;

Oxygen 2 litres via nasal cannula

Co-amoxiclav (1000/200)1.2g, IV three times a day

Tablets Paracetamol 1g. four times a day

Discuss Stephens underlying condition, acute management and nursing care including pharmacology (in addition to the ones on the drug chart) in the first 24 hours following the deterioration with reference to the relevant pathophysiology.