ESSAY HNN227 Acute Illness And Supportive Care

HNN227 Acute Illness And Supportive Care

Answer:

Comprehensive Nursing care Plan for Mr George Robertson.

Problem Identification

	#1	#2	#3	#4
Actual problem	Laceration	Confusion	Higher Heart rate	Actual Pain
Potential Problem	Loss of Blood	Brain damage	Hypertension	Impaired Mobility.

Planning

	Actual Potential Problem	Patient Problem
1^stPriority	Actual Pain	Impaired mobility and body functioning
2^nd Priority	Confusion	Brain damage
3^rd Priority	Higher heart rate	Hypertension
4^th Priority	Laceration	Loss of blood

Appropriate Plan Of Care.

	Problem	Planning
Actual Patient Problem #1	Actual Pain	– The care plan for this will include checking all the body metabolism processes, his Blood pressure, Respiratory rate movement, Peripheral oxygen saturation in his blood system, and his actual pulse rate for a record to create a point of help. -Dressing the lacerated part to avoid blood loss and reduce pains in the body. -Ask Mr Robertson about the extent of the pain. -Apply analgesics for Mr Robertson to reduce the pain. .
Actual patient Problem #2	Acute Confusion .	-Identify factors present that may have led to the acute confusion noted in Mr Roberstson upon reaching the hospital. This may include substance abuse, recent therapy, the Presence of Acute infection and trauma characteristics in Mr Robertson. -Observing Mr Robertson’s behaviour and cognition Evaluate the extent of the confusion, if so excess applying immediate intervention measures while noting his communication patterns if Mr Robertson can respond to signals, violent behaviours, and stimuli around him.
Potential Patient Problem #1	Impaired Mobility and halt of all other body functions	-Maintaining continuous talk with Mr George Robert even when he cannot articulate any worse on his own. -We also recommend systematically turning Mr George in his bed as we maintain conversations with Mr George. -Immediate specialized massage and simple respiratory exercise are also of great importance in our comprehensive recovery plan for Mr Robertson. -. Active restoration of motor and emotional functions through occupational therapy for Mr Robertson is done.
Potential Patient Problem #2	Brain damage	-With the above potential risk of having damage to the brain, a proper care plan should be drafted for Mr George Robertson, 71 years old. -The care plan for this will include checking all the body metabolism processes, his Blood pressure, Respiratory rate movement, Peripheral oxygen saturation in his blood system through the brain, and his actual pulse rate for a record to create a point of help notice whether the brain receives enough oxygen. -Taking a physical and comprehensive history of Mr Robertson from a family member since he showed signs of aphasia. This will reveal predisposing factors contributing to Mr Robertson’s condition. -Finally, we will do blood tests to establish conditions that may have contributed to the underlying problems, such as hypertension and TIA. Other tests important for Mr Robertson will include stress tests and X-ray imaging of the brain recommendation to evaluate complications that may otherwise contribute to Mr George Robertson’s condition.

Implementation.

