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HLTENN011 Task 2 Case Study Assessment stepsRead the history Make notes regarding any acute changes, variances in vital signs and other outstanding data. 19050355600Be aware that this recording may be emotionally challenging for some students as this is a live recording and relates to a real medical condition. 00Be aware that this recording may be emotionally challenging for some students as this is a live recording and relates to a real medical condition. Listen to interview. This is a 13-minute recording. Task 120091403683000Step 1 & Step 2Case study Elisabeth R (known as Liz) Aged 58 years Female. Enrolled Nurse Situation58-year-old female presented into the emergency department with neurological changes, having had an unresponsive episode at home. She had just returned from an overseas vacation and has become unwell.Acute Preliminary health assessment. Temperature: 36.2Pulse: 102 irregularRespirations: 22BP 160/95O2 saturations 94%.On presentation to the hospital, she was complaining of nausea, headaches, blurry vision, and was disoriented to time and place.Glasgow coma scale (GCS) is EO 3, VR 4, BMR 6 total 13. BackgroundLiz lives at home with her husband Marcus. They have two adult children that do not live close. She had been treated for breast cancer 5 years ago. Her treatment consisted of radiation and chemotherapy and she has not required any further treatment.At present she is not taking any regular medication only paracetamol for her headaches. Step 3.Listen to the audio and follow direction as per the student instructions. This is on the Moodle site.Question 1 From Liz’s acute preliminary health assessment, identify?and?discuss?two (2) 'actual' health problems that you would share with the Registered Nurse?and other members of the Health Care Team.Research and Reference Approx. 100 words. Question 2 Using you 2 actual health issues?discuss?two (2) 'potential' health issues regarding Liz’s acute health problems that you would also share with the Registered Nurse and other Members of the Health Care Team.Research and reference Approx. 100 words. Question 3 Using one (1) of Liz’s above health problems, you identified in Q1 or Q2, discuss?the pathophysiology?of this condition and?its clinical manifestations.Research and Reference Approx.50 words. Question 4.In relation to the list below, explain to Liz and her family two (2) potential physical impacts, regarding each of her acute health problems (6 in total)Write this as a narrative.Describe?in appropriate medical and professional terminology.Dehydration from vomiting,Falls due to neurological changes andComplications of bed rest.Research and Reference Approx. 100 words. Question 5Explain?to Liz and her family two (2) psychological impacts, regarding her health condition that may impact on her daily living activities.Write this as a narrative.Research and Reference Approx. 100 words. The surgeon has explained to Liz that she is having emergency surgery due to her condition. She will be having a general anaesthetic and returning to the intensive care unit post-operatively for monitoring.Liz has returned from theatre. Her observations are being taken every 30 minutes and now she is awake. She has a slight headache but no nausea or vomiting. She is conscious and conversing. Acute Secondary health assessment. Vital signs are: Temperature 36.5cPulse 64 BPMRespirations 18 RPMBlood pressure 120/75O2 saturations 93% RAPain score 5/10 Question 15Review the above data.Using critical thinking and problem solving, prioritize your nursing interventionsto reflect the changes in Liz’s condition.List the data changes and the rationale behind your decisions.In your own words.(100 words)Question 16. Liz is experiencing pain. Discuss two (2) strategies you can use to promote postoperative comfort? E.g., Strategy is a plan of action: I plan to…Discuss two (2) nursing care actions to promote postoperative comfort?(50 words)Question 17Explain the rationale in taking routine observations on a patient that has returned from theatre. Research and Reference (20 words)Question 20 Holistic approach to acute care is where all aspects of the person are considered.What are 2 nursing interventions and outcomes Enrolled Nurses use to ensure a holistic approach to care.Research and Reference (50 words) ................
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