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Care Delivery Intervention - Essay Example

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Care Delivery Intervention

He was admitted into High Dependency Unit (HDU) following a PR bleed. John has a history of previously smoking for 28 years and stopped when diagnosed with chronic obstructive pulmonary disease (COPD) and has had asthma since he was a teenager, which is being treated with inhalers. John’s airway, breathing, and circulation were checked on arrival to identify any actual or potential problems. These observations are taken on admission as an initial assessment and management of a patient during their stay on HDU. They provide a baseline for future comparison, to monitor the patient condition during treatment and to monitor the patient’s response to treatment or medication. Whilst on HDU, John started developing respiratory problems like shortness of breath (dyspnea) with a raised respiratory rate 33 along with low oxygen saturations 88% (hypoxemia). Hypoxemia may lead to anxiety, dyspnea, and a reduction in oxygen saturation. The effect of a lowered cardiac output, poor circulation, and potential lung dysfunction may cause a drop in oxygen to tissues affecting other organs, which is why I will administer 2L of oxygen to Jack via nasal cannula. I, then, went on to assess John’s circulation where I found his skin color, capillary refill, and fluid balance to be normal. His blood pressure was slightly raised 180/120. John’s temperature was 37 and I found his skin to be slightly moist. John pulse was 88, strong and bounding, following a sinus rhythm. Disability was assessed next and I found John’s Glasgow Coma Score (GCS) to be 15/15 and he was alert. His blood glucose was normal; however his pain score was 7/10 so I administered some analgesia. On assessing exposure, I found no rashes, wounds or bruising which was noted on the water-low score chart. John did however have a cannula in his left hand which I mentor just inserted. He explained that he had eaten breakfast in the morning before the incident and his bowels were open the previous night. His abdominal assessment was normal, soft, and tender. Lastly, family was assessed and I found that John had no allergies, and his wife did not know he had been admitted, so after the assessment I phoned his wife and informed her about John’s admission. Upon this acknowledgment, his wife started visiting him frequently, but no positive effects of the visits were noticed in John. No side effects of Morphine were detected upon immediate assessment, but later on certain negative symptoms were noticed. Opioids or Narcotic Analgesics are known to cause respiratory depression and further complications in some cases. The symptoms which were seen in John, included agitation, insomnia, and mood changes which were triggered due to his previous history of depression (McNicol, E.,2007, p.2-4). Further accounts of side effects like itching, swelling, and difficulty in swallowing suggested that Morphine was not a suitable analgesic for the patient. After assessing the symptoms, evaluating previous medical history, and calculating any other factors which could have been responsible for these complications in John's health, it was devised that some other suitable analgesic should be used for his treatment (Bassett and Bassett, 2004, p.98-103). Naproxen, which belongs to the NSAIDs or Non-steroidal Anti-Inflammatory Drugs, was used instead to relieve John's pain as chronic pain is a significant problem related to COPD. As opposed to Narcotic Drugs, NSAIDs do not cause major ...Show more

Summary

Care delivery intervention essay This essay will focus on respiratory care given to a patient during my practice placement on a high dependency ward (HDU). I will reflect on how I conducted a systematic assessment and will discuss the importance of assessing and maintaining a client’s airway…
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Care Delivery Intervention Essay essay example
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