Scenario 1 Mr Phil is a 72-year-old client in your health care…

Question Answered step-by-step Scenario 1 Mr Phil is a 72-year-old client in your health care… Scenario 1Mr Phil is a 72-year-old client in your health care facility. You were handed over that Mr Phil had a fall yesterday. Usually, Phil is very chatty and pleasantly confused. As you do your handover checks, you notice that Mr Phil is unusually sleepy and is responding to voice. The handover revealed that he had not had breakfast or lunch and refused to get out of bed. Mr Phil was unusually troubled and rude to staff when help was offered and later got very sleepy. Answer the following questions based on the scenario and the post-fall management protocol relevant to your state. An example of the post-fall management protocol is available here: Post fall guidelines (health.wa.gov.au) a) What assessments would you conduct on Mr Phil? Why? Refer to post-fall management protocol. b) Documentation shows that Mr Phil’s last observations were – RR = 18/mt, SpO2=96% on room air, HR=87/mt, BP = 156/82 mm of Hg, Temperature = 36.2 Deg. Celsius, GCS = 14/15 (E4V4M6). He complained of pain, scoring 4/10 on his forehead, where he was hurt during the fall. He was given some analgesics for the pain 2 hours ago.  On assessing the level of consciousness of Mr Phil, you got a score of E3V3M5, which is lower than the previous reading. Current vital signs are- RR= 12/mt, HR = 62/mt, BP = 188/92 mm of Hg, SpO2= 95% on room air. What is  interpretation, and how would you respond in this situation? c) As per facility protocol, you have escalated this matter to the RN and the doctors. Meanwhile, you notice that client’s vital signs have changed to RR= 8/mt (irregular), SpO2 = 91% on RA, BP = 192/68mm of Hg, HR = 56/mt. Using escalation protocol provided as per Australian Safety and Quality in Health Care standards- Adult deterioration detection system (ADDS), how would you escalate and report this situation? ADDS-chart-without-blood-pressure-table-20121.pdf (safetyandquality.gov.au)   Health Science Science Nursing DIPLOMA OF HLT54115 Share QuestionEmailCopy link Comments (0)