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Mrs Parker is a 61-year-old Aboriginal female. She was admitted following a two-day history of chest pain associated with a purulent cough. The chest pain was sharp in nature, localised to the right lower thoracic region, and worse on deep inspiration. She has a past medical history of COPD, with a recent worsening cough with viscous sputum and greener in colour, and difficulty breathing. Mrs Parker has been trying some home remedies to help with her cough. However, the night she started having a fever with chills and rigours, she was brought to Emergency Department by her son. Mrs Parker was diagnosed with acute exacerbation of COPD secondary to pneumonia, leading to sepsis and impending septic shock.

Mrs Parker lives with her husband; she and her husband like to help their son on his poultry farm thrice a week. She is obese with a BMI of 32 and has a history of osteoarthritis, hypertension, and Type 2 diabetes.

It is Day 3 of Mrs Parker’s hospital admission. She is in a medical ward continuing her IV antibiotics. She is afebrile now and rates the pain as 1/10, and her breathing has improved with RR 20 breaths/minute, with Sao2 96% on RA. Her appetite is still poor, feels weak and unsteady on her feet.

After receiving a handover for the morning shift, you conduct a head-to-toe assessment of Mrs Parker. She tells you that she has had her head elevated all night, was quite sweaty, and is now experiencing some pain in her lower back.  With assistance from your preceptor RN, you turn her to her side to conduct a skin assessment of her back. You observe that her skin is moist with sweat, and you also notice erythema on the sacrum with a shallow open ulcer with a red wound bed.

 

a) Identify care requirements of Mrs Parker (refer to medical past history and current presenting condition). 

SCIENCE
HEALTH SCIENCE
NURSING
NURSING HNB3140

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