Order 1103231: Clinical Case study post op
tutorthammy
DarrenRobertsDocumentatio1.docxDarren Roberts Documentation
Enquiry One - Darren Roberts
Darren Roberts, 50 years admitted for Elective +/- Open Cholecystectomy
Darren's Story
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Darren lives in Cairns where he is the owner/operator of a diving boat tour company. He has moved to a more sedentary role over the last few years and misses getting out and working with the tourists. Darren has one son, Jake, 15 who lives in Wallan, Victoria with his mum Lisa, step dad Kevin and his 5-year-old stepsister Ruby. Jake and Darren have a good relationship, Jake fly’s to Cairns twice a year during school holidays to stay with his Dad. Darren’s History DOB: 23/11/1968 Address: 25 Happy Street Cairns Smoker: 30 per day for last 20 years Social Drinker 2 heavy beers a day after work and up to 10 a day on the weekends - Darren’s favourite saying -It’s 5 o’clock somewhere’ ^BMI -33 H: 1.8m W: 110Kg Waist: 115cm
Darren has a past medical history including, hypertension, hyperlipidemia, mild depression and GORD. He currently takes medication for these conditions. Hypertension Hyperlipidemia Mild Depression Gastric Oesophageal Reflux He has experienced two episodes of upper abdominal pain during the night with associated nausea and vomiting within the last month.
Medications
Darren does not attend regular check-ups with his GP. He last had his medicaitons reviewed when he presented to the GP around 12 months ago with his first presentation of upper abdominal pain, nausea and vomiting. He was commenced on Ranitidine at this time. In the last month, Darren has had two more severe episodes of upper abdominal pain with nausea & vomiting. He ignored the first episode and it settled after 24 hours. However, Darren has presented to the Emergency Department in Cairns 1/7 ago with similar symptoms but more severe. Darren’s diagnosis is mild- severe Cholecystitis. Darren has been transferred to the surgical ward where he is awaiting an elective Laparoscopic +/- Open Cholecystectomy. Darren has had pre- operative blood pathology collected including his Cholesterol, which is reading high. This is part of Darren’s pre-operative work up.
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Enquiry Based Learning
This enquiry will introduce the students to the concepts of managing a patient requiring hospitalisation
and a surgical intervention. It will also explore communication skills, legal considerations, psychosocial
care and the impact of hospitalization upon the family unit.
This enquiry will require students to use the clinical reasoning cycle and health assessment skills to plan
pre and post-operative care for Darren.
It is important that you have a good understanding of the concepts in Darren's story.
If you are unsure of any of the conditions or medicaitons, you will need to explore these prior to attending your first workshop.
