PRESENTATION TO THE WARD:
On return to the ward Peter’s observations are as follows:
• Respirations 30 breaths per minute
• BP 100/90mmHg
• Pulse 128bpm
• Temperature 35.0oC.
• Pain score 0/10
• He has a continuous bladder irrigation via a three lumen urethral catheter. His urine
contains large blood clots.
• Peter has IV therapy via peripheral line running at an 8 hrly rate. It is planned for Peter to be discharged after two days on the ward.
QUESTIONS TO BE ADDRESSED
In relation to Peter Harris:
• Discuss the aetiology and pathophysiology of the patient’s presenting condition
So how is BPH caused and explain the pathophysiology of the condition.
• Critically discuss the underlying pathophysiology of the patient’s post-operative
deterioration. Prioritize, outline and justify the appropriate nursing management of the
patient during this time. So why are his resps higher than normal e.g. is it because of his COPD or something else? Consider his BP could it be normal for him? Is it too high or too low? Why could it be like this? Same with Peter’s pulse, temperature etc.
• Identify three (3) members of the interdisciplinary healthcare team, apart from the
primary medical and nursing team, who you would involve in the care of the patient
before their discharge and provide justification for their involvement. The healthcare people I would like you to discuss are a dietitian for Peter’s diabetes and other dietary issues, counsellor for his drinking of 6 beers a night, an a GP referral because he will need to be checked out again to see if he is healing well after surgery.
