Posted: September 4th, 2015

Admission process for a patient with a suspected bowel obstruction

Margery Hogan is a 49 year old woman who is being admitted to your ward with a suspected bowel obstruction. On admission to ED, Mrs Hogan’s observations were blood pressure (BP) 130/75mmHg,temperature 37.8° C, pulse 86 beats per minute, respiration 19 breaths per minute, oxygen saturations 98% on room air, breath sounds clear and equal, scant bowel sounds and girth measurement 98 cms. Mrs Hogan is complaining of abdominal pain with a level of 4/10 and bowels not open (BNO) for three days.

– you are asked to admit Mrs Hogan to the ward:

-Describe the admission procedure including the clinical forms completed and give a rationale for the use of the clinical tools utilized.

-Prepare an assessment plan for Mrs Hogan, providing rationales for the inclusion and frequency of the various assessments attended relating to her diagnosis. You should demonstrate an understanding of why the assessments are being completed and an understanding of when the assessments are done.
Throughout your assignment please explain how the clinical reasoning cycle and critical thinking have been applied.

 

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