Discussion:Peritonitis following Ruptured Appendix

Melody King, 36, Peritonitis following ruptured appendix Ms. Melody King presented to the Emergency department with 2-3 days of severe Right Lower Quadrant abdominal pain, which required emergency laparoscopic surgery for removal of a ruptured appendix.
She has a past medical history of asthma and depression, with her current prescribed and compliant medications list which includes:
Ventolin
Seretide
Sertraline
Melody’s observations were as follows:
BP 95/45mmHg
HR 120
Temp 38.3°Celcius
RR 22/min and shallow
SpO2 95% on room air
She complained of increasing nausea and centralised abdominal pain 7-8 on a scale of 0 to10. Physical assessment showed a distended abdomen and generalised abdominal guarding. To investigate her condition further, pathology results reveal a raised white blood cell (WBC) count and CRP.
You are the RN caring for Melody post-operatively on the surgical ward.
You will need to choose and respond to the case study for the nursing specialty in whichyou have been allocateda clinical placement. In your case study, you are required to utilise the Levett-Jones (2013) Clinical Reasoning Cycle to plan and evaluate person-centred care as per the given case study scenarios found on LEO, you need to specifically detail:
• Theperson’s situation, response to collect cues and the processing of the related health information
• Atleast three (3) problems/issuesbased on the health assessment data that you have identified for the person at the centre of care.
• Establish goals for priorityof nursing care as related to the nursing problem/issues identified
• Discussthe nursing careof the person; linked to health assessment data and history.
•Evaluate your nursing carestrategies to justify the nursing care provided
•Reflecton the person’s outcomes.
REFERENCE Articles should be between 2012-2018
Attachments:

NRSG-370-case….docx
257-clinical-….pptx

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