Family Name Williams Assignment Help: How to Answer This Question
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Original Question
Family Name: Williams Given Name: Tom UR number: 29275 Date of Birth: 01/10/1962 Initial operation date: 01/08/2020 Wound Swabs taken: 15/11/2020 prior to admission on the 16/11/2020 History: Due to complications of diverticulitis, Tom had to have part of his bowel removed and a temporary stoma was created 01/08/2020. Post-operatively Tom became very sick and due to intra-abdominal sepsis, he was taken back for further surgery on 04/08/2020. He was then left with an ‘open abdomen’ and was in an induced coma for a month in ICU. He was also on dialysis during this time. Due to his stoma and abdominal compartment syndrome, closure of the open abdomen was complex. As a result of late closure of his abdominal wall, reconstruction and skin grafting were required for wound closure. A VAC abdominal dressing system is being used to promote wound healing and closure. The home health nurse performs wound care to replace the VAC therapy system every Monday, Wednesday and Friday Tom has been readmitted to hospital for a wound evaluation and possible debridement. To follow up on wound swab. 1. Complete the handover sheet provided CLINICAL HANDOVER TEMPLATE ASSESSMENTS / TREATMENTS / MANAGEMENT RECOMMENDATIONS / TO DO LIST PATIENT NAME Tom Williams PATIENT AGE 58 TREATING DOCTOR / TEAM DAYS IN HOSPITAL DIAGNOSIS / CONDITION NFR ORDERS No current document Notify Registrar to complete document INFECTION CONTROL (none, contact, droplet, airborne) ALLERGIES (if any) Nil Known OBSERVATIONS (ADDS/BGL) ( Frequency) IV SITE /LINES Nil MOBILITY (self, assist, rib) ADLS (self, assist, full assist – meals, cares etc.) SKIN INTEGRITY (PAC) RENAL (urine output, FBC, IDC,urinalysis) GIT (diet, FBC, bowels) WOUND MANAGEMENT ( frequency/what type of dressing/ concerns. etc) PAIN (type/analgesia etc) OTHER ( Referrals, OT, R/V, Discharge, Path, X-rays etc.)
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