HNN112 Lecture Notes - Lecture 12: Orthopedic Surgery, Plaster Cast, Back Injury
HNN112 WEEK 12 Seminar Note
Case study 1
Jeremy Jamison is a 28 year old man who was involved in a motor bike accident 24 hours
ago. He has both legs in full length plaster casts as he has fractured his left ankle and right
tibia.
His left arm is in a collar and cuff sling as he has also fractured his humerus. Jeremy has an
IV line in his right arm as he still requires intravenous antibiotics.
At handover you are told that Jeremy is to rest in bed until he has been reviewed by the
orthopaedic surgeon. You are also told he has not had a good wash since his admission as
he has been reluctant to accept assistance with his hygiene needs.
When you introduce yourself to Jeremy, you note that his hair is spotted with remnants of
gravel and his lips are crusted with dry saliva. He is wearing a crumpled hospital gown and
you detect a distinct odour that supports the information that you have been given in
handover.
Whe ou ask Jere ho he is feelig he tells ou that he is feelig er tired.
(Assessment – Problem identification– Planning – Implementing – Evaluation)
1. What cues would indicate that hygiene needs are a priority?
a) Gravel on his hair
b) Crusted lips with saliva
c) Crumpled gown
d) A distinct odour
e) Handover notes
f) “ie adissio, he has’t had a ash
2. How would you include Jeremy in a discussion about his hygiene needs?
a) Ask Jere’s preferee of athig ad supplies
b) Explain the importance of hygiene to Jeremy
c) Gai Jere’s uderstadig efore assistig his hgiee eeds
d) Encourage Jeremy to cooperate with nurses to clean
e) Instruct Jeremy to seek for help when needed
3. Identify the risks to you and to Jeremy.
For nurses
a) Back injury
b) Risk of falls
c) Risk of infection
For Jeremy
a) Risk of falls
b) Risk of injury
c) Plaster cast issues
d) Fatigue or lack of energy
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