[ANSWERED] CAP203 Care of the person with an acute illness Assessment 3: Peri-operative patient

Context
Acute surgical admissions are a common practice for most hospitals and therefore, nurses. The
ability of a Registered Nurse to understand the pathophysiology and manifestations of more
common illnesses allows for greater advocacy for patients; and enables the nurse to better evaluate
the interventions in place.
Completion of this assessment will test your knowledge relating to the pathophysiology, clinical
manifestations, investigations and treatments of a common acute surgical admission. The
assessment will further determine your ability to interpret and apply this knowledge to the holistic
nursing care of a patient with this illness.
Instructions
To complete this assessment, you will need to read and understand the case study presented below
and provide detailed responses to each of the points listed. Your detailed responses should be
presented in the format of a report, summarising the scenario and its implications. For each point,
you should have a separate heading.
The points to address in your report, are as follows:
1. Summarise the situation and patient identified in the case study.
2. Identify and describe the illness and relevant pathophysiology of the illness indicated.
3. Identify the common clinical manifestations (signs and symptoms) for the illness you
described.
4. Consider and discuss the legal and ethical implications of consent giving whilst under the
influence of intravenous narcotics.
o You must decide whether the patient is fit to consent, and if not, who may be able to
consent for her. You should discuss potential confidentiality and privacy issues in
relation to her location for admission.
5. Identify the potential issues that could be faced when undergoing surgery in this case study,
related to pain, digestion and oxygenation and formulate an intervention plan that explains
how to manage each one.
o Note: This plan should be a paragraph on each aforementioned issue, which includes
the considerations for each intervention and the clinical reasoning behind them.

Case Study – Janet
Read the below case study then complete your response.
Janet is a 48-year old; she has a BMI of 42 and is a single mother of two. She has been admitted to
the ward from the emergency department (ED) with a preliminary diagnosis of Cholecystitis after
increasing abdominal pain and nausea.
Janet’s observations on arrival are T=36.7, P=88, BP=104/74, RR=10, SaO2=98% on 2L/min Oxygen
via nasal cannula. She has a resting pain score of 2/10 which increases to 5/10 on movement after
analgesia. She has been given IV Paracetamol, IV Morphine and IV Normal Saline. She has been
admitted to the ward awaiting further investigation and review by the general surgery consultant.
Janet has been admitted to a shared room on the surgical ward with another patient. Her
morphine was administered 45 minutes ago with some effect on her pain, the surgical registrar is
going to consent her for surgery when she arrives on the ward in 10 minutes.

Writing your response
You should start with a short introduction (approximately 200 words) detailing the case study and
the identified acute illness. This section should be written in complete sentences and paragraphs,
using appropriate language and punctuation. This section should not be dot points, lists, graphs or
diagrams.
The main body of your case study should be approximately 1000 words long, with separate sections
dedicated to each aspect of the instructions (points 2-6 inclusive). This section must be written in full
sentences and paragraphs; using appropriate language and punctuation. The report should be
written in the third person. The use of tables, graphs and dot points is not required. All arguments
and information presented should be appropriately referenced as per the APA referencing guide.
The report should end with a conclusion, which should be approximately 300 words in length, and
summarise the case study and information presented. This section should not include new
information. You may identify potential areas for further study and or/research in this section; this
should be rationalised to include impact on future admission and patient outcomes. The inclusion of
potential areas for further research is not a mandatory component of this assessment.
Referencing
It is essential that you use appropriate APA style for citing and referencing research.

[ANSWER OVERVIEW]

Issues Related to the Surgery and a Management Plan

Pain

Pain is already a key symptom of cholecystitis. Debilitating pain may be experienced during surgery and even after the process (Lindseth & Denny, 2014). Pain associated with cholecystectomy is common at sites of incision as well as the shoulders and abdominal area because air is pumped into the abdomen in the course of surgery (Society of American Gastrointestinal and Endoscopic Surgeons [SAGES], 2019). Elderly people like Janet may be even more predisposed to acute postoperative pain, thus, require a proper plan of management.

The goal of this intervention plan is to...[Buy Full Answer for Just USD 10: 1500 WORDS]