Highlights
Scenario 1:
Mr Driscoll is a 37-year-old male with diabetes who has been in the surgical unit for a laparoscopic cholecystectomy following gastric pain. Some of his wounds are reddened and he has been ordered a 48-hour course of IV antibiotics. He is morbidly obese with a BMI of 48. Post operatively he complains about persistent heartburn and asks you (the allocated registered nurse) to help him sit up. You seek some help from another registered nurse, Rae, who comes into the room and is very inpatient with Mr Driscoll and tells him to use the overhead frame to pull himself up saying “ we can’t help you as we might hurt our backs”. As she leaves the room, she calls you to the door and tells you that “it is ridiculous he would even ask for help as he is so large, he should know we can’t help him”. She adds ‘patients like him have caused their own problems’. You are not sure that he has heard this conversation, but when you go back into the room, he is very quiet and tells you to ring his wife as he is going home. Mr Driscoll is only day 1 post-operative and is not medically cleared for discharge.
Answer the following questions from a Registered Nurse perspective
Briefly discuss some of the challenges in nursing bariatric patients and outline the extent of obesity in the Australian acute health care context.
Identify the issues here and briefly explain your responsibilities in provision of care for Mr Driscoll relating to applicable NMBA Standards of Practice and case study
Identify the specific NMBA Professional Standards and National Safety and Quality Health Service Standards not met by Rae’s practice in the scenario and discuss acceptable professional practice and provision of care in relation to this case.
How would you approach your colleague the other Registered Nurse, Rae, and what actions are relevant given her responses in the scenario? Consider the patient needs and perspective clearly.
Learning outcomes assessed:
Demonstrate evidence-based practice, clinical reasoning and decision-making to provide culturally safe, quality, person-centred care consistent with the NMBA Registered Nurse Standards of Practice and the National Safety and Quality Health Service Standards
Coordinate and lead provision of care for consumers, families, and the broader community.
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