[Verified Answer]: Case study I Jean is a 68-year-old and was…

Case study I Jean is a 68-year-old and was admitted to the Emergency Department (ED), University Hospital with sudden onset of confusion, right sided weakness and difficulties in forming words. Jean is diagnosed with a L) sided Ischaemic Stroke which was too advanced for thrombolysis, thus Jean is for conservative management. S Jean has been on the ward for 5 days now and has been recovering well. She has been assessed by the speech pathologist and has started eating and drinking. She has enjoyed visits from her husband and other family members, chatting about the news and other topics of interest. It is 0930 on an AM shift, you are assigned to look after Jean on ward 4S, University Hospitals stroke unit. On arrival your buddy nurse asks you perform as set of vital signs including GCS and BGL. O · Temp 377 C · Pulse 105 irregular · RR 19 · BP 149/89 · BGL 17.5mmol/L · SpO2 95% Room Air (RA) B Past medical history includes: Hypertension Hypercholesterolaemia Asthma Type 2 diabetes Mellitus Six (6) months ago experienced a Trans Ischaemic Attack (TIA) VRE+ve – this was an incidental diagnosis on routine screening Current medications: Ramipril 10mg Mane’ Atenolol 10mg Nocte’ Atorvastatin 10mg daily Salbutamol and Fluticasone inhalers 75mg Aspirin daily Metformin 750mg BD Jean is an ex-smoker (was a 5 pack a week smoker from 18-58yo). Normally independent, Jean’s partner has notice Jean to be less engaged in social events over the last week and is spending more time in bed. A On entering the room you notice that Jean is visibly distressed, has difficulty in forming words, and has been incontinent of urine. You notice a sweet urine smell in the room. GCS of 13, she is confused to time, person and place. Pupils (PEARL) 3+ Appears to be using accessory muscles, with bi-basal crackles in lower lobes, and has a slight productive cough Urinalysis indicates high +++ levels of ketones. R For conservative management based on the this case study tell me the answer question 1: You observe another nurse providing depersonalised care to Jean. Which of the following behaviours would have alerted you to this issue? Select ALL options that apply Group of answer choices Talking to Jean and visitors Addressing Jean as sweetheart Knocking on Jeans door before entering the room Conversing with another nurse about what you did on the weekend while assisting Jean with ADLs