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"브이심 Marilyn Hughes documentation+GRQ A+"에 대한 내용입니다.

목차

I. Documentation Assignments
1. Document a comprehensive pain assessment for Marilyn Hughes.
2. Document Marilyn Hughes’ neurovascular assessment.
3. Document the changes in Marilyn Hughes’ vital signs.
4. Identify and document key nursing priorities for Marilyn Hughes.
5. Referring to your feedback log, document the nursing care you provided and Marilyn Hughes’ response to this care.

II. Guided Reflection Questions
1. How did the scenario make you feel?
2. How would you recognise that Marilyn Hughes’ condition was deteriorating?
3. What interventions exist to alleviate compartment syndrome, and what assessments indicate improved perfusion to the extremity?
4. Why is it important to maintain the limb at heart level versus elevating it above heart level?
5. What could have happened in this scenario if Marilyn Hughes’ condition was not treated expediently?
6. What key elements would you include in the handover report for this patient? Consider the ISBAR (introduction, situation, background, assessment, recommendation) format.
7. What would you do differently if you were to repeat this scenario? How would your patient care change?

본문내용

1. Document a comprehensive pain assessment for Marilyn Hughes.
대상자는 수술에서 돌아온 직후 통증을 호소하고 있고 오후 2시15분에 IV로 morfine 6mg을 투여 받았습니다.
NRS를 통해 대상자는 통증을 10점 중에 7점이라고 말하였습니다. 죄측 다리에 통증이 있고 무감각하다고 호소하였습니다. 다리의 드레싱을 관찰하고 신경혈관 평가를 하였고 붕대를 느슨하게 하였습니다. 중재 이후, 그녀는 왼쪽 다리에 통증을 10점중에 5점을 주었으며 드레싱이 느슨해져서 통증이 조금 줄어들었다고 보고하였습니다.

2. Document Marilyn Hughes’ neurovascular assessment.
좌측 다리에 대한 대상자의 신경 혈관 평가는 구획 증후군의 증상을 보입니다.

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