PHI 413-Impaired Tissue Perfusion Related To Haematoma Formation
Impaired Tissue Perfusion Related To Haematoma Formation
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The simulation scenario involved Mr Bright who had just undergone an angioplasty. A potential problem related to this procedure includes impaired tissue perfusion related to haematoma formation or bleeding.
You are required to find five (7) contemporary, valid research journal articles (no older than 7 years) relating to the care of the
patient undergoing angioplasty. Read the articles focusing on the assessment elements of care required post procedure. (Don’t forget to link your assessment reasoning to anatomy and physiology and pathophysiology).
This simulation is designed to help you, as a second year student, begin to integrate concepts and principles that are needed for practice as a beginning-level nurse in various clinical settings.
This scenario is located in a ward within a tertiary hospital facility, however it could apply to nursing practice in other settings as well, e.g. rural/remote health care facility, an emergency department or an aged care facility. We hope you enjoy this learning experience and use it to build on your knowledge and skill base for practice.
Scenario Learning Objectives
1. Identify and demonstrate principles of patient assessment – post operative.
2. Demonstrate process to assist in recognition and management of patient with chest pain
3. Identify and demonstrate principles related to effective communication in changing patient situation.
Welcome to the Clinical
Simulation
Introducing Mr Bright
Pre-admission clinic
Mr Bright at home
Handover
Medical records
Welcome to the Clinical
Simulation
Click on the tabs
to learn more
about the story
of Mr Bright
Introducing Mr
Bright
Mr Harry Bright is a 67 year old male with a history of hypertension and DMII – usually reasonably well controlled with medications and diet. He is also a smoker of 20 cigarettes per day.
He had an angioplasty to his right coronary artery where a drug eluting stent was placed and there was 10% residual stenosis at the site. It was quite a difficult procedure and cardiac monitoring during the stent placement did indicate some myocardial ischaemia.
His sheath was removed in recovery and there has been minimal wound ooze since then and no bruising. In recovery he developed some chest pain. Nitroglycerin spray sublingually x 1 was give which resolved the pain. As it was handed over from the Cath Lab staff that the doctor had some difficulty doing the procedure and also that monitoring during the procedure suggested some ischaemia, and the MO was contacted immediately when the patient complained of chest pain. He did not order further treatment once pain was resolved.
Introducing Mr Bright
Introducing Mr Bright
Pre-admission clinic
Mr Bright at home
Handover
Medical records
Welcome to the Clinical
Simulation
Click on the tabs
to learn more
about the story
of Mr Bright
Pre-admission
clinic
The following video allows you to observe the pre- admission clinic visit of Mr Harry Bright and his wife Lucy. Impaired Tissue Perfusion Related To Haematoma Formation
Pre-admission clinic
Introducing Mr Bright
Pre-admission clinic
Mr Bright at home
Handover
Medical records
Welcome to the Clinical
Simulation
Click on the tabs
to learn more
about the story
of Mr Bright
Mr Bright at home
The following video allows you to observe Harry chatting to his wife Lucy at home the afternoon before his hospital admission.
Mr Bright at home
Introducing Mr Bright
Pre-admission clinic
Mr Bright at home
Handover
Medical records
Welcome to the Clinical
Simulation
Click on the tabs
to learn more
about the story
of Mr Bright
Handover
The following video allows you to observe the clinical handover.
Handover