NUR251 Module 2 Nursing the Renal System - Classroom Case study

Activity for Module 2

Bed 4 - Mrs Bridges is an 85 year old female from the local low level nursing home facility.  Mrs Bridges attended the Emergency Department with a referral from the nursing home stating urinary symptoms, poor oral intake for 10 days and minimal output over 48 hours.
She was febrile and dehydrated, the diagnosis of Urinary Tract Infection with severe dehydration was given and Mrs Bridges was considered too unwell to return home. She is prescribed intravenous antibiotics (IVABs), intravenous fluid replacement and admitted to the ward.  On examination you observe Mrs Bridges is wearing an incontinence pad, she explains that she has been incontinent of urine for a few years since her mobility has deteriorated.  You also observe she is tender suprapubically  and her groin is excoriated. Her skin is very dry and her lips and mucous membrane are dry and cracking.  You notice her lower legs and ankles are swollen and her level of confusion is increasing. Now using the clinical reason cycle develop a nursing care plan or respond to the following questions and bring them to the collaborate session to share.

1. From the handover highlight what you consider to be important clues of care.
2. Identify from these clues your nursing problems
3. What would be the goal of care for Mrs Bridges?
4. What nursing interventions can you implement on your shift to help reach your goals of care?
5. Give a rationale for your interventions - you should be able to explain why you are implementing an nursing interventions without referring to the textbook (you will need to explain what and why you are doing certain things to your patient).
6. How will you know if it is working?
7. Let's assume everything you implemented has had a positive affect during your shift - now write your patient progress note as the registered nurse caring for Mrs Bridges.