Reference no: EM133528776
Case Study:
I - Mrs Mary Windsor is a 70 year old Aboriginal woman of the Gadigal people of the Eora Nation. MRN 1020304, Nil known allergies.
S - Mary has been in hospital for 2 days and has been showing signs of confusion, this morning Mary was found on the bathroom floor with a head laceration and a haematoma on her left (L) upper thigh.
B - Mary was admitted 2 days ago, with pneumonia in her right lung. She has been showing signs of confusion, since her admission.
Mary has a history of small cell carcinoma of the (R) upper lobe of the lung. She experiences breathless after activities of daily living.
Mary has episodes of confusion and incontinence due to her vascular dementia. She suffered an Ischemic Stroke 5 years ago, maintaining most functions of daily living.
Mary wears prescription glasses when awake and bilateral hearing aids but needs reminding to do so.
A - Pain 9/10, temperature 38.C, pulse 120 bpm, BP 90/50, RR 22, Sp02 90%. A 3cm laceration above left eye brow and 10cm x 4 cm haematoma on left thigh.
R - X-ray confirms a fracture to the (L) neck of the femur requiring traction and pain management. A laceration to left eyebrow is dressed with Sterestrips. Orders to complete neurovascular observations every 2 hours and neurological observations every 15min for the first hour, then 1 hourly for 4 hours
Questions:
- How to done step by step neurological and neurovascular observations for Mary and documented it.
- Explain neurological and neurovascular chart as well .
- explain everything like to do assessment