Ian a 72-year-old male nonsmoker with a history of gout and mild dementia was referred to the main hospital by GP for sh
Posted: Wed Dec 22, 2021 9:56 am
Ian a 72-year-old male nonsmoker with a history of gout and mild
dementia was referred to the main hospital by GP for shortness of
breath due to suspected pneumonia. Patient was brought to the
hospital by his son who mentioned that Ian had cough with thick
yellow sputum and complained of pleuritic chest pain for the past 3
days. Ian is febrile and tachypneic, has a blood pressure of
145/65, and has an oxygen saturation of 93% on room air. Physical
examination is significant for rhonchi in the right lower lung
fields, and a chest x-ray shows a right lower lobe infiltrate.
Blood, urine and sputum sample were sent for investigation and Ian
was admitted in the medical ward. Laboratory studies showed high
white blood cell count and no evidence of acute renal failure.
Blood cultures came back positive for Streptococcus pneumonia which
confirmed the diagnosis as community-acquired pneumonia.
Antibiotics commenced. Patient’s condition improved intitially. By
day 5, Ian started to become febrile again with increased work of
breathing and decreased oxygen saturation requiring high flow
oxygen. Patient was transferred to high dependency unit. Chest
X-ray showed increase in lung consolidation in right lower lung
fields and diminished air entry to right mid and lower zone of the
lung on auscultation. Blood culture came back positive for
multi-resistant staphylococcus aureus. Patient was managed in
high dependency unit for 3 days and then transferred back to the
medical ward. Ian’s condition improved and was subsequently
discharged from the ward on day 15.
Requirement (1500 words task)
1. Analyse and interpret relevant objective and subjective
data and explain them based on the pathophysiological changes
associated with the patient condition
2. Discuss pharmacological management of patient’s
condition
3. Identify nursing diagnoses relevant to the case study
and develop a nursing care plan with rationales (Do not use tables
for nursing care plan)
4. Explain about nurse’s role in infection control.
dementia was referred to the main hospital by GP for shortness of
breath due to suspected pneumonia. Patient was brought to the
hospital by his son who mentioned that Ian had cough with thick
yellow sputum and complained of pleuritic chest pain for the past 3
days. Ian is febrile and tachypneic, has a blood pressure of
145/65, and has an oxygen saturation of 93% on room air. Physical
examination is significant for rhonchi in the right lower lung
fields, and a chest x-ray shows a right lower lobe infiltrate.
Blood, urine and sputum sample were sent for investigation and Ian
was admitted in the medical ward. Laboratory studies showed high
white blood cell count and no evidence of acute renal failure.
Blood cultures came back positive for Streptococcus pneumonia which
confirmed the diagnosis as community-acquired pneumonia.
Antibiotics commenced. Patient’s condition improved intitially. By
day 5, Ian started to become febrile again with increased work of
breathing and decreased oxygen saturation requiring high flow
oxygen. Patient was transferred to high dependency unit. Chest
X-ray showed increase in lung consolidation in right lower lung
fields and diminished air entry to right mid and lower zone of the
lung on auscultation. Blood culture came back positive for
multi-resistant staphylococcus aureus. Patient was managed in
high dependency unit for 3 days and then transferred back to the
medical ward. Ian’s condition improved and was subsequently
discharged from the ward on day 15.
Requirement (1500 words task)
1. Analyse and interpret relevant objective and subjective
data and explain them based on the pathophysiological changes
associated with the patient condition
2. Discuss pharmacological management of patient’s
condition
3. Identify nursing diagnoses relevant to the case study
and develop a nursing care plan with rationales (Do not use tables
for nursing care plan)
4. Explain about nurse’s role in infection control.