Deborah Scott Medical Case Study Assignment SOlved

Case study


This is an essay about the nursing care priorities for a case study in which the patient had serious health issues like broken ribs, chronic obstructive pulmonary disease (COPD), hypertension, and few others, using the Levitt-Jones Clinical Reasoning Cycle. This cycle is a method in which the nurse learns by collecting and processing information of the patient and evaluates outcomes with reflection.

Consideration of the patient’s current situation

A patient named Mrs. Deborah Scott who is a 65-year old woman was admitted to the Public hospital. She was found by her husband after he found her lying on her bedroom floor. It’s her third admission to the hospital with a fall in the last six months. The chest x-ray is suggestive of broken ribs and injuries to the chest wall. She has a history of type II diabetes – insulin-dependent; hypertension; osteoarthritis and chronic obstructive pulmonary disease (COPD).

Collecting cues and information

She has a history of type II diabetes – insulin-dependent; hypertension; osteoarthritis and chronic obstructive pulmonary disease (COPD). She is prescribed panadol osteo – for osteoarthritis, atenolol – for hypertension and chest pain control, telmisartan – it lowers the blood pressure and treats hypertension, spironolactone – effective for hypertension and vitamin D – as she is an old lady with osteoarthritis, therefore, she is prescribed with vitamin D. She is also prescribed with Ventolin, Novolin 70/30, and metformin. According to Laiteerapong et al. (2013), a patient with diabetes has a high blood sugar level this can affect the body organs with blood vessel complications causing increase blood pressure resulting in serious cardiovascular issues like heart strokes. Hypertension leads to complications of diabetes as well making the condition of the patient worse. Therefore, she is prescribed with Novolin and metformin, it reduces the production of glucose and increases glucose utilization and uptake by increasing insulin sensitivity. The patient with diabetes is at high risk of osteoarthritis, thus diabetes can make patients with osteoarthritis worse (Courties et al., 2019).

Processing the information

As the patient has fallen on the ground and her X-ray reports showing that she has developed broken ribs and injuries to the chest wall as well, resulting in a life-threatening emergency of pneumothorax. This shows that fracture can damage the lungs along with its outer covering and alveoli as well, making it very difficult for the patient to breathe as he/she will suffer from extreme pain in breathing and the chest. This can be diagnosed with the help of X-ray or in a few cases if the damage is a severe computerized tomography (CT), is used to get detailed information about the fractures or damage. Moreover, ultrasound imaging is also used for the diagnosis of pneumothorax. If a major part of the lungs gets damaged due to rib breakage then chest tube insertion and needle aspiration are conducted to remove the excess air so that the patient can breathe. Diabetes can be diagnosed through various methods like fasting blood sugar tests, random blood sugar tests, oral glucose tolerance tests, or glycated hemoglobin (a1c) test (American Diabetes Association (2010). Along with these tests, the doctor also tests for blood pressure and blood cholesterol levels as these are associated complications that arise in a patient with diabetes. As the patient’s blood pressure is very high that results in hypertension so to diagnose it the health professionals use a sphygmomanometer. Using a sphygmomanometer the health professionals detect whether the patient has stage I – 80 to 89 mm Hg dor diastolic and 130 to 139 mm Hg for systolic or stage II hypertension – with a diastolic pressure of 90 mm Hg or higher and systolic pressure of 140 mm Hg or higher. As hypertension can lead to various health complications as discussed so it’s necessary to treat it (Word Health Organization, 2020). The patient’s COPD is diagnosed by a simple test called spirometry, to detect the amount of air inhaled and exhaled by the patient (World Health Organization, 2020). According to Courties et al. (2019), a patient with chronic obstructive pulmonary disease (COPD) is at a risk to develop osteoporosis. Chronic obstructive pulmonary disease (COPD) hurt the various functional and structural domain of the lungs. Skeletal muscle dysfunction, nutritional abnormalities, and weight loss are major health complications that arise due to COPD. Thereby, making it a care priority for the health care staff to prevent the patient from facing these health complications.

Identifying problems

The first nursing priority is to prevent the chances of the occurrence of pneumothorax. This condition majorly occurs in the collapsed lungs that are due to the broken ribs (Kim & Moore, 2020). This is the most critical complication of displaced rib fracture as it punctures the lungs and pleural sac that surrounds the lungs. The punctured lungs cause air leakage that is a potentially life-threatening condition. The chest wall injuries are also associated with the high risk of decreased oxygen component in the blood and the occurrence of pneumonia. This is the nursing priority because this will have a direct impact on the patient’s breathing ability and this chest trauma demands nursing interventions for the management of this condition (White & Eaton, 2017). Thus, the complications that may arise due to the risk of pneumothorax makes it the first nursing care priority in this case study. The patient is old and this condition of collapse lung will cause the change in pressure inside the chest.

