Case Study: George Callahan, a 74-year-old male, is admitted to the…. Question
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Case Study:
George Callahan, a 74-year-old male, is admitted to the cardiac ward with atrial fibrillation (AF). This
is a new presentation for George and he and his wife have many questions about the disease and its
impacts. George states he becomes short of breath on exertion (SOBOE) and begins to feel dizzy
which is the biggest concern for him at the moment.
Past History: Hypertension, GORD
Allergies: None known
Current observations: Pulse – 115 bpm, irregular; BP – 100/55, Resp Rate – 14 bpm, Oxygen
saturation – 96% RA, Temperature: 36.8.
Questions:
1. Using this resource, Critical care: the eight vital signs of patient monitoring:
http://ezproxy.lib.swin.edu.au/login?url=http://search.ebscohost.com/login.aspx?
direct=true&db=ccm&AN=104496597&site=ehost-live&scope=site
The article suggests three (3) additional assessment should be made when completing
routine patient assessment, pain, level of consciousness and urine output. Describe each of
these and why they are considered important. Please ensure your answers are in your own
words and referenced according to APA 7th edition standards.
2. Which of George’s observations are abnormal?
3. Using your knowledge of how the cardiac muscle and its anatomy, why does this
patient have an irregular pulse?
4. Why does George become short of breath on exertion?
5. When assessing the patient’s pulse, detail how you would complete this including
time and location and describe why you would complete the assessment that way
6. With your understanding of the patient and his concerns, develop a nursing care plan which includes one (1) nursing diagnosis and at least two (2) interventions with a rationale for each using the following table:
Nursing diagnosis:
____________ related to ________________
Goal:
The client will _______ by ________
Interventions:
Rationale:
Nursing Diagnosis Goals Interventions Rationale
SCIENCE
HEALTH SCIENCE
NURSING
HEALTH SCI HLT54115
Case Study: George Callahan, a 74-year-old male, is admitted to the…
