Prioritise four (4) of the evidenced based nursing interventions the MET team have instructed you to implement (above) so you can care for Catherine.

Prioritise four (4) of the evidenced based nursing interventions the MET team have instructed you to implement (above) so you can care for Catherine.

The aim of this academic paper is to synthesise your nursing knowledge and clinical practice. You will use the provided case study to discuss approaches to patient assessment, evaluate the findings from the assessment and prioritise appropriate care, whilst exploring the pathophysiology underpinning your decision making. You will use the best evidence based information to inform your discussion. There will be an emphasis on the following elements:

Clinical assessment findings
The underlying disease process (pathophysiology)
Evidence based management

INSTRUCTIONS:

This assignment is based on a case scenario provided below. You are required to answer the stated questions and present these in an academic paper.

Case – Catherine’s Story

You are a graduate nurse and have just commenced your morning shift on the medical ward of a large tertiary hospital. You have been allocated the care of four patients, including Catherine Bexley, a 77 year old woman who was admitted last night via the Emergency Department with R) lower lobe pneumonia. Catherine has a past history of ischemic heart disease, hypertension, and hypercholesterolaemia. Her current medications are Aspirin 100mg mane, Ramipril 10mg mane, Spironolactone 50mg mane, Atorvastatin 80mg nocte.

The night shift staff hand over that Catherine was initially quite short of breath in the ED and so the team were wondering if she may need HDU, however post oxygen and antibiotics she improved in the ED and so was safe for the ward. Catherine received 1gm of Ceftriaxone in the ED at 0030. She was transferred to the ward at 0130. On arrival to the ward Catherine’s vital signs were RR 24 breaths/min, SpO2 98% on 2L via nasal prongs, HR 96 regular, BP 140/90mmHg, GCS 15/15, Temp 37.1oC, pain 3/10 in her R) lower chest with deep inspiration. Her ECG is NAD. The nursing staff state that Catherine has slept well since her arrival on the ward. They state that she has an IDC insitu that was emptied when she arrived at 0130.

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