The second nursing priority is pain management because of the broken ribs that may have a direct impact on the respiratory system and cardiovascular system of the patient. The patient is an older adult that is of age 65 years and it is very important to make the lungs inflate to their maximum capacity. The nursing care priority will be pain management because broken ribs are associated with high pain levels that cause extreme discomfort to the patient (Mathews, 2016). The first important step in pain management starts with the effective evaluation of the pain level in the patient. The pain score scale can be best used as an evaluation tool to systematically record pain intensity. The rib fracture in geriatric patients may cause pain to preclude in normal breathing and also in the secretion clearing. This is a priority because intensifies the discomfort and the evidence highlights that the breathing becomes shallower and it also represses coughing that leads to respiratory insufficiency. The patient can be administered a local anesthetic like an opioid for pain management (Brasel et al., 2017). This will assist the patient in breathing properly which would be free of discomfort in the patient.

Establish goals

The first SMART goal for the nurse is pain management in a day so that Mrs. Scott can breathe properly and most importantly pain-free respiration. The nurse will ensure that the pain levels are reduced so that the patient can be given a high level of comfort while she breathes normally and while she performs daily activities like eating and drinking. This goal can be evaluated for the results in the patient as the patient will be able to self- report the pain levels and its intensity. This nursing goal is thus very important to achieve to make her life comfortable and to give her a healthy lifestyle (Baiu& Spain, 2019). The second SMART goal is to prevent the occurrence of pneumothorax in the patient so that further complications can be prevented. This requires a proper assessment of the patient’s condition that will lead to a better decision- making in context with the patient’s treatment plan and care plan. Patients with pneumothorax face many difficulties concerning breathing and other complications so the goal of prevention of the development of further complications will assist in improving the patient’s condition (Kamali et al., 2017). The goal is to provide ventilation assistance to the patient that will help the patient in breathing properly and will also promote the blood oxygen levels. This is thus important to apply the interventions as per the goals formed for the patient so that recovery is observed in a patient.

Action plan

The fracture damages the lungs along with its outer covering and alveoli as well, making it very difficult for the patient to breathe as he/she, as a result, the patient feels extreme pain in breathing and the chest. To relieve from his pain the patient is prescribed with atenolol. The patient is having high blood pressure that can result in various cardiovascular diseases like heart attack so the administration of telmisartan and spironolactone is recommended. Novolin and metformin are prescribed because they reduce the production of glucose and increases glucose utilization and uptake by increasing insulin sensitivity. The administration of panadol osteo is recommended as the patient is suffering from osteoarthritis. Moreover, pain assessment and comprehensive care will be provided to the patient with regular check-ups. A continued and patient-centered care will be provided to the patient that meets with all the needs and requirements of the patient.

Evaluate outcomes

The outcomes in the patient will assist in evaluating the interventions and goals utilized by the nurses. The goal of pain management can be evaluated if the patient self- reports the pain to medical health care professionals and the positive patient outcomes can also be evaluated by observing the healthy lifestyle of the patient. Independence in carrying out the day- to- day activities will also assist in evaluating the outcomes and the nursing goals as it will justify the interventions that are applied for the patient recovery and prevention of the development of the complicated condition of pneumothorax. The constant improvement in her physical activities and breathing capacity can also be used to evaluate outcomes in the patient.


This patient’s condition was complicated as the patient was admitted due to the fall but other comorbidities made the patient live in a painful condition. I learned that in such conditions, the nurses must use their critical thinking skills and decision- making skills to ensure patient safety. The nurses play a very important role in patient safety and also contribute to patient recovery. The vital signs of the patient were not recorded at the time of admission and later this caused a lot of issues while planning an effective treatment plan of the patient. Comprehensive skills can be best applied when the resources and full information of the patient are available. According to the Nursing and Midwifery Board of Australia (2016), standard 1 states that the nurses must always utilize their critical thinking skills and decision-making skills while taking care of the patient and must analyze their nursing practice.


American Diabetes Association (2010). Diagnosis and classification of diabetes mellitus. Diabetes care33 Suppl 1(Suppl 1), S62–S69.

Baiu, I., & Spain, D. (2019). Rib Fractures. Jama321(18), 1836-1836.

Bordoni, B., Marelli, F., Morabito, B., & Castagna, R. (2018). Chest pain in patients with COPD: the fascia’s subtle silence. International journal of chronic obstructive pulmonary disease13, 1157–1165.

