CommodoreMeerkat3690
hi Can you do ISBAR for me?. many thanks Nancy 68 yr old…
hi Can you do ISBAR for me?. many thanks
Nancy 68 yr old visited her GP 2 days ago. Her emphysema seems to be getting worse. She explains she has been sleeping in a chair at home because she is having trouble breathing lying down. She doesn’t want to disturb her husband. She feels exhausted. The GP prescribes Spiriva and Amoxycillin and sends her home. However, Nancy gets worse. Two days later, she is admitted to the medical ward.
It is afternoon shift on the medical ward when you take a call from the Pleasantville family practice telling you that Mrs Nancy Gray will be arriving by ambulance this afternoon. She has an exacerbation of COPD with a suspected superimposed infection.
Soon Nancy arrives. She is brought into the ward in a wheelchair by the ambulance officer. You hear her breathing as she is wheeled towards you. She is perched on the edge of the chair, clasping an oxygen mask to her face. You bend down to speak to her she is clutching a paper bag with her medications. She shakes her head, concentrating on breathing. You notice she is pale; her lips are tinged with blue. You support her with your hand, noticing her skin is moist and cool. The muscles in her neck and shoulder bulge as she breathes. She tries unsuccessfully to stifle a hacking cough. The ambulance officer reports that Nancy, now aged 68, has experienced COPD for many years. She has been progressively getting worse over the last few weeks and now has a productive cough, poor appetite and sleeplessness.
Topic 4 Case study Details
Case study: Nancy
Two days ago, Nancy visited her GP…
Her emphysema seems to be getting worse. She explains she has been sleeping in a chair at home because she is having trouble breathing lying down. She doesn’t want to disturb her husband. She feels exhausted. The GP prescribes Spiriva and Amoxycillin and sends her home.
However, Nancy gets worse. Two days later, she is admitted to the medical ward.
On the ward
It is afternoon shift on the medical ward when you take a call from the Pleasantville family practice telling you that a Mrs Nancy Gray will be arriving by ambulance this afternoon. She has an exacerbation of COPD with a suspected superimposed infection.
Soon Nancy arrives. She is brought into the ward in a wheelchair by the ambulance officer. You hear her breathing as she is wheeled towards you. She is perched on the edge of the chair, clasping an oxygen mask to her face. You bend down to speak to her she is clutching a paper bag with her medications. She shakes her head, concentrating on breathing. You notice she is pale, her lips are tinged with blue. You support her with your hand, noticing her skin is moist and cool. The muscles in her neck and shoulder bulge as she breathes. She tries unsuccessfully to stifle a hacking cough.
The ambulance officer reports that Nancy, now aged 68, has experienced COPD for many years. She has been progressively getting worse over the last few weeks and now has a productive cough, poor appetite and sleeplessness. These are the medications Nancy brought with her to the hospital.
