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    Identify Situation /: Status

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    ko chun
    1) The document provides an ISBAR handover for a 73-year-old male patient named Thomas Jones admitted to the hospital with a urinary tract infection, dysphagia, and confusion. 2) Key details include the patient's medical history of recurrent UTIs, hypertension, right below-knee amputation, and type 2 diabetes. 3) The nurse's assessment is a UTI diagnosis with stable observations and oxygen levels. The plan is to increase fluids, start full blood count monitoring, assist with daily living activities, have the patient sit out of bed, observe for confusion, and check observations four times daily.

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    Identify Situation /: Status

    Uploaded by

    ko chun
    10 views1 page
    1) The document provides an ISBAR handover for a 73-year-old male patient named Thomas Jones admitted to the hospital with a urinary tract infection, dysphagia, and confusion. 2) Key details include the patient's medical history of recurrent UTIs, hypertension, right below-knee amputation, and type 2 diabetes. 3) The nurse's assessment is a UTI diagnosis with stable observations and oxygen levels. The plan is to increase fluids, start full blood count monitoring, assist with daily living activities, have the patient sit out of bed, observe for confusion, and check observations four times daily.

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    1) The document provides an ISBAR handover for a 73-year-old male patient named Thomas Jones admitted to the hospital with a urinary tract infection, dysphagia, and confusion. 2) Key details include the patient's medical history of recurrent UTIs, hypertension, right below-knee amputation, and type 2 diabetes. 3) The nurse's assessment is a UTI diagnosis with stable observations and oxygen levels. The plan is to increase fluids, start full blood count monitoring, assist with daily living activities, have the patient sit out of bed, observe for confusion, and check observations four times daily.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    Download as docx, pdf, or txt
    10 views1 page

    Identify Situation /: Status

    Uploaded by

    ko chun
    1) The document provides an ISBAR handover for a 73-year-old male patient named Thomas Jones admitted to the hospital with a urinary tract infection, dysphagia, and confusion. 2) Key details include the patient's medical history of recurrent UTIs, hypertension, right below-knee amputation, and type 2 diabetes. 3) The nurse's assessment is a UTI diagnosis with stable observations and oxygen levels. The plan is to increase fluids, start full blood count monitoring, assist with daily living activities, have the patient sit out of bed, observe for confusion, and check observations four times daily.

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    of 1

    Classroom Activity Session 2

    CHCCOM005 – Communicate and work in


    health or community services

    ISBAR:

    Identify Thomas JONES


    Name:
    DOB: 73 y/o male
    UR number: UR: 147852
    Allergies NKA

    Situation / Admitted today (today’s date)


    Has a UTI
    Status Dysphagia
    Confused
    Stable / deteriorating Observations:
    Improving T 38, P 86, R 23, BP 145/90 SpO2 97% on
    Discharge / transfer room air
    Observations States pain 6/10

    Background
    PHx recurrent UTI’s, Hypertension, R)BKA,
    T2DM

    Assessment
    Diagnosis: UTI
    Obs and Oxygen levels stable
    Increase fluids
    Start FBC to monitor input and output

    Request /
    ADL’s x 1 assist
    SOOB
    Observe for any confusion
    recommendation OBS QID
    For FWT tomorrow please
    Report any concerns to in charge

    CRICOS Provider No. 00103D | RTO Code 4909


    Training
    1 is delivered with Victorian and
    Commonwealth
    government funding to eligible individuals

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