NUR 4667 Cardinal Stritch University Acute Inflammatory Appendicitis Worksheet

I’m studying and need help with a Nursing question to help me learn.

˜Acute inflammation

Case Study Guidelines:

• Choose a content concept (Pain, Palliative Care, Hypovolemia, Hyperkalemia, etc.).
• Choose your patient (gender, age, race, etc.).
• Choose presenting complaints related to chosen problem (nausea/vomiting, diarrhea, etc.).
• Provide background of current situation and include medical history/comorbidities.
• List current medication/allergies.
• Family history that may contribute to current situation
• Head to toe system assessment of what you would expect to find in each system related to current situation and any current medical problems.
• Identify individual’s priority nursing need.
• Identify what the individual should “look like” after treatment.
• Identify what you should do to help the individual return to baseline health (medication, education, treatment, diagnostic testing, etc.).
• Identify what you would expect to happen to the individual after each action you take (administered anti-emetic and vomiting ceased, etc.).
• Identify if those expectations are met, if not, what else could be done?
• S = Situation – what is the current situation with this individual (36 y.o. male presented to ED with complaints of three days of N/V and inability to keep anything down…).
• B = Background of the individual – (athletic trainer, otherwise healthy, no know allergies, no medications).
• A = Assessment – the head-to-toe system assessment for this individual (poor skin turgor with tenting over clavicle, dry skin, hypotension, low urine output with dark amber urine, etc.).
• A = Action also – what are you going to do based on the situation, background and assessment (administer fluids, anti-emetics, obtain labs, etc.)
• R = Response – how has this individual responded to your actions (no further nausea/vomiting, urine output is increasing, and urine is becoming more yellow, etc.).
• R = Recommendations also – if this individual has not responded as expected, what do you recommend, or if further treatment is needed, what do recommend (continues with slight nausea – recommend send home with Rx for anti-emetic, etc.).

Now, write a nursing handoff report utilizing SBAR format