CASE SCENARIO – Number 3: Sarah Yin is an 82 year old lady, who has…

Question Answered step-by-step CASE SCENARIO – Number 3: Sarah Yin is an 82 year old lady, who has… CASE SCENARIO – Number 3: Sarah Yin is an 82 year old lady, who has been living in a care home since 2017 (through her choice), following the death of her husband. She is usually very healthy and independent, able to perform most Activities of Daily Living independently and enjoys supporting the care home staff with basic tasks, like folding laundry and helping in the kitchen. Her past medical history includes hypertension and lower back pain. Sarah Yin’s current medication is: • Ramipril – 1.25 mg OD oral (breakfast) • Paracetamol 1000 mg oral PRN – if experiencing pain • Codeine – 15 mg PO PRN – if experiencing severe pain. For the past 2 days Mrs Yin does not present like her usual self, she reports feeling very tired and has no interest in interacting with other people. Mrs Yin has a very mild cough and has started complaining of pain in her thoracic spine. Today Mrs Yin did not join the Breakfast club, and when the staff went to check on her, they found her very confused, talking with herself, and sending people away insisting they were “intruders” in her home. She started screaming at the staff as they tried to approach her to check her vital signs. The male nurse on duty approached Mrs Yin, and because she thought he was her husband she allowed him to perform a quick examination. The nurses findings were: • Respiratory Rate (RR) – 24 breaths per minute • O2 Saturation – 82% on room air • Heart Rate (HR) – 105 beats per minute • Blood Pressure (BP) – 94/ 68 mmHg • Temperature – 38.9 C • Pain: 8/10 Crackles on both basis of her lungs with wheeziness on inspiration. Very painful chest and back when touching and increased cough when pressing her thoracic back. QUESTION/INSTRUCTIONS:Levett Jones’ Clinical Reasoning CycleStep 3 – Process the above information and use the information to: Step 4 – Identify problems/issuesStep 5 – Establish goals and a treatment plan   A table displaying the data provided such as the A-E observations is a good idea, in this you can also present the NEWS score which can then be explained/interpreted in the body of the case study. Tables should have a title e.g. Table 1 A-E Assessment.  Tables should also be referred to in the body of the case study.  E.g. Table 1 shows that the NEWS score is X, this means Y.Abbreviations should be written in full on first use.  Health Science Science Nursing BIOLOGY 0003 Share QuestionEmailCopy link Comments (0)