HLTEN505C: Contribute to the complex nursing care of clients – Nursing Assignment Mrs Carr is a…

HLTEN505C: Contribute to the complex nursing care of clients – Nursing Assignment Mrs Carr is a 49-year-old woman with early onset Alzheimer’s disease, bilateral knee osteoarthritis, Type 1 Diabetes, Asthma and a past medical history of Deep Vein Thrombosis. Mrs Carr uses a three-prong walking stick to assist her with mobilisation. Mrs Carr has arrived by wheel chair in the ward for admission. Mrs Carr is being admitted to the ward for further investigation for an increased abdominal girth and jaundice. Prior to admission Mrs Carr has been prescribed oral Corticosteroids (Prednisolone) for her Asthma for 6 months and is on Flixotide 250mcg Inhalation TDS as a preventative, as outlined within her Asthma Management Plan provided by her General Practitioner. Mrs Carr is also prescribed Warfarin and is required to undertake regular blood tests to monitor and regulate this medication dosage. Mrs Carr’s husband administers his wife’s SC insulin, NovoRapid and Humulin 30/70, BD. Questions: 1. Discuss the clinical manifestations (signs and symptoms) of Mrs Carr’s diagnoses. 2. Outline the appropriate nursing assessments and interventions for Mrs Carr, taking into consideration her physical, emotional and psychosocial needs providing a rationale for your nursing interventions. 3. Discuss Mrs Carr’s medication management, outlining their mode of action and what reactions, adverse reactions and contraindications, you would observe or expect while providing nursing care. 4. Explain the pathology test that is required for a patient who is prescribed Warfarin. 5. Identify what nursing observations you would perform on Mrs Carr during admission, providing a rationale for your response. 6. Document your nursing observations in the progress notes attached, providing an example of each finding and identify who to report the abnormalities too. 7. Describe how the Enrolled Nurse can provide respect for the client’s individual rights and maintain their dignity throughout their admission within a healthcare facility.

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