NUR331: Complex Care Assignment: Mr John Douglas is a 70 year old man who has been admitted to the emergency department after feeling unwell for 4 days at home with nausea and vomiting.
His current observations are: T39, HR 120, RR 24, BP 90/60, and his oxygen sats are 92%. GCS is 15. He has generalized abdominal pain which is 7/10. He has not opened his bowels for 4 days and has abdominal distention.
He weights 88kgs. He still works as a factory worker. He admits to drinking 6 stubbies of beer a night. He smokes a packet of cigarettes a day and has done this for 30 years. He does little exercise, but his job involves being on his feet all day. On assessment of John’s knowledge of his condition, he admits that he only did Grade 5 of primary school, and really cannot read well. He is divorced and has no children.
Allergies- nil
Current meds- nil
Past illnesses- diverticulitis, right carpel tunnel repair 6 years ago.

Marking criteria for NUR331: Complex Care:

Application of evidenced based principles for care assessment, care planning and
management of a patient with a complex condition
2. Evidence of prioritisation in response to complex health needs
3. Apply principles of equity, self-determination, rights and access to the planning of
effective, responsive care related to the selected health issue and the social justice
framework
4. Communicates effectively in the academic context with appropriate and correct citations using Harvard.

Word count: 2000 words

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