Acute Case Study

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Case Study 1: Patient Admission Concepts related to HLTEN512B Topic 1 Mrs. Gwen Jones is a 70 year old woman who has been admitted to your ward after arriving from her doctor’s surgery. Her GP has included a letter stating that he has assessed Mrs. Jones and requests she is admitted. She is feeling very unwell, with a high temperature, frequency of urination and burning when urinating. She appears slightly confused. She complains of back pain. She has a history of Type II Diabetes, and hypertension. Her admitting doctor has asked that she has mid-stream urine test, a full blood count, electrolyte blood test, and blood cultures. You are on a morning shift. The consultant has been informed of Mrs. Jones’ admission. When she arrives on the ward you take her observations and find the following: Temp. 39, Pulse 100, Blood Pressure 170/80. Her BSL is 7.9mmol/L. She has had an IV cannula inserted in her left antecubital fossa. She has IV therapy, Normal Saline, commenced at 40ml per hour, (0.9% Sodium Chloride Solution). She has been started on IV antibiotics. She is incontinent of urine, and seems to be unsteady on her feet. You sponge her in bed. You have checked the bed and room, but you are concerned because she appears confused and you feel she is in danger of falling when she tries to get out of bed. Her daughter and husband are in attendance. You have explained what tests will be carried out, when the doctor will be coming and explain about visiting hours. You ensure that they understand what you have just explained to them. (Think about your communication style. Both daughter and husband are upset and confused. What communication techniques would you employ?) Answer the following questions in relation to this case study: Q1. Based on Mrs. Jones’ admission history, what is her likely presenting diagnosis? Discuss how

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