•Height:174cm
•Past Medical History: osteoarthritis,hypertension
•Current Meds: Irbesartan 150mg PO daily, Paracetamol 1g 6/24PO, Ibuprofen 400mg PO 8/24, Clexane 40mg IMIdaily
•Small wound dressings x 3 to his rightknee.
•Jim has been showering and toileting independently, using awheelie frame when needed tomobilise.
Current information:
It is now Day 10 of Jim’s stay in the Rehabilitation ward, it is planned that he will be discharged on Day 14. You are the student nurse, undertaking a medication round with Nurse Jo this morning. Following the successful administration of Jim’s medications, Nurse Jo leaves the room to attend to another patient. As you begin to assist Jim in getting his toiletries ready for a shower, Jim asks you if he will really need to continue to do all of these exercises once he returns home. He is also worried about missing phone calls from the phone calls of the physiotherapist. He states he has not been to the toilet for 3 days and asks if he can have something to help soften his bowel movements. Through the conversation, he states can’t wait to get back to the farm to start work again and to be with his mother. He is awaiting a physiotherapist and social work review prior to discharge. You take his observations:
Current observations (35 minutes post medication administration):
•Jim is alert and orientated to time, place andperson.
•BP139/85
•Sp02 97% RoomAir
•HR 85bpm
•RR 17 rpm
•Pain score 4/10 in right knee, 1/10 in rightwrist
•Physicalexamination:
•Right knee wound dressing intact with nil ooze. Surroundingskin pink, warm and capillary refill is noted at 2 seconds. Distal foot and toes pink and warm with both dorsal and pedal pulses present andstrong.
•Right wrist not observed due to splint. Distal fingers pinkand
warm with full range of movement and sensation.
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