	Patient Problem	Nursing Intervention	Rationale
Actual Patient Problem #1	Actual Pain	-Mr. Roberts’s intervention for the actual pain all protective measures that ensure safety include Removing excessive equipment in his rooms and the ways he uses in and out of the treatment room. – The care plan for this will include checking all the body metabolism processes, his Blood pressure, Respiratory rate movement, Peripheral oxygen saturation in his blood system, and his actual pulse rate for a record to create a point of help. -Dressing the lacerated wound or area. -Ask Mr Robertson about the extent of the pain. -Apply analgesics for Mr Robertson to reduce the pain .	-This ensures that he is free from stumbles when in the assisted movement to avoid falling and more injuries – -.
Actual Patient Problem #2	Acute Confusion.	–Aiding Mr Robertson’s treatment of the underlying problem, for example, drug intoxication, substance abuse and infectious process. -Modulating Mr Robertson’s sensory exposure by providing a calm environment around him -Involving family in the reorientation of Mr Robertspon and allowing him enough time to respond to the medicine given -Providing safety needs and alarms to help in any time help is required for Mr Robertson .and assist the family in noticing significant coping strategies for Mr Robertson after treatment out of the situation	-This provides the informational data needed to outline the planning care. -The above intervention helps out in stopping the airway obstruction as obstruction of the airway leads to cerebral hypoxia and may lead to immediate loss of breath and death. In an unconscious situation, and if Mr Robert’s condition worsens, this intervention helps maintain the process of the oxygen flow to Mr Robertson’s brain whenever his normal spontaneous respiration is difficult.
Potential patient Problem #1	-Impaired Mobility	-Maintaining continuous talk with Mr George Robert even when he cannot articulate any worded on his own. We also recommend systematically turning Mr George in his bed as we maintain conversations with Mr George. -Immediate specialized massage and simple respiratory exercise through Kinesiotherapy and stroke regulation drugs are also of great importance in our comprehensive recovery plan for Mr Robertson. -Active restoration of motor and emotional functions through occupational therapy for Mr Robertson is done.	-Relaxation procedures that allow normalcy for Respiratory rate movement and relax the mind of Mr Robertson by activating attend -The process rehabilitates and removes aphasia. The plan also helps restore the memory of a patient who has suffered from strokes and related problems. -Regaining body abilities for the left organs and recovery of the patient.
Potential Patient Problem #2	Brain damage	-The care plan for this will include checking all the body metabolism processes, his Blood pressure, Respiratory rate movement, Peripheral oxygen saturation in his blood system, and his actual pulse rate for a record to create a point of help. -Taking a physical and comprehensive history of Mr Robertson’s sickness from a family member since he showed signs of aphasia. This will reveal predisposing factors contributing to Mr Robertson’s condition. -We will do blood tests to establish conditions that may have contributed to ascertaining the presence of clots in the blood or enough oxygen supply in the blood Other tests important for Mr Robertson will include stress tests and X-ray imaging of the heart and brain recommendation to evaluate complications that may otherwise contribute to Mr George Robertson’s condition. -Monitor Mr Robertson’s Response to Medication. –	-These are vital signs to be relied upon for the medication decisions and will serve as the indicators of improvements. These are the basis of observable changes in the patient. The history details can help link with the hormonal causes or genetic causes that require genetic approaches for a treatment plan. Mr Robertson has displayed, among other things, to have experienced TIA, which can be among other causes of this and therefore making the history an important part. -These are the establishment of causes of the condition procedures helpful when proceeding with medication. -Monitoring gives information about Mr Robert’s progress and improvement index. It also gives the effectiveness of drugs and may guide on either changing or sticking to the type of medication.

Evaluation.

	Nursing Intervention	Evaluation
Actual patient Problem #1	– Mr Roberts’s intervention for the actual pain all protective measures that ensure safety – Keeping Mr Robertson’s bed at the lowest levels possible -Ready Alarm	-No more physical injuries -Uninterrupted and smooth movement in the ICU room, no risk of slipping. -Assured safety on bed -Immediate responses to help Mr George
Actual Patient Problem #2	-Assessing all the respiratory functions and secretions – Repositioning Mr Robertson in a lateral position and applying the use of an oral airway if there is obstruction of air by the tongue	-RR-24bpm,Bp 187/91mmhg,HR87bpm,Temp 36.8 C. Normal – Mr George Responding and gaining balance.
Potential Patient Problem #1	– Maintaining continuous talk with Mr George and continuous turning positions. – Specialized Massage. -Active restoration of emotional motor functions	-We have started Attracting his attention -Mr. George starts remembering by asking where he is. He responds to my questions. -Mr. George can make stable movements
Potential patient Problem #2	-Checking body metabolism and respiratory processes. -History of Mr Robertson’s sickness and blood tests -Monitoring his response to medication.	– RR-24bpm,Bp 187/91mmhg,HR87bpm,Temp 36.8 C. Normal -Mr. George has a history of TIA and smokes, a good basis for conclusions to guide treatment. -Mr. George’s condition has stabilized, and a soon discharge recommendation is advised.

HNN227 Acute Illness And Supportive Care