Deborah Scott Medical Case Study Assignment SOlved

Case study

Introduction

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.

Reflection

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.

References

American Diabetes Association (2010). Diagnosis and classification of diabetes mellitus. Diabetes care33 Suppl 1(Suppl 1), S62–S69. https://doi.org/10.2337/dc10-S062

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. https://doi.org/10.2147/COPD.S156729

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. https://doi.org/10.1111/j.1749-6632.2011.06316.x

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 https://www.nursingmidwiferyboard.gov.au/codes-guidelines-statements/professional-standards/registered-nurse-standards-for-practice.aspx

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

World Health Organization. (2020). Diagnosis of hypertension. Retrieved from: https://www.who.int/news-room/fact-sheets/detail/hypertension

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. https://doi.org/10.2147/COPD.S158614

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 (July 5, 2025) Deborah Scott Medical Case Study Assignment SOlved. Retrieved from https://universalassignment.com/deborah-scott-medical-case-study-assignment-solved/.
"Deborah Scott Medical Case Study Assignment SOlved." Universal Assignment - July 5, 2025, https://universalassignment.com/deborah-scott-medical-case-study-assignment-solved/
Universal Assignment July 24, 2022 Deborah Scott Medical Case Study Assignment SOlved., viewed July 5, 2025,<https://universalassignment.com/deborah-scott-medical-case-study-assignment-solved/>
Universal Assignment - Deborah Scott Medical Case Study Assignment SOlved. [Internet]. [Accessed July 5, 2025]. Available from: https://universalassignment.com/deborah-scott-medical-case-study-assignment-solved/
"Deborah Scott Medical Case Study Assignment SOlved." Universal Assignment - Accessed July 5, 2025. https://universalassignment.com/deborah-scott-medical-case-study-assignment-solved/
"Deborah Scott Medical Case Study Assignment SOlved." Universal Assignment [Online]. Available: https://universalassignment.com/deborah-scott-medical-case-study-assignment-solved/. [Accessed: July 5, 2025]

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.

Most Frequent Questions & Answers

Universal Assignment Services is the best place to get help in your all kind of assignment help. We have 172+ experts available, who can help you to get HD+ grades. We also provide Free Plag report, Free Revisions,Best Price in the industry guaranteed.

We provide all kinds of assignmednt help, Report writing, Essay Writing, Dissertations, Thesis writing, Research Proposal, Research Report, Home work help, Question Answers help, Case studies, mathematical and Statistical tasks, Website development, Android application, Resume/CV writing, SOP(Statement of Purpose) Writing, Blog/Article, Poster making and so on.

We are available round the clock, 24X7, 365 days. You can appach us to our Whatsapp number +1 (613)778 8542 or email to info@universalassignment.com . We provide Free revision policy, if you need and revisions to be done on the task, we will do the same for you as soon as possible.

We provide services mainly to all major institutes and Universities in Australia, Canada, China, Malaysia, India, South Africa, New Zealand, Singapore, the United Arab Emirates, the United Kingdom, and the United States.

We provide lucrative discounts from 28% to 70% as per the wordcount, Technicality, Deadline and the number of your previous assignments done with us.

After your assignment request our team will check and update you the best suitable service for you alongwith the charges for the task. After confirmation and payment team will start the work and provide the task as per the deadline.

Yes, we will provide Plagirism free task and a free turnitin report along with the task without any extra cost.

No, if the main requirement is same, you don’t have to pay any additional amount. But it there is a additional requirement, then you have to pay the balance amount in order to get the revised solution.

The Fees are as minimum as $10 per page(1 page=250 words) and in case of a big task, we provide huge discounts.

We accept all the major Credit and Debit Cards for the payment. We do accept Paypal also.

Popular Assignments

Nursing Ethics and Law – Henry Pearson Case Study

Nursing Ethics and Law – Henry Pearson Case Study Course Code & NameNUR1103 |Context of Professional PracticeAssessment Item and NameAssessment THREE | Case StudyAssessment Item TypeEssay/ Case studyDue Date & TimeWeek 10 | 15th March 23:59 hrsLengthEssay is 1200 words + or – 10%Marks and WeightingOverall mark is out of

Read More »

NUR3397 – Complex Care Case Study Presentation

Course Code & NameNUR3397 |Complex Care AAssessment Item and NameAssessment TWO | PresentationAssessment Item TypeIndividual oral presentationDue Date & TimeWeek 10 | 22nd April 23:59 hrsResults data will be returned to you three weeks after your submission dateLength12-15 minute oral presentation recorded to ZOOM cloud + or – 10%Marks and

Read More »

AI in Recruitment: Legal and Ethical Implications for Harmony Haven

PurposeThis assessment helps you demonstrate report-writing skills essential for HR and other professional roles. It develops your research abilities, including sourcing, reviewing, and synthesizing academic and non-academic literature. Strong report-writing skills support informed business decisions, enhancing your ability to assist managers and advance your career. AI in Recruitment: Legal and

