Essay NSB231 – Integrated Nursing Practice – Simon Hayes Case Study – Nursing Assignment Help

Assignment Task

Simon Hayes
DOB: 1/02/2007 | Room: ED

Simon is a 14-year-old male who presents at the emergency department in status asthmaticus. His dad reports he had just been picked for the school soccer team and was playing his first game when he started to wheeze but didn’t want to come off and use his prescribed inhalers. Dad reports this has been the case more and more as Simon has moved into his teenage years and often gets embarrassed about using his inhaler in front of his friends.

His father also mentions that he feels Simon is not managing his asthma well and is struggling in the transition on to teen years by wanting to manage his asthma more independently but lacking the skills to do this well. They have not seen an asthma specialist for over 7 years as until now Simons asthma had been very stable and have not needed any plans or interventions

On examination, Simon has an audible wheeze and is unable to speak in full sentences. His respiratory rate is 35 breaths per minute. Pulse oximetry reveals an SaO2 of 88% and a pulse rate of 132. He appears a little cyanotic and is visibly distressed and anxious. When asked what medication he was taking, Dad says that Simon had just been taking his “normal puffer”, (salbutamol metered dose inhaler) but Simon says that he had also been taking ibuprofen for a sprained ankle he picked up in training for the last week or so.

Learning outcomes assessed:

1. Apply and integrate knowledge of the key NMBA Registered Nurse Standards for Nursing Practice, National Safety and Quality Health Service Standards, and National Health Priorities to enable effective clinical decision making, planning and action in a range of situations that reflect the diversity of contemporary health care settings and challenges.
2. Apply knowledge of anatomy, physiology and pathophysiology to support evidence-based decisions for planning and action in a range of clinical situations.
3. Demonstrate clinical reasoning and clinical decision making in line with safe and quality person-centred care across the lifespan.
4. Apply knowledge and skills to communicate and collaborate effectively with consumers and families.
5. Reflect on the nurse role in care provision, using feedback from a range of sources, to identify opportunities to enhance individual practice.