Essay ACC114 – Implement and Monitor Care of a Person with Acute Health Problems – Nursing Assignment Help

Assignment Task

Mr Jason McFarlane
I: Jason is 17 year old male
S: Presented to the accident and emergency department after a motor vehicle accident (MVA). An X-ray confirmed a fractured right (R) tibia and broken ribs. He also has concussion from a head injury sustained in the MVA.
B: Jason has no significant medical or surgical history. He has an allergy to Morphine.
Social History (SHx):
-Lives at home with mother, step-father and siblings.
-Recently completed high school, waiting to hear if he has a place in the university
-Recently obtained his driver’s licence
-Has a girlfriend Lucy
-Spends a lot of time playing computer games, is not very physically active.
A: Jason is 88kg and 172cm in height. Current vital signs Resp 28, O 2 Sats 97% on room air (RA), BP 130/85,
HR 110, Temp 37, and pain 6/10.
R: Jason is scheduled to have surgery to repair his fractured tibia, an open reduction and internal fixation (ORIF). He needs to be prepared for surgery planned this afternoon.

Question 1
Outline your nursing actions for preparing Jason for theatre. Include in your answer: What information is required to complete a pre-operative checklist, what nursing assessment should be completed, what education/ information would you give to Jason and his family?

Question 2 What is the current best practice in the prevention of venous thrombosis (VTEs) following major surgery?

Question 3 Outline the difference between elective and emergency surgery.