SOLUTION: PMH: Hypertension and depression | My Assignment Tutor

NRSG258 Version 1 Feb 2021NRSG258 2021Assessment 1- Case StudyIncident: 72 yr old female Mrs Geraldine Berry sustained left fractured neck of femur (#NOF) andlaceration to her head 5cm while walking her dog. Tripped on an uneven pathway.PMH: Hypertension and depressionCurrent Medications: Coversyl 5mgDoxepin 25mg dailyAtorvastatin 40mg dailySHx: Lives with elderly husband. Is the primary carer for elderly husband who has had a strokepreviously and is mildly impaired. Attends church every Sunday and is responsible for arrangingflowers for every Sunday service. She has started volunteering at the St Vincent De Paul’s Meals onWheels 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 herhusband have no children or relatives nearby.Current presentationDay 3 post op left total hip replacement, increasing pain in hip unable to weight bear, pain scorecurrently 7/10. Geraldine has been prescribed oral tramadol tds, Ibroprofen prn, paracetamol prn, IVAmoxicillin 1000mg tds and Clexane 40mg SC BD. Suture line on hip appears red and swollen. Observations – 10am Day 3Pulse Rate – 120Respiratory rate – 22Blood pressure – 120/80Pain score – 7/10Sa02 – 96%Temperature – 39.1BGL – 6.8 mmol/lGlasgow Coma Score 15Heat, pain and redness at suture siteRefusing to mobilise due to pain NRSG258 Version 1 Feb 2021Questions1. Using the CRC and the information presented about Geraldine, identify theabnormal cues, and discuss why these are considered abnormal (200 words)(LO4).2. Using relevant literature, discuss the pathophysiology related to the two postoperative issues of concern from the abnormal cues you have identified inquestion one (500 words) (LO1, LO4).3. Using the template provided below, complete all the sections which include(200 words) (LO4, LO5):a. Identify the nursing goal for each identified issue/problem (2).b. List at least two nursing interventions for each issue/problem.4. Using relevant literature, provide a rationale for the listed interventions anddiscuss how the interventions will be evaluated (500 words) ( LO1, LO3, LO4,LO5).5. Identify 2 medications that were prescribed for the patient’s pre-operativecondition. (Coversyl 5mg, Doxepin 25mg daily, Atorvastatin 40mg daily) used inthis case study. Provide the mechanism of action, side effects correct dosageand contraindications for each medication. Explain how this might affectGeraldine in the post-operative period (400 words) (LO1, LO3, LO4, LO5).6. Using the Roper-Logan Tierney Model, identify one (1)potential cultural/biopsychosocial issue/problem and discuss how this willaffect the patient post-operatively or on discharge (200 words) (LO3, LO2). ProblemGoalInterventions1.2.