Read More »

Youth Justice Crisis: Indigenous Incarceration in Australia

issues During Impact Root  cause Youth justice crisis ongoing Disproportionate indigenous youth incarcerations reports of abuse eg Don Dale Low age of criminal responsibility (10) – Systemic racism and overpolicing – Lack of diversion and rehabilitation pathways Word: 1000 Topic selected: Youth Justic Crisis, Assessment 1: Conflict Analysis Exercise –

Read More »

PV System Design and Energy Analysis for Residential Use

Executive Summary Provide a brief summary of the key methods and key results, max 500 words. 1.         Introduction (aims and objectives and brief description of the system studied and methods of the next sections) approximately half a page 2.         Solar irradiation analysis Provide location and data used. Provide hourly GHI,

Read More »

Assignment 3: Statistical Analysis and Recommendations for Enhancing HDI

Student Name:               Your full name Student ID:                     Your Student ID Make sure to delete the instructions!! Introduction: Include a succinct introduction at the start of your report. You may write a few sentences about purpose of this report, the type of analysis, or any other relevant information (about 50 words).

Read More »

Brian Old Age Case study Assignment

Assessment 1 – Written AssessmentAssessment TypePurposeDescriptionWritten AssignmentThe purpose of this assessment is to broaden each student’s understanding of the modulecontent using a case study and assessment toolsCase Study: Brian is an 84-year-old retired farmer in a rural area in Northern Territory. Hewas recently assessed following a minor motor vehicle accident

Read More »

Assessment name: Portfolio of planning cycle

Assessment name: Portfolio of planning cycleDue Date: Friday 13 June 11:59pmWeighting: 50%Length: 2000 wordsTask Description: This Portfolio is comprised of two tasks. You must submit your assessment as onedocument. Task 1: Anecdotal record and learning experienceAnecdotal recordView the video of pre-schoolers provided under the link “Video for Assessment 2” andcomplete

Read More »

NUR5327 Assessment 3 Assignment Help

Name NUR5327 Assessment 3 (Essay)Purpose The purpose of this assessment is to demonstrate your understanding of therolesof leadership and management in healthcare by identifying and analysinga change you have actively participated in, and how it relates to key topicssuch as interprofessional communication, evidence-based practice, and staffdevelopment.LearningOutcomes NUR5327 Assessment 3 Assignment

Read More »

Mathematics Investigation and Reflection Assignment Help

Submission: Mathematics Investigation and Reflection Assignment Help TurnitinFormat:Individual written document.Uses the current APA referencing style correctly.Length:2,000 wordsThreshold Detail:For this assessment task you must obtain at least 50% of the overall result (i.e. 25 points). If the total result for this unit is at least 50 points but you scored less

Read More »

FASS Research Proposal Template Assignment

FASS Research Proposal Template Word length2000 to 3000 wordsTitleUse a concise and descriptive title that accurately reflects the content of the proposal.Background context and significanceThis section should explain the background and context of the proposed research work,indicating the main contribution to knowledge you wish to make.Aims and objectivesInclude a clear

Read More »

Evidence to Inform Nursing Practice Assignment Help

Unit Code:   NURS12165 Unit Title:    Evidence to Inform Nursing Practice Assessment Three Type:                               Written Assessment Due date:                         Week 11: Wednesday, 28 May 2025 at 1600 (AEST) Extensions:                     Available as per policy Return date:                    Results for this assessment will be made available on Wednesday, 18 June 2025 Weighting:                       50% Length:                           

Read More »

NUR1120 | Burden of Disease and Health Equity

Assessment Item Task SheetCourse code andnameNUR1120 | Burden of Disease and Health Equity Assessment itemand nameAssessment Three | ReportDue date and time Week 11 | 22/04/2025 at 2359 hours AESTLength 1400 words (+/- 10% in each section) – includes in-text references, but not reference list.Marks out of:Weighting:80 Marks50%Assessed CourseLearning Outcomes(CLO)CLO1,

Read More »

PSY1040 Portfolio: Cultural Responsiveness & Self-Awareness

Course Code and NamePSY1040: An Introduction to Cultural Safety in PracticeAssessment Item Number and NameAssessment 2: PortfolioAssessment Item TypePortfolio PSY1040 Portfolio: Cultural Responsiveness & Self-AwarenessDue Date & TimeTuesday, 29 April 2025 (Week 12), 11:59pmLength2000 words – an average of 400 words per task.Marks and WeightingMarked out of: 100Weighting: 50%Assessed Course

Read More »

Innovative Digital App Development Report

OVERALL DESCRIPTION OF TYPE OF ASSIGNMENT Assessment 1- Type of Assignment Individual Written Report Details Individual Written Report 3,000 words (500 words of the Report is Contextualisation) Weighting of Assessment : 70% INDIVIDUAL MARK Learning outcomes assessed by Assessment: 1, 2, 3 and 4 – See Module Listings of Learning

