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Nursing Assessment and Patient Care Essay
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Check My Assignment!Lily was a 65 year old lady with stage 5 CKD, she had recently begun hemodialysis treatment three times a week as an inpatient and had been responding well to treatment. During dialysis treatment on the morning of the first day, Lily’s observations showed that she was: tachycardic, hypotensive, tachypnoeaic, had an oxygen saturation level of 88% and was becoming confused and drowsy. It became apparent that Lily had become hypovolaemic. The hypovolaemic shock seen in this patient was of a particular critical nature due to the fact that her dialysis treatment had moved her rapidly through the first two stages of shock with her compensatory mechanisms failing very quickly (Tait, 2012). It was also much harder to identify the early signs of hypovolaemic shock, as some of the signs and symptoms could have been attributed to her kidney failure (Macintosh and Moore, 2011; Murphy and Byrne, 2009).
The time span of the nursing care provided for this patient will be over a two day period. This period of time focuses on not only the initial stage of the patient deteriorating, but will also cover the following 36 hour period of care where the patient was stable but still at a possible risk of deterioration. By covering this time period, this case study will have the opportunity to not only look into the psychosocial aspects of care provided, but also look into the clinical settings the care was provided in (acute/high dependency unit) and how this may have impacted on the care…
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