You are required to choose ONE patient from this selection. Discuss the assessment method and/or tool that you would use and use the information gained to discuss a plan of care.
Patient A.
Male . 82 yrs. Admitted to hospital. Slightly raised temperature. All other observations recorded as within normal parameters on NEWS2. Concerns about ability to cope. Lives alone. Clothes are loose, skin is dry, patient is constipated.
Height= 1.58m, weight 48kg. GP letter stated that patient weight was recorded as 60kgs 3 months ago.
Students are required to use an appropriate risk assessment tool to guide care delivery.
Patient B.
Female. 42 yrs old. Admitted to hospital with sudden onset of high temperature and abdominal pain.
| Baseline Observations. | ||||||
| Respirations | Oxygen saturations | Blood pressure | Pulse | AVPU | Temperature | NEWS2 |
| 18 | 97% | 141/90 | 95 | A | 38.5 | 2 |
Students are required to use the information provided to discuss immediate plan of care for this patient using an appropriate risk assessment tool to guide care delivery.
Patient C.
Male. 87. Admitted to hospital. ACVPU = C. Temp 37.6. All other observations are within acceptable parameters. Urinary frequency. Recent diagnosis of Alzheimer’s. Lives alone. Self-caring.
Students are required to discuss how to assess this patient and discuss a plan of care.
Patient D.
Child. Male . 10 days old. Health visitor review. Normal delivery. Good AGPAR scores. Breast fed. Not feeding well in last 24hrs. He has not yet regained his birth weight. Tommy has passed urine once in the past 8 hours. He last had his bowels open 12 hours ago. Tommy isn’t feeding as expected, mum is waking him for feeds, only latching for a few minutes at a time before becoming tired.
| A | B | C | D | E |
| Patent, crying | Respiratory rate 54, increased effort | 140bpm, central capillary refill time less than 2 seconds | Mobilising all four limbs, unsettles when handled | No rashes, dry mucus membranes, temperature 37.8 axilla |
| Height | Weight | Head Circumference | Percentile |
| 56cm | 3.5kg | 39cm Head Circumference | Weight 25th Percentile Head above the 99.6th Percentile Height 98th Percentile |
Students are required to use the information provided to discuss a plan of care for this patient using an appropriate risk assessment tool to guide care delivery.
Patient E.
Child. Male . 13yrs old. In school, teachers concerned and telephoned mum and asked her to attend school and take him to the GP. As not registered with a GP, mum has taken to the Emergency Department.
| A | B | C | D | E |
| Speaking odd words, struggling to swallow | RR 22. No recession observed | 90bpm, flushed cheeks, pale | Reluctant to mobilise, normally mobilising well with support | Clear demarcation, cold extremities. Temperature 39.9 |
Immunisation status incomplete and has been assessed by out of hours care provision on 26 occasions. Has 4 other siblings, 1 year old, 3 years old, 7 years old twin brothers.
Students are required to use the information provided to discuss immediate plan of care for this patient using an appropriate risk assessment tool to guide care delivery.
Patient F.
Female. 32 yrs old. Referred to Community Psychiatric Nurses by GP. Patient’s husband died suddenly 12 months ago, and she feels that she is beginning to struggle with daily living. She reports feeling tired all the time, but unable to sleep or rest. She says she ‘can’t stop crying’ and feels ‘overwhelmed by her sadness’. Concerns that patient was not eating and neglecting herself and the home environment and has been reluctant to seek help and support.
Students are required to discuss how to assess this patient and discuss a plan of care.
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