NRSG258 Principles Of Nursing Surgical

Question:

Case Study: Peter Harris

Peter Harris is 72-year-old man who was admitted to hospital for surgery following urinary symptoms that led to a diagnosis of benign prostatic hyperplasia (BPH). He has a history of COPD and Type 2 diabetes. Peter lives alone but his adult son is with him on admission and reports that his father likes his beer and can drink up to six stubbies per night and does not eat well. Peter currently weighs 70kgs. 

Peter was taken to surgery and underwent a transurethral resection of the prostate (TURP) under spinal anaesthesia. 
After 1 hour in the post-anaesthetic recovery room (PARU) and an uneventful recovery, he was transferred to the ward, where you have been allocated to his care.

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On return to the ward, Peter’s observations are as follows: 

• Respirations 30 breaths per minute

• BP 100/60mmHg
• Pulse 128bpm
• Temperature 35.0°C.
• Pain score 0/10
• He has a continuous bladder irrigation via a three lumen urethral catheter. His urine contains large blood clots.
• Peter has IV therapy via peripheral line running at an 8-hrly rate. 

It is planned for Peter to be discharged after two days on the ward.

Questions To Be Addressed  In relation to Peter Harris: 

• Discuss the aetiology and pathophysiology of the patient’s presenting condition

• Critically discuss the underlying pathophysiology of the patient’s post-operative deterioration. Prioritize, outline and justify the appropriate nursing management of the patient during this time

• Identify three (3) members of the interdisciplinary healthcare team, apart from the primary medical and nursing team, who you would involve in the care of the patient before their discharge and provide justification for their involvement.

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