Brasel, K. J., Moore, E. E., Albrecht, R. A., deMoya, M., Schreiber, M., Karmy-Jones, R., &Biffl, W. L. (2017). Western trauma association critical decisions in trauma: management of rib fractures. Journal of Trauma and Acute Care Surgery82(1), 200-203.

Courties, A., Berenbaum, F., & Sellam, J. (2019). The phenotypic approach to osteoarthritis: A look at metabolic syndrome-associated osteoarthritis. Joint Bone Spine86(6), 725-730.

Kamali, A., Broujerdi, G. N., & Bagheri, H. (2017). Comparing epidural block and intercostal block in patients with 3–4 broken ribs following chest cage blunt trauma. Annals of Tropical Medicine and Public Health10(4), 850.

Kim, M., & Moore, J. E. (2020). Chest Trauma: Current Recommendations for Rib Fractures, Pneumothorax, and Other Injuries. Current Anesthesiology Reports, 1-8.

Laiteerapong, N., Huang, E. S., & Chin, M. H. (2013). Prioritization of care in adults with diabetes and comorbidity. Annals of the New York Academy of Sciences1243, 69–87.

Matthews, J. M. (2016). 16 Pain management in the trauma patient. Handbook of Acute Pain Management, 266.

Nursing and Midwifery Board of Australia. (2016). Registered nurse standards of practice. Retrieved from

White, D., & Eaton, D. A. (2017). Pneumothorax and chest drain insertion. Surgery (Oxford)35(5), 281-284.

World Health Organization. (2020). Diagnosis of COPD. Retrieved from:

World Health Organization. (2020). Diagnosis of hypertension. Retrieved from:

Wshah, A., Guilcher, S. J., Goldstein, R., & Brooks, D. (2018). Prevalence of osteoarthritis in individuals with COPD: a systematic review. International journal of chronic obstructive pulmonary disease13, 1207–1216.

Order Now

Get solved or fresh solution on Deborah Scott Medical Case Study Assignment and many more. 24X7 help, plag free solution. Order online now!

Universal Assignment (September 28, 2022) Deborah Scott Medical Case Study Assignment SOlved. Retrieved from
"Deborah Scott Medical Case Study Assignment SOlved." Universal Assignment - September 28, 2022,
Universal Assignment July 24, 2022 Deborah Scott Medical Case Study Assignment SOlved., viewed September 28, 2022,<>
Universal Assignment - Deborah Scott Medical Case Study Assignment SOlved. [Internet]. [Accessed September 28, 2022]. Available from:
"Deborah Scott Medical Case Study Assignment SOlved." Universal Assignment - Accessed September 28, 2022.
"Deborah Scott Medical Case Study Assignment SOlved." Universal Assignment [Online]. Available: [Accessed: September 28, 2022]

Please note along with our service, we will provide you with the following deliverables:

Please do not hesitate to put forward any queries regarding the service provision.

We look forward to having you on board with us.

Get 45%* OFF on Assignment Help

Popular Assignments

VU22977 – Practice in a Legal Environment

Advanced Diploma of Legal Practice – 22565VIC PORTFOLIO- CLIENT MATTER FILE Assessment task 1 Prepare a comprehensive portfolio of documents to create a Client Matter File which must include: Element 1 Area of law Cover sheet stating client name and short description of legal matter Client Instruction Sheet, Costs Agreement

Read More »

KIT714 ICT Research Principles: Assignment 1

Practical Qualitative Research Exercise                                                                                                                                         Type:                 In-Semester, Individual Assignment Task Length:   minimum 2,000 words Weighting:     20% of total assessment for this unit Due Date:       Friday 5 August 2022 – 11:55 pm (Week05) Submission:    electronic submission on MyLO (WORD or PDF) Description:    This practical exercise will engage students in a qualitative research

Read More »

MODULE 44-704463 Dissertation Help

ASSESSMENT CRITERIA Dissertation (12,500 words) Deadline: JULY 29th 2022, 3pm Introduction and abstract  Situates the research question within the, theory, and concepts Explains the value of the study.  Relevance of the research question, to the field of study is fully justified. Leads logically into the Literature Review. Abstract of professional

Read More »

ITECH1103-Assignment: Assignment 2: Analytics Report

Overview The purpose of this task is to provide students with practical experience in writing a data analytical report to provide useful insights, patterns, and trends in a chosen dataset in the light of a set of tasks required within this document. This dataset will be chosen from the UC

Read More »

PBHL20001 Term 1, 2022 – Supplementary Assessment

PBHL20001 Term 1, 2022 Supplementary Assessment The influenza pandemic that followed World War I and took place over the period from 1918-1920 resulted in an estimated 100 million deaths worldwide and 500 million infections. In addition, this pandemic had a significant impact on public health practice throughout the 20th century

