[Solved]: CRC Care Plan Template ACS example Consider the…

CRC Care Plan Template ACS example Consider the patient situation: Describe / list the facts / context / summary of scenario  Taylor Cassidy is 19 years old. They were brought into ED by ambulance after coming off their motorcycle at 40 km / hr .  The incident was called in by a bystander, an off – duty lifeguard, who helped to stabilise Taylor’s c – spine by supporting Taylor’s head ( in a badly scratched helmet ) , and spoke to Taylor until paramedics arrived. Handover from paramedics included: GCS 15 , PERRLA, nil evidence of head injury despite a head strike, but Taylor was unable to move their arms and legs and stated they had nil sensation in their legs and the sensation in their hands felt strange. The paramedics safely removed Taylor’s helmet and safely secured a hard collar around Taylor’s neck. The paramedics also applied a splint to Taylor’s right leg as they suspect it is fractured. Taylor reported pain of 8/10 to the cervical spine but nowhere else. Taylor’s vital signs were as follows: RR 24 , SpO 2 97 % RA , HR 62 bpm , BP 122/65 mmHg , Temp 35.9 degrees. Paramedics administered 8 mg IV ondansetron, 5 mg s / c morphine and 250 ml of NaCl (0.9 % ) en route. Taylor has no significant medical history and takes no regular medications. You are assigned to care for Taylor. When you enter their room Taylor is visibly upset and asks you, “ What is happening to me ? Why can ’ t I feel my legs? ” . You are concerned that Taylor has sustained a cervical spinal cord injuryCollect cues / information: In the following table, list the normal and abnormal data that you have collected from the scenario provided. Provide the normal reference ranges of all data ( example provided ) .  Normal ( Subjective & Objective ) Abnormal ( Subjective & Objective ) Subjective Objective Subjective Objective )) Identify & prioritise at least 2 nursing problems.  •  Goals, Actions and Evaluation  SMART goal ( s )  • •   Actions ( at least 4)  Rationale ( for each action ) . Please note that the rationale provided are very basic. Much more detail & support from literature required for your assessment. Evaluate outcomes ( for each action