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Part A: Analyse the case to identify potential clinical issues and relevant nursing care This section will focus on the first 24 hours of post-surgical care and involves prioritising nursing care for Wendy. Consider Wendys co-morbidities including obstructive sleep apnoea (OSA), previous MI, asthma, hypertension, and hypercholesterolemia in the context of having a general anaesthetic (GA) and in identifying your clinical issues. Identify THREE (3) PRIORITY clinical issues for Wendy e.g. at risk of severe pain Identify NURSING INTERVENTIONS for each of the three clinical issues g. Encourage deep breathing exercises hourly Provide RATIONALES for each nursing intervention. Rationales justify your interventions and are referenced. Suggestion: Intervention: Encourage deep breathing exercises including use of the spirometry, hourly; Rationale: Smith (2019) surmises that this promotes normal lung expansion increases oxygen levels, and is useful in preventing pneumonia and atelectasis Part B: Discharge planning Plan and prioritise discharge advice for In the discharge plan, consider the appropriate post-operative education for Wendy including the surgical procedure. Concisely provide a discharge plan and education around medication, prevention of post-operative complications, psychosocial issues, and lifestyle modification. Refrain from merely providing generic information. Be succinct and appropriate in your advice but also critically evaluate the information in the case and specifically relate this to your discharge plan.
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