Acute Health Assignment

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Case Study 1: Patient Admission
Concepts related to HLTEN512B Topic 1

Q1. Based on Mrs Jones’ admission history, what is her likely presenting diagnosis?
Discuss how Mrs Jones’ signs and symptoms support your decision.

It would be likely that the diagnosis that Mrs Jones’ will be given, is that she is suffering from a Urinary tract infection (UTI). She has presented to the ward with the following symptoms, which are an indication of a UTI; she is feeling very unwell, with a high temperature, frequency of urination and burning when urinating. She appears slightly confused and she also complains of back pain.

Chapter 45 of Lewis’s medical-surgical nursing states, that the symptoms of a UTI, include the following; Dysuria (pain on urination), frequent in urination (every 2 hours or less) urgency, visible blood or sediment in urine (cloudy appearance), Flank pain (one sided pain between abdomen and back) and fever. Older adults also may experience non-localised abdominal pain, confusion, general clinical deterioration. Patients over the age of 80 may also experience a slight decline in body temperature.

(Brown & Edwards, 2012)

Q2. Why has the admitting doctor requested a mid‐stream urine test, a full blood count, an electrolyte blood test, and blood cultures? Include in your answer a description of these tests.

The requested tests will confirm the presence of a UTI and/or the presence of another illness that is causing Mrs Jones’s discomfort. The mid-stream urine test confirms the UTI and the other test confirm if the infection has spread to other parts of the body, or if damage has been caused to other parts because of the infection.

Mid-stream urine test:

Urine is a sterile substance, so a positive result confirms the diagnosis of a urine infection. When a sample is required, the patient is to wash their hands and genitals to

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