at 09:00 on 14/06/2016. Mrs Chan is dressed in a nightgown; the last thing she remembers is rushing to the toilet at about 10pm. She

at 09:00 on 14/06/2016. Mrs Chan is dressed in a nightgown; the last thing she remembers is rushing to the toilet at about 10pm. She has no memory of falling, she recalls “waking up” on the floor feeling cold because she was incontinent and her night gown was wet. She was unable to get up due to a penetrating wound to her left leg from falling on a glass coffee table that has broken and become embedded in her upper thigh. She also has pain in her hip and pelvis. Her right leg is shorter than the left and it is internally rotated. Mrs Chan’s past medical history includes: ·        Urinary incontinence ·        Osteoporosis ·        Compression fractures to her spine due osteoporosis ·        Chronic pain Regular medications: ·        Fosamax ·        Vitamin D ·        Calcium ·        Fentanyl patch ·        PRN endone Question 1. Describe the initial assessment of Mrs Chan, including the following points in your answer: a)          Describe the process of completing a primary survey on Mrs Chan b)          List the specific assessments that would assist you to evaluate her penetrating injury. ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… Question 2. Review the vital signs chart (attached pdf) and evaluate the following aspects: a)          List each of the vital signs recorded at 06:30 in the table below: List the vital sign Respiratory Rate O2 Saturation O2 Flow Rate Systolic BP Heart Rate Temperature 4 Hour Urine Output Consciousness b)          Complete the ADDS score for each vital sign recorded at 06:30 in the table below, then total the ADDS score. ADDS Score Respiratory Rate O2 Saturation O2 Flow Rate Systolic BP Heart Rate Temperature 4 Hour Urine Output Consciousness Total ADDS c)          List the abnormal signs and then describe the abnormality using correct terminology. ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………

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