Report Template: Gastroenteritis is a highly contagious viral infection, taking into Mrs Smith’s…

Report Template:

Gastroenteritis is a highly contagious viral infection, taking into Mrs Smith’s presentation to Emergency Department answer the following questions.

Select 2 key infection control principles need to be applied to Mrs Smith’s care to minimise the transmission of infection to staff and other patients (word limit 200).

Provide rationales for their implementation (word limit 300).

Using the National Safety and Quality Heath Service Standard (NSQHS) for preventing falls and injury in healthcare setting answer the following question.

Discuss the importance of this standard and identify two falls prevention strategies to be implemented (word limit 200).

Provide rationales for implementation to prevent further injury (word limit 300).

Case Scenario

Handover: Following Information, Situation, Background, Assessment and Recommendations (ISBAR).

I: Pink Smith is an 82-year-old woman who presented to the Emergency Department (ED).

S: Mrs Smith had a fall last night at home.

B: Mrs Smith has been feeling ‘off’ for the last 3 days with loose bowel actions, abdominal pain, fever, decreased appetite, a general feeling of malaise. Had a fall last night as she got out of bed to rush to the toilet. The fall was witnessed by her husband who saw her sway and then stagger as she stood up from the bed. She landed on the floor on her right side, there was no loss of consciousness and her husband is convinced she did not knock her head. Her husband tried to help her up off the floor and back into bed but Pink weighs 106kg and was experiencing pain on movement and difficulty weight bearing through her right leg. Her husband phoned the ambulance to bring her to the ED for review.

A:

Pulse rate: 102 bpm,

Respiration: 18 bpm, shallow, dry cough, runny nose,

Blood pressure:

• Lying – 108/ 74

• Standing – 98/60

Temp: 37.7°C

Blood glucose level: 3.9

Weight: 106kg

Pain: 10/10,

Upon arrival to ED, X-RAY of Hip revealed no fractures.

R: Mrs Smith to be admitted to medical ward, physio review, single room. She is diagnosed with viral gastro-enteritis.

Health History

Past health history

Medical history

Hypertension

Type II diabetes for over 15 years, managed by oral medication and diet.

Macular degeneration – mild visual impairment

Allergies

NKA

Social history

Alcohol use

Occasional sherry or glass of wine on special social occasions

Tobacco use

Non-smoker

Religion

Anglican, does not attend church

Ethnic background

European/English ancestry

Physical assessment

Vital signs

As above

Neurological

GCS 15

Pupil equal and reactive to light (PEARL)

Lethargic, eyes open when spoken to, follows commands, orientated to time place and person (TPP)

Cranial nerves – intact

Bilateral equal normal sensitivity to touch in feet and lower legs

Difficult to test muscle strength due to pain from injury on R) side

Reflexes not tested due to patient’s pain and patient’s lethargic state

Musculoskeletal system

Inspection

Blue/red coloured haematoma R) hip and extends to R) buttock

Swelling marked

Skin intact and no indication of bone protrusions

Normal range of movement around hip

Touch weight bearing on R) leg; reluctant to attempt walking due to pain

Palpation

Tender on palpation of hip area

Hip joint feels intact

Gastrointestinal

Normally eats and drinks well but has been off food the last few days due to nausea

No vomiting

Has deliberately decreased her fluid intake to minimise the need to urinate

Loose bowel movement 3/7

Last bowel movement today, loose watery, normal colour

No history of faecal incontinence

Assessment Criteria and Submission

Please read the rubric set up for this assessment task carefully. These are the criteria that you will be assessed against for this task. It is important that you read and understand the rubric before you attempt to deliver your presentation. Understanding the criteria written in this rubric will help you clarify what we are looking for in this presentation.

The rubric for this task can be viewed in the Assessment 1 Dropbox where you can also submit your work. Pleaseclick here.