{"id":25370,"date":"2021-01-14T09:29:56","date_gmt":"2021-01-14T09:29:56","guid":{"rendered":"http:\/\/onlineclassesguru.com\/?p=25370"},"modified":"2021-01-14T09:29:56","modified_gmt":"2021-01-14T09:29:56","slug":"discuss-the-reason-for-the-changes-in-the-patients-vital-signs-with-references-e-g-low-blood-pressure-what-could-have-caused-this-in-your-patient","status":"publish","type":"post","link":"https:\/\/onlineclassesguru.com\/index.php\/2021\/01\/14\/discuss-the-reason-for-the-changes-in-the-patients-vital-signs-with-references-e-g-low-blood-pressure-what-could-have-caused-this-in-your-patient\/","title":{"rendered":"Discuss the reason for the changes in the patients vital signs with references e.g. low blood pressure \u2013 what could have caused this in your patient?"},"content":{"rendered":"<style type=\"text\/css\"><\/style><p>Case Study 2: Alan Jones Alan Jones is 60 year old man who was admitted to hospital for surgery following urinary symptoms that led to a diagnosis of benign prostatic hyperplasia (BPH). He has a history of obesity and type 2 diabetes mellitus. Alan lives alone but his adult son is with him on admission and reports that his father drinks a lot of alcohol (at least a bottle of wine per night). Alan was taken to surgery and underwent a transurethral resection of the prostate (TURP) under spinal anaesthesia. After 2 hours in the post-anaesthetic recovery room (PARU) he was transferred to the ward. He has continuous bladder irrigation via a three lumen urethral catheter. His urine contains large blood clots. PRESENTATION TO THE WARD: On return to the ward Alan\u2019s observations are as follows: \u2022 Respirations 30 breaths per minute \u2022 BP 160\/90mmHg \u2022 Pulse 128bpm \u2022 Temperature 35.0o C. \u2022 Pain score 0\/10 It is planned for Alan to be discharged after two days on the ward. QUESTIONS TO BE ADDRESSED In relation to Alan Jones: \u2022 Discuss the aetiology and pathophysiology of the patient\u2019s presenting condition (LO1; LO3) \u2022 Critically discuss the underlying pathophysiology of the patient\u2019s post-operative deterioration. Prioritize, outline and justify the appropriate nursing management of the patient during this time (LO1; LO2; LO3; LO5: LO6) \u2022 Identify three (3) members of the interdisciplinary healthcare team, apart from the primary medical and nursing team, who you would involve in the care of the patient before their discharge and provide justification for their involvement. (LO1; LO4: LO5; LO6)<\/p>\n<p>Briefly discuss your chosen patient\u2019s presenting condition in relation to their diagnosis (i.e. why they came to into hospital), cause of the condition, the reasons the patient may be susceptible i.e. risk factors &amp; complications of the condition. You are not required to discuss the surgical procedure but you need to show you understand it in the care of the patient. \uf076 Prioritise your patient\u2019s needs. Think about Airway Breathing Circulation Disability. Which of your patient\u2019s needs come first e.g. pain is in D (disability). What comes before that you need to address? \uf076 Link the changes that the patient is experiencing in the ward to the presenting condition and the effects of surgery and anaesthesia. \uf076 Discuss the reason for the changes in the patients vital signs with references e.g. low blood pressure \u2013 what could have caused this in your patient? \uf076 Discuss how you would manage each of the abnormal vital signs in priority order needs. What do you need to do? \uf076 Identify three specific members of the MDT you might refer the patient to during their admission. You are not required to discuss the role of the multidisciplinary team who would normally care for the patient e.g. surgeon, nurses etc.<\/p>\n<p><center><a href=\"http:\/\/onlineclassesguru.com\/orders\/ordernow\"><img decoding=\"async\" src=\"https:\/\/encrypted-tbn0.gstatic.com\/images?q=tbn:ANd9GcTyj99p60XCLyLk1htB7-1neRt8-2QdnenNlQ&usqp=CAU\"target=\"_http:\/\/onlineclassesguru.com\/orders\/ordernow\"\/><\/center><p>","protected":false},"excerpt":{"rendered":"<p>Case Study 2: Alan Jones Alan Jones is 60 year old man who was admitted to hospital for surgery following urinary symptoms that led to a diagnosis of benign prostatic hyperplasia (BPH). He has a history of obesity and type 2 diabetes mellitus. Alan lives alone but his adult son is with him on admission&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-25370","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v17.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Discuss the reason for the changes in the patients vital signs with references e.g. low blood pressure \u2013 what could have caused this in your patient? - onlineclassesguru<\/title>\n<meta name=\"description\" content=\"Discuss the reason for the changes in the patients vital signs with references e.g. low blood pressure \u2013 what could have caused this in your patient?\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/onlineclassesguru.com\/index.php\/2021\/01\/14\/discuss-the-reason-for-the-changes-in-the-patients-vital-signs-with-references-e-g-low-blood-pressure-what-could-have-caused-this-in-your-patient\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Discuss the reason for the changes in the patients vital signs with references e.g. low blood pressure \u2013 what could have caused this in your patient? 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