Read More »

Community Health Project 1 (HLTH 3058): Assessment 2: Portfolio Task 2

Community Health Project 1 (HLTH 3058) Assessment 2: Portfolio Task 2 – Evaluative Framework Marking Guide Weighting: 15% the total grade for the course   Criteria Outstanding performance (75-100%) Exceeds core requirements (65-74%) Meets core requirements (50-64%) Does not meet requirements (<50%) Comments Content (70%) Demonstrates adequate knowledge of integrating

Read More »

Community Health Project 1 (HLTH 3058): Assessment 2: Portfolio Task 1

Community Health Project 1 (HLTH 3058)Assessment 2: Portfolio Task 1 – Ethical Considerations Marking GuideWeighting of 15% the total grade for the course Criteria Outstanding performance (75-100%) Exceeds core requirements (65-74%)   Meets core requirements (50-64%) Does not meet requirements (<50%) Comments CONTENT (80%) Ethical Considerations   Demonstrates adequate knowledge

Read More »

SAM 11486/SAM G 6677: Assignment 1 – Individual

Assignment 1 – Individual (25%) Report Due: 11:59pm Sunday Week 5 04/09/2022 This assignment will be marked out of 25 marks and is worth 25% of the overall mark for the unit. Please check the unit outline for late penalties and restrictions on late submissions. This assignment is an individual

Read More »

11486 Systems Analysis and Modelling

Assignment Case Study C – Feed Me Now Disclaimer: The situation described in the following case study is fictional, and bears no resemblance to any persons, businesses, or organisations, living or dead. Any such resemblance, if exists, is merely co-incidental in nature, and is not intentional. Feed Me Now is

Read More »

MAA703 – Accounting for Management

Trimester 2 2022 Assessment Task 2 Part B – Teamwork Reflection (Individual) DUE DATE AND TIME:                        Wednesday, 7 September 2022 by 8:00pm (AEST) PERCENTAGE OF FINAL GRADE:    10% WORD COUNT:                                   750 – 800 words Description Teamwork is one of the vital components of many workplaces and the ability to demonstrate

Read More »

Research project assessment proforma and marking schemes

BSc Biomedical Sciences with Health, Exercise and Nutrition (HEN6004) and BSc Biomedical Science (APS6022) Instructions for use All forms must be completed electronically and uploaded to the student submission point in  turnitin. Please note the literature review assessment will be completed in January whereas the assessment of the paper/poster and

Read More »

XERO and Spotlight reporting software Report Assignment

Case facts – Read me carefully please City Infrastructure Holdings Ltd (CIH) and Network Maintenance Services Ltd (NMS) City Infrastructure Holdings Ltd (CIH) acquired 100% of the 300,000 issued shares in Network Maintenance Services (NMS) on 1 July 2021.  The consideration provided to shareholders of NMS consisted of $1.20 in cash plus 1

Read More »

KIT103 Computational Science

School of Information and Communication Technology College of Sciences and Engineering Unit Outline KIT103 Computational Science Semester 2, 2022 Sandy Bay Campus, Hobart Newnham Campus, Launceston COVID-19 (Coronavirus Information) For information on how you can help keep us all safe, please review the Coronavirus updates page here: Sections that

Read More »

SEN725 Urban Stormwater Asset Design

Assessment Task -4 Final Report – Analysis of CoGG Stormwater Network Weight 50% This is an individual assessment task. Plagiarism and collusion is unacceptable practice at Deakin University. You must appropriately reference your work. Failure to do so will result in disciplinary action. For more information on plagiarism and collusion,

Read More »

PSY3PRP 2022 Assignment 2: Research Project Report

PSY3PRP 2022 Assignment 2: Research Project Report Guidelines and Marking Rubric Individual Research Report due Wednesday 19th October 11.59pm (50% of total grade) For this assignment—with support through structured tutorial work across much of the semester— you will produce an individually-written report on the broad topic of feeding difficulties in

Read More »

Increasing Demand for assignment help in Namibia

With the growing population, the demand for clean energy, advanced technology, new structures, and better healthcare is escalating day by day which makes engineering the most popular degree for the youth. As more people pursue engineering nowadays, it also makes it one of the most difficult and competitive degrees also.

