[Answered]: CASE STUDY FOR WORKBOOK ASSESSMENT 2100 hours…

CASE STUDY FOR WORKBOOK ASSESSMENT 2100 hours Johanna Crichton an 86-year-old female brought into the Emergency Department via Ambulance. It is 2100 hours in the evening and there has been hail, wind, and torrential rain since approximately 1830 hours as Perth has experienced a severe storm. Johanna is of Greek origin and does not speak English, only via her daughter who is coming to the hospital as soon as she can find a carer for her father. (Johanna is the primary carer for her husband Johan who has dementia). The paramedics state that Johanna was outside attempting to move the clothes off the clothesline when she tripped over the washing basket and appears to have a fractured hip. She was unable to get any assistance from her husband and daughter inside as they were unable to hear her calls for help over the loud rain. Johanna managed to drag herself across the ground and up to the house – an estimated 25 meters to raise the alarm. An ambulance was called, however, as she was unable to get up and her daughter was unable to assist, she remained on the ground until the Ambulance arrived. It is estimated that she was on the ground in poor weather conditions for an estimated 90 minutes. She is currently shivering on the ambulance trolley and has wet and soiled clothes on. Her vital signs are HR: 102 BP: 100/65 RR: 26 T: 35.3 degrees. The paramedics have placed bandages around her hips and knees to attempt to maintain alignment and have given her pain relief. She has a cannula in her right cubital fossa. There is an obvious shortening and rotation of the left leg and Johanna is shivering, grimacing, and calling out. She is in a distressed state.Johanna needs to go for an urgent x-ray and the Medical Consultant is asking you to prepare the patient for a femoral nerve block. Johanna presented with significant pain on arrival with the paramedics. They had given her some IM Fentanyl for initial pain relief. After two weeks in hospital post-surgery, Johanna’s daughter arrives on the ward and translates a conversation she has had with her. Johanna had an infection which has prolonged her stay and she is struggling with her inability to walk and her gradual decline in health. She has told her she has had enough and no longer wants any further treatment from physios, occupational therapist, doctors or nurses and her mood is very low. Her daughter has come and asked you to have a chat with her. 3. Using the current state and national laws, describe the issues that may arise from this case. Include in your answer, the Health Practitioner Regulation National Law. Consider the following: What are the issues with respect to consent? How does this come into effect with a non-English-speaking person? What are the legal obligations of the care team when it comes to upholding Johanna’s decision? ULO2 Applies ethical and legal principles when assessing, planning, implementing and evaluating nursing care of individuals in the critical care setting. Correctly identifies the consent processes. Justifies how they are applicable. Provides evidence to support the selection. Justifies and evaluates how management of the patient will continue. Adheres to assessment guidelines. Critical thinking Correctly provides a comprehensive and accurate overview of State and National laws. Clear understanding of AHPRA laws and applies this to the scenario. Adheres to the assessment guidelines.ULO5 Advanced essential nursing skills that ensure safe,effective, and evidence- based nursing practices. Student thoroughly explores the challenges and considerations related to consent. Analyses the nuances and provides an understanding of cultural and language barriers. Provides examples on how to communicate with non- English speaking patients. Adheres to the assessment guidelines. Adheres to Assessment Guidelines Uses four or more current (within 2 years) evidence-based literature to support their comparison and argument. The sources are relevant, and referenced correctly. The references are critically integrated throughout. Adheres to assessment guidelines