Nursing – University Of Tasmania – Physiology – Case Study Assignment Help
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Kobi Monterey has grown up with asthma. Diagnosed at a very young age, he has been very diligent in knowing what triggers his asthma resulting in Kobi experiencing few episodes in recent years. Apart from his asthma, Kobi is a fit and well 25-year-old. However, this week Kobi has not been feeling well over the past few days and his father brought him to the emergency department this morning after Kobi experienced an asthma attack whilst at work. Kobi is quite distressed and breathing rapidly with a notable wheeze on expiration. He is unable to talk to you in full sentences, states he has a tight feeling in his chest and a continuous cough. You notice that his lips are cyanosed and he appears pale and sweaty
Social History
Kobi is a keen cyclist and rides his bike about 3 times a week with a local cycling group to which he belongs. He enjoys the social activities and has a good work-life balance. Kobi works as a carpenter with his father. He has aspirations of starting his own carpentry business and is feeling positive about his future. Kobi is often working in enclosed spaces exposed to fine wood dust particles, although he complies with all the necessary workplace health and safety regulations.
Medication Use:
Kobi indicates that he has needed to use his puffer more than usual and ceased using the preventer some time ago. When he runs out of his Ventolin puffer, he orders replacements online that are delivered to his home address for convenience. With such a busy schedule, Kobi has found it difficult to find time to schedule an appointment with his GP.
Task : 1
Relate: cluster cues by identifying relationships between them.
Infer: make deductions as to why a cue, or a cluster of cues may be considered abnormal in this context. Justify by referring to appropriate anatomy, physiology and pathophysiology.
Based on your interpretation of all the information/cues presented, form and justify an overall opinion on what may be happening
Explain what may happen to your patient if no action is taken
List in order of priority at least two key nursing problems
For your highest priority nursing problem:
Establish one goal
List the related FOUR (4) actions you would undertake to achieve that goal. Your actions should include ONE (1) skill only from the following list; 1) 12 Lead ECG and interpretation,2) Venipuncture and sample handling, 3) Oxygen therapy, 4) Pulse oximetry.
Provide a rationale that associates the pathophysiological and psychological principles with each selected nursing action
Describe how you would evaluate the effectiveness of the care provided (i.e. how will you know that your actions were beneficial to the patient?).
Task : 2
Watch the video of the clinical skill performance which you have chosen from the list provided above. Analyse and critically reflect on skill performance in the video you have chosen, using the skill checklists in (Tollefson 2016). Discuss 1 (ONE) strength and 1 (ONE) weakness that you have identified in the skill performance. Discuss in relation to the Registered Nurse Standards for Practice .
Reflecting on the video performance, discuss what two (2) actions you will take to address their performance in the promotion of positive health outcomes. Reflecting on the clinical reasoning cycle, how has this reinforced your professional responsibility as a beginning level practitioner and informed your future learning?
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