2bnurse15

anyone got anything on nurse specialist relating to chronic heart failure

hi just wondering what the role of a specialist nurse in the primary care setting supporting clients living with CHFwould do??

a patient has a diagnosis of mesothelioma for over 3 yrs now. he has chronic pain and constantly complains of pain in his left thorax, with increased pain on movement. what would be some physiological changes that might occur related to pain???

what would be 4 factors that may influence the way a patient perceives pain??? this patient has chronic pain and a diagnosis of mesothelioma...

Stage 3-4 pressure ulcer on her heal

nutrition is adequate and she doesn't have diabeties or PVD. overall she is in her 60's, she had a cerebral aneurysm resulting in huge haemorrhage and now dependent on right side and is immobile.

A pt's stage 3 ulcer has not improved for the last six months despite dressing routines.can somone suggest any reasons for this failure to progress???

what vascular assessments and other local wound assessments could you perform on a pt who has a stage 3 ulcer on their heal, to eliminate the presence of any arterial disease of the lower leg and to gather base line data???

I have this case study which is pretty complex, so im asking for some help please... :wtosts: its about a 27 yr old male with a long diagnosis of Crohn's. who in the last 6 months has had many acute episodes resulting in a BMI (body mass index) of 15. he physician believes only option is surgery. He is employed and his partner studies at tafe and they have a 4 yr old son. due to his state his admitted to hosptial 10 days prior to the surgery for the insertion of a central venous catheter and administration of TPN, during this time his BMI increases to 17. In theatre aprox. 1.5 m of his small & large bowel is removed in multiple sections. when he returns to the ward he is nil by mouth and has a temporary ileostomy. he has TPN, hydration via centrl venous catheter, nasogastric tube on free drainage, indwelling catheter, and an order for I.V antibiotics. A full blood count reveals decreased Hb, reduced PVC and slight elevation of white cell count. on day three post surgery, his Hb drops to 62g/l. thus three units of packed cells are ordered. he tolerates first unit well. however 15 mins into the second unit, he fells unwell and his vital signs are temp 39'C, BP 126/80, HR 128, Resp 24, SpO2 92%. i need to list the actual and potential issues related to his situation, but more importantly i need to identify the top three high priority acutal issues/complications. obviously the blood reaction is first priority, then pain. could somone help me with identifying possible complications and maybe the top three complications. Kind regards.

na i need to state the three main complications that the patient would come across post surgery eg. pain and so on. i no the blood transfusion reaction would be the 1st priority. i was just trying to figure out what type of reaction it would be. thanx tho :wink2:

i have this assignment , and it ask to state the three main complications. its about this fellow who has had crohns since he was 17. anyway he had surgery (temporary ileostomy) and post surgery had blood transfusion. he tolerated the first unit well, however 15 minutes into the second unit of packed red blood cells he said he was feeling unwell, obs were taking an found the following, temp 39, BP 126/80, HR 128, Resp 24 and SpO2 92%. just wondering wat the reaction would be? all i can think of is some sort of a hemolytic reaction... but they usually occur 15 minutes into the first unit.... someone please help..