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Case study - Assignment Example

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The studied case concerns David King whose wife found fallen on in the showers upstairs, brought and admitted to Accident and Emergency (A&E) department. The purpose of the report is to present an elaborate assessment, care and discharge plan for David King. The plan to be in…
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Case study

The nursing assessment tools relevant for the situation of David Kings are Crichton Royal behavior scale and the Barthel Index. Barthel Index encompasses ten items for measuring daily functioning of patients and particularly mobility and daily living (Gallao 2006, pg. 201). The tool helps in investigating items such as moving, feeding, transferring to toilet and back, bathing, walking, dressing, grooming, up and downstairs movement and continence of bladder. The Barthel Index is important here considering that the situation of avid King disenables him practicing self-care or operating independent of a caretaker. His hands are weak, he cannot communicate and has incontinent bladder that makes the tool the best for offering comprehensive care. Crichton Royal behavior scale measures patient’s ability in ten dimensions or items that include mobility, memory, self-care, social disturbances, communication and orientation (Schachter 2011, pg. 181). This toll is relevant considering that it guides in accurate assessment on issues that directly affect David Kings. For instance, the tool cab help a nurse assess and scale communication, coordination and memory capability of the patient.
From the description of the case study, David Kings seems to be suffering from three health problems that include heart attack, body injuries and impaired memory. Body injuries resulting from the slump that necessitated admission of David Kings in the hospital is the most urgent health care problem that nurses need to attend. Impaired memory and cognition is the second most urgent healthcare need about David Kings and which requires quick attention. Heart attack that could be due blood pressure requires the least urgent medical care.
The reason for making manifest and hidden body injuries as urgent healthcare problems facing David Kings relates to the magnitude of the pain that the problem is likely to cause to the patient. Managing and ... Read More
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