In this task, the student needs review the provided scenario in the Subject I2 Site. The patient for this case analysis assessment is Mr David Porter. All of the details needed to complete this...

NURSING PRACTICE
Table of Contents
Introduction    3
Primary assessment    3
Secondary assessment    3
Proposed nursing assessment    4
Nursing intervention    4
Explanation of the intervention    5
Safety profile    5
Standard of practice    6
Fundamental responsibility    6
Conclusion    6
References    8
Introduction
Nursing professionals get customized training programs specified for different departments. For Orthopaedic care, one of the most important aspects of nursing duties should include the proper mobilizing capacity. The patients cannot move themselves or specific fractured body parts. Moreover, if the fracture or dislocation gets fixed by surgical intervention the patients get dependent on more delicate care. Thus, nursing professionals need to be very much trained to handle patients. Mr. David Portar is an 83-year-old patient. He had a closed transverse fracture to the shaft of the right femur. X-ray examination detected the fracture and he was admitted to the emergency department. He had an open reduction and internal fixation surgery. He had high systolic blood pressure before OT. A VTE prophylaxis was initiated. IV fluids, prophylactic antibiotics, and blood transfusion were conducted. He got a stable condition after surgery. However, he had restricted movements and about one month of bed rest was advised. He was handed over to his nurse by his only son. The nurse took the whole responsibility of his cure.
Primary assessment
The primary assessment of the patient included trauma. He had a traumatic accident. Mr. David Portar was saved from life-threatening conditions. However, the injury was massive. The patient had initial inhalation inability, thus, oxygen saturation was tested. He had some cardiac problems related to hypertension. Moreover, he had a head injury. The patient needed adequate circulation. He was infused with blood transfusion and cellular oxygenation. Pulse oxymetry was checked for oxygen saturation. The heart rate was measured. His body temperature was normal (Fang, 2017). Thus, the primary assessment of the circulatory system was done adequately. He was given with IV fluid. He had blood loss in accident, thus, blood transfusion was indicated. He had sufficient body fluid and blood supply. His blood pressure was brought under control. His systolic blood pressure was high. Bleeding status was assessed. Fluid management was done sufficiently. He was infused with IV fluids right after hospital admission. Prophylactic antibiotics were initiated. His medications included Apixaban 5mg twice daily, Metoprolol 25 mg twice daily, Digoxin 62.5 mg once daily, Frusemide 40 mg twice daily, and Nexium 40 mg. Apixaban, the anticoagulant was indicated for huge blood loss. Metoprolol was used to reduce anxiety of the patient as he had a traumatic incident. Digoxin stabilized the pulse rate of the patient. Frusemide was effective as Mr. Portar had edema due to fluid overload. Edema is a common event occurring in patient with heart disease. Thus, fluid management was essential. Nexium was recommended for gastro-oesophageal reflux disease (GERD) of the patient. He was continued on a light diet. The parenteral diet was prescribed. He was advised with breathing exercises. He was added with analgesics to reduce pain. Mr. Portar was a trauma patient. His clothes were removed by the nurse right after admission to the hospital. His whole body assessment was a part of the primary assessment. He was provided with a sterilized blanket and a gown (Salmond & Echevarria, 2017). He had normal body temperature, still, was provided with heat lamps, Bair huggers, warm blankets, and warm fluids. The broken part was compressed with ice packs, cooling blanket, and the circulating air temperature was reduced. Thus, the heat loss as well as overheating was balanced by supplying the ice packs and hot bags. An isothermal condition was maintained. The patient had enough sleep with the effect of analgesics. His blood pressure was checked regularly. He was supplied with antihypertensive medication to achieve normal blood pressure before surgery (Santos, Andrade, Lopes & Valgas, 2017). The surgical intervention had to be done under general anesthesia.
Secondary assessment
The secondary assessment was undertaken for the patient Mr. Portar after being ensured that primary assessment was carried out successfully and all of the life-threatening conditions were cured. The patient was saved from an emergency traumatized condition. He had enough sleep the previous night. The only condition that was the cause of his suffering was bone fracture and dislocation. The nurse was appointed to check the airway, breathing condition, circulatory system, and disability of the patient. The nurse monitored all of the critical conditions and took care (Vital, Cameron, da Cunha, & Santos, 2018). Thus, the clinical reasoning power of the nurse had to be sufficient. The main secondary assessment was to explore specific medical conditions of the patient other than the documented ones. The secondary assessment involved the methodical approach of the nurse for inspection of the delicate...