Mr. Clark is a 78-year-old male living in an aged care facility. He is from an Italian background and speaks minimal English. He has been feeling off and lethargic for the past 3 days due to frequent loose bowels. He has been complaining of abdominal pain, constant tiredness and being feverish, along with occasional night sweats. He also mentions loss of appetite and hasn’t had any oral intake since yesterday.
The Nurse In-Charge (NIC) is concerned and organizes the hospital transfer for further treatment of Mr. Clark. The NIC has sent a stool specimen 2 days ago.
Mr. Clark is brought in by Ambulance to the Emergency Department at 1700 hrs. On arrival, he is reviewed by a specialist and transferred to the Medical Ward for further treatment. The follow-up of the stool specimen pathology results, confirms gastroenteritis.
Mr. Clark is admitted to the ward with symptoms of gastroenteritis. Appropriate transmission-based precautions are put in place to prevent transmission of infection in hospital. Admission notes indicate Mr Clark has a hearing impairment (uses bilateral hearing aids), loss of sight in right eye, and decreased mobility due to a right knee injury 6 months ago. He speaks minimal English as he is from Non-English Speaking background (NESB).
After admission on the ward, Mr Clark eats one sandwich for dinner and prefers to rest as he is very tired. During the rounds, the night nurse finds Mr Clark on the floor. Mr Clark states he lost his balance and slipped onto his right side while attempting to go to the toilet. The fall is unwitnessed.
On assessment, Mr Clark states he did not lose consciousness and did not hit his head. He is unable to move due to right hip pain and has developed a haematoma. He is assisted on the bed using HoverJack and HoverMatt by the nursing staff. The physician has reviewed the patient and organised a hip x-ray. Mr Clark has severe pain on movement and is currently unable to stand or walk.
Diagnosis: Mr Clark has gastroenteritis. A hip x-ray indicates no fracture.
After reading the case study carefully, please answer the following questions based on the diagnosis given. Note the suggested word limits for each question.
- Based on the case study, discuss the chain of infectionin relation to the diagnosis.
- Identify onetransmission-based precaution relevant to the case study and discuss minimum 2 strategies to prevent infection transmission with rationale
- Based on case study, discuss in detail therapeutic communication strategiesyou would employ to provide person-centered care to Mr Clark.
- Identify and discuss two criteria as per National and Safety Quality Health Standard(NSQHS) (communication/ infection control/ falls) that are relevant to case study.
- Discuss three evidence-based nursing management strategiesto prevent future falls for Mr. Clark in the clinical setting.
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