Case Study Ms Aliza Azizi
1. Prioritise the nursing assessment from most urgent to least urgent, using the system assessments (i.e, CNS, CVS, Resp etc…). Each assessment must be supported with rationales clearly stating why you are conducting the assessment for the patient relating back to the patient’s condition. The rationale also need to be support by a reference (evidence based practice) published within the last 5 years.
Respiratory Assessment: The respiratory assessment concentrating on respiratory rate and chest auscultation would be required for this patient as currently patient is cool to touch and the patient’s lip turning blue. Gulanick & Myers (2014, pg. 201) states that “Cool, pale skin maybe a secondary to a compensatory vasoconstriction response to hypoxemia. As oxygenation and perfusion becomes impaired peripheral tissues become cyanotic”.
Then explain why you are concentrating on respiratory rate and chest auscultation. By conducting these assessments what can you confirm or eliminate maybe the cause of patient’s signs and symptoms.
PART 2: Nursing Complications/Problems
2. Clearly outline at least 4 actual problems & 2 potential problems relating to the patient’s current signs and symptoms & patient’s past history.
PART 3: Nursing Implementation and Evaluation
3. (A) Based on your assessment findings from Part 1: Nursing assessment, develop a Holistic nursing care plan for Ms Azizi including;