Case Study: Introduce Your Patient Word limit: 1500 words Grade Worth: 70% Due Date: 4th April 2017 Choose a patient who you have cared for in the critical care setting whose response to treatment (this can be pharmacological or mechanical e.g. ventilation/dialysis or both) was not expected, i.e. they did not successfully respond to treatment as initially anticipated. Additional/alternate treatment was then given*. *Ensure you have chosen an appropriate patient to complete Part B of this assignment. You will need to have access to their case notes to complete this assignment. Please ensure the case notes and any other documentation are handled appropriately, and if any copies are made then the patient identification details are removed. Instruction 1 Without describing any identifiable details (you must use pseudonyms for the patient and staff and must not identify the hospital), describe the patient’s age, past medical history, co-morbidities, lifestyle factors, family support and any pertinent information that may impact on the development of the illness and response to the critical illness. Instruction 2 Discuss the specific events leading to the patient’s admission to the critical care setting. For example, the acute events prior, such as a car accident, cardiac arrest at home, chest infection with the subsequent development of pneumonia, or surgery. If the patient had a chronic condition requiring critical care then describe the details surrounding their deterioration. Instruction 3 Explain the patient’s critical illness with reference to evidence based literature. This explanation should include the pathophysiology, risk factors, prevalence and outcomes. Do not discuss treatment here – this is required in Part B. Instruction 4 Evaluate the physical, psychological and spiritual impact of the illness on the client and their family with reference to evidence based literature. If the patient was heavily sedated/and or died and it is therefore difficult to evaluate their psychological and spiritual impact, then relate this to predicted long-term implications for them if they were sedated and also refer to their family’s psychological and spiritual well-being.
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