Ian a 72-year-old male nonsmoker with a history of gout and mild dementia was referred to the main hospital by GP for shortness of breath due to suspected pneumonia. Patient was brought to the hospital by his son who mentioned that Ian had cough with thick yellow sputum and complained of pleuritic chest pain for the past 3 days.  Ian is febrile and tachypneic, has a blood pressure of 145/65, and has an oxygen saturation of 93% on room air. Physical examination is significant for rhonchi in the right lower lung fields, and a chest x-ray shows a right lower lobe infiltrate. Blood, urine and sputum sample were sent for investigation and Ian was admitted in the medical ward. Laboratory studies showed high white blood cell count and no evidence of acute renal failure. Blood cultures came back positive for Streptococcus pneumonia which confirmed the diagnosis as community-acquired pneumonia. Antibiotics commenced. Patient’s condition improved intitially. By day 5, Ian started to become febrile again with increased work of breathing and decreased oxygen saturation requiring high flow oxygen. Patient was transferred to high dependency unit. Chest X-ray showed increase in lung consolidation in right lower lung fields and diminished air entry to right mid and lower zone of the lung on auscultation. Blood culture came back positive for multi-resistant staphylococcus aureus.  Patient was managed in high dependency unit for 3 days and then transferred back to the medical ward. Ian’s condition improved and was subsequently discharged from the ward on day 15. 

Question  Task OverviewIan a 72-year-old male nonsmoker with a history of gout and mild dementia was referred to the main hospital by GP for shortness of breath due to suspected pneumonia. Patient was brought to the hospital by his son who mentioned that Ian had cough with thick yellow sputum and complained of pleuritic chest pain for the past 3 days.  Ian is febrile and tachypneic, has a blood pressure of 145/65, and has an oxygen saturation of 93% on room air. Physical examination is significant for rhonchi in the right lower lung fields, and a chest x-ray shows a right lower lobe infiltrate. Blood, urine and sputum sample were sent for investigation and Ian was admitted in the medical ward. Laboratory studies showed high white blood cell count and no evidence of acute renal failure. Blood cultures came back positive for Streptococcus pneumonia which confirmed the diagnosis as community-acquired pneumonia. Antibiotics commenced. Patient’s condition improved intitially. By day 5, Ian started to become febrile again with increased work of breathing and decreased oxygen saturation requiring high flow oxygen. Patient was transferred to high dependency unit. Chest X-ray showed increase in lung consolidation in right lower lung fields and diminished air entry to right mid and lower zone of the lung on auscultation. Blood culture came back positive for multi-resistant staphylococcus aureus.  Patient was managed in high dependency unit for 3 days and then transferred back to the medical ward. Ian’s condition improved and was subsequently discharged from the ward on day 15. This task provides an opportunity to explore a specific case study in- depth encompassing all the units learning outcomes, your theoretical learning and application of clinical nursing skills within this unit. This task will assess your understanding of conducting a comprehensive assessment of Ian. You will be required to provide a comprehensive overview relevant patient care and management such as an in-depth understanding of the patient’s condition (pneumonia), related pathophysiology, relevant diagnostics including the pharmacodynamics of medications. Develop a nursing care plan and discussion about infection control measures in a hospital setting.Assessment Instructions1.  Analyse and interpret relevant objective and subjective data and explain them based on the pathophysiological changes associated with the patient condition2.  Discuss pharmacological management of patient’s condition3.  Identify nursing diagnoses relevant to the case study and develop a nursing care plan with rationales (Do not use tables for nursing care plan)4.  Explain about nurse’s role in infection control.  Health Science Science Nursing HSNS MISC Share QuestionEmailCopy link Comments (0)

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