Read More »

Tourism Trends and Investment Decisions: A Comparative Study

Assignment TaskYou are a strategist working for a major hospitality group based in Australia. The company is planninginternational expansion, and the board has asked you to compile a report to identify the most suitablelocation for the project. The board has shortlisted two international locations (which will be allocatedto you by

Read More »

EC502 Language and Literacy in the Early Years

EC502 Language and Literacy in the Early Years Unit Code/Description EC502 Language and Literacy in the Early Years Course/Subject Bachelor of Early Childhood Education Semester March 2025 Assessment Overview   Unit Learning Outcomes Addressed 1, 2, 3 Assessment Objective Assessment 1: Poster Including an Invigilated stage in Week 3. Due

Read More »

EC501 Early Childhood Learning and Development

Unit Code/Description EC501 Early Childhood Learning and Development Course/Subject Graduate Diploma in Education (early childhood) Semester S 1, 2025 Assessment Overview   Unit Learning Outcomes Addressed 1, 2, 3 Assessment Objective In this assessment, student are required to select one of the case studies provided and critically analyze the child’s

Read More »

JSB172: Professional Academic Skills

JSB172: Professional Academic SkillsAssessment: Workplace Report and Presentation Weight: 50%Due date: Friday 30th May 11:59pm Length: 1,750 words (+/- 10 %) / 5minutesPurpose/Learning Objectives:This assessment relates to Learning Outcomes 1, 2, 3, and 4: Task:Your task is to write a Workplace Report identifying how to address the topic/issue chosen or

Read More »

2015PSY Developmental Psychology Assignment

2015PSY Developmental Psychology Assignment 2025 2015PSY Developmental Psychology Assignment Assignment MaterialsAssignment Information Sheet & Marking Criteria.pdf (this document)Assignment Template.docx (template)Example Assignment.pdf (HD exemplar)Due Date: Friday 16 May, 11:59PM (Week 10)Weighting: Marked out of 100 (worth 30% of course grade)Word Count: 1,500 words maximum(inclusive of main text, headings, in-text citations; excluding

Read More »

Principles of Economics Federal Budget

Principles of Economics Short-answer Assignment V1 (20% of final mark) The assignment consists of four questions.  You should allocate at least half a page (or 250 words) to each answer or 1000 words for all four answers depending on the nature of and/or marks allocated for the question/s. You may

Read More »

LML6003 – AUSTRALIA’S VISA SYSTEM 1 (FAMILY AND OTHERVISAS)

Graduate Diploma in Migration Law LML6003 – AUSTRALIA’S VISA SYSTEM 1 (FAMILY AND OTHER VISAS) Assessment Task 2 – Semester 1, 2025 LML6003 – AUSTRALIA’S VISA SYSTEM 1 (FAMILY AND OTHERVISAS) Instructions: 1. Students must answer all questions as indicated. Make certain all answers are clearly labelled. 2. Make certain

Read More »

Construction Cadetships in the Australian Construction Industry

REPORT TOPICPrepare an Academic Report on the following:‘Construction Cadetships in the Australian Construction Industry’.The report should encompass the following: Your personal evaluation and critique of the key findings in your report including your evaluation of construction cadetships, yourfindings in relation to potential issues/problems with cadetships and your recommendations to improve

Read More »

Assessing Corporate Governance and its Significance

Assessing Corporate Governance and its Significance: A Case Study Analysis Overview: Accounting irregularities have cost investors millions of dollars and, most importantly, adversely impacted their confidence in the financial system. While there have been remarkable improvements in regulatory supervision, auditing framework and reporting transparency, young graduates must assess major corporate

Read More »

Master of Professional Accounting and Accounting Advanced

Assessment 2 – Business Case (CVP) AnalysisUnit Code/Description ACC901 Accounting for Managerial DecisionsCourse/Subject Master of Professional Accounting and Master of Professional Accounting AdvancedSemester S1 2025 Assessment Overview Unit Learning OutcomesAddressed1,2,3,4 and 5Assessment Objective The primary objective of this assessment is to assess the students’ ability to apply CVPanalysis and relevant

Read More »

Urban Design Theory Essay writing

Essays are a major form of assessment at university. Through essays, you develop your understanding of discipline-specific content, strengthen your critical thinking, and develop your ability to translate that thinking into a persuasive written form. This assignment assesses your understanding of the following Unit Learning Outcomes: 1) understand the historic

Read More »

Statutory Interpretation of Disability Discrimination in NSW Law

Foundations of Law 70102 – Assessment Task 3 – Autumn 2025Statutory Interpretation and Research ExerciseDue: Thursday 22 May 2025 by 23.59Length: 2000 words (excluding the headings Part A, Part B and Part C, footnotes andbibliography. Any additional headings that you decide to use will be included in the wordcount)Weighting: 40%Task

Read More »

Can't Find Your Assignment?