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Question:
Written analysis of case-based scenario
You are required to submit a academic paper in an essay format on the following case study. Your essay should demonstrate your knowledge and application of best evidence-based nursing practice in relation to assessment, nursing care and evaluation of care for the six (6) aspects as described below.
Scenario:
Robert Snider a 68-year-old male has been admitted to the medical ward after being diagnosed with community -acquired right middle lobe pneumonia. Robert lives alone and is now retired after working all his adult life in a coal mine. His medical history includes a diagnosis of Chronic Obstructive Pulmonary Disease (COPD), hypertension and is a current smoker of 20 cigarettes per day.
The following data was assessed when Robert was admitted to the ward:
Subjective data:
Feeling anxious and fearful
Fatigue
Restless, and leaning forward
Shortness of breath exacerbated on minimal exertion e.g. standing out of bed
Faint crackles audible over the right middle lobe
Pale in colour
Objective data:
Blood pressure: 105/60 mm Hg
Heart rate: 102 beats per minute
Respiratory rate: 33/minute
SaO2:88% Room air
Chest X-Ray: Consolidation Right middle lobe
Weight: 124Kg
The Doctor has prescribed Robert oxygen therapy to achieve and maintain a SaO294% and intravenous antibiotics.
Your assignment should be directly related to the scenario and cover the following aspects of assessment, nursing care planning and evaluation of care provided:
Promotion and facilitation of adequate oxygenation
Provision of general nursing care
Prevention of possible hospital acquired complications
Promotion of adequate hydration and nutrition
Provision of emotional and psychological support
Education and Discharge planning

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