Read More »

Online Assignment Help in Germany

How Could You Do Exam Preparation Effectively? Exam time is full of challenges and difficulties. You have to juggle exams even in high school, college, or higher education. It defines your knowledge of a specific subject and how well you know the curriculum. The exam also tests how much you

Read More »

Get Excellent Human Values Assignment Help Immediately

Get Excellent Human Values Assignment Help Immediately: Expert Solutions to all your Queries Instant Human Values Assignment Help Online Students can get Human Values assignment help online in a fast and simple way from the experts at Universal Assignment Help Service. Their team of over 172+ subject experts works every

Read More »

Get Top Modern History Assignment Help Online

Order Modern History Assignment Help immediately Students often need modern history assignment help for many reasons. Getting immediate online help for assignments helps students boost their academics in incredible ways. Sometimes, the pressure of studies is too much to take for students. This causes them to score poor grades and

Read More »

Get Instant Assignment Help in the United Arab Emirates

How Can Assignments Help Students? Whatever the definition of homework is, one thing is certain: it helps students thoroughly learn the concepts they have studied in class. The number of such assignments may cause stress or a burden. It means students and tutors are both correct in their type of

Read More »

Assignment Help in Mexico

How to Gain Awesome Grades in Your Chemistry Subject? Whether you are pursuing a technical degree or studying in the science stream, chemistry is always at the forefront. If you love to observe reactions, molecules, acids, condensation, evaporation, and dilution, chemistry will prove a resource for getting outstanding academic marks.

Read More »

Assignment Help in Kenya

How Could You Find the Best Biology Homework Website? Getting online homework help from an expert is neither embarrassing nor unauthentic. The vast majority of students around the world believe that doing online assignments and tutoring is beneficial. The Standard Graduate School of Education revealed that 56% of students suffer

Read More »

Assignment Help in Bangladesh

The Best 6 Hacks to Shortlist the Top Civil Engineering Assignment Tutor? Finding a homework expert for civil engineering assignments is a hectic task. As civil engineering has several fields, getting expertise is difficult for tutors. You may struggle to receive civil engineering assignment help in Bangladesh due to this

Read More »

Assignment Help in Pakistan

What Will Unethical Occur from Getting Homework? Homework looks like a mode of learning in most cases. But what happens to its quantity? Its quantity should be more than enough for students. Such circumstances may be detrimental to the health of the pupils. Sometimes, college faculties or teachers forget to

Read More »

Assignment Help in Malaysia

The Best 4 Skills You Should Learn For Making Your Career in 2022 As technological innovations leap forward daily, new skills are entering our market. Sticking to one skill set enables you to lose lucrative job opportunities. That is why it gives importance to having diverse skills, which should be

Read More »

MKT200 Marketing Principles: Infographic

Assessment 2 Information Subject Code: MKT200 Subject Name: Marketing Principles Assessment Title: Infographic Assessment Type: Individual infographic Length: Two pages Weighting: 30% Total Marks: 100 Submission: Online Due Date: Week 9 Your task Individually, you are required to create a two-page infographic outlining the communications process of two competitor brands.

Read More »

MMP-223, Property and Real Estate Law and Practice

MMP-223, Property and Real Estate Law and Practice, Trimester 2, 2022 Assignment 2, Client Report, Individual Assignment 25% of Unit Assessment (1,250 words*) Due Date: September 16, 2022, 8-pm AEST Assignment Brief: Clyde, being a real estate agent, loves property. With his share of the sale of the Sorrento property

Read More »

NUR1398 – Foundations of Nursing Practice Theory

Assessment: Care Plan Report Task overview Course NUR1398 – Foundations of Nursing Practice Theory Brief task description Written care plan addressing nursing care requirements for older patients with degenerative conditions. Rationale for assessment task Registered Nurses are required to think through the different aspects of patient care to arrive at

Read More »

MBA641 Project Strategy Framework

Assessment 1 Information Subject Code: MBA641 Subject Name: Strategic Project Management Assessment Title: Project Strategy Framework Assessment Type: Length: Individual video recording and supporting Infographic Video: 10-minute (no more) Supporting infographic: 1 page (no more) Weighting: 30% Total Marks: Submission: 100 Online Due Date: Week 4 Your task You are

Read More »

SEJ201 Structural Design Assessment

SEJ201 Structural Design Assessment Task 5 FINAL PROJECT REPORT Summary The Final Project Report is an individual task which builds on teamwork completed earlier in the trimester. This report shall clearly explain and justify the design solution proposed. In this report students you should identify project scope, inputs and constraints,

Read More »

42907 Design for Durability

Introduction Overall, explain what readers will find in the report, general information about the structure, location, climatic conditions, detail which specific parts of the structure will be designed according to which Australian standard. Which type of foundation, why? You can use figures in this section. Provide the scope of the

Read More »

Can't Find Your Assignment?

Open chat
Free Assistance
Universal Assignment
Hello 👋
How can we help you?