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NEWS2/Pain scenario
Dimitri Novak: DOB: 05/08/2002
CHI: 0508020123
It is 11am and you are on placement in an Orthopaedic Trauma Ward.
Dimitri injured his right ankle while playing football last night. He was diagnosed with an unstable fracture which required surgical repair (open reduction & internal fixation- ORIF), under general anaesthetic. He has just returned to the ward from theatre and has a below knee plaster cast in situ. Dimitri works as a chef, has well controlled asthma and reports that he is normally fit and well. He received 1 gram of intravenous paracetamol while in theatre (2 hours ago). On return to the ward, he is lying flat in the bed. He appears anxious, has vomited once and called the nurse to state that his pain has increased.
Falls Risk/Senses and Aging scenario
Margaret Smith: DOB: 03/04/1947
CHI: 0304470123
It is 11am and you are on placement in an Acute Medical Receiving Unit.
Margaret has presented to the Medical Receiving Unit, having been referred from the Out of Hours service. She is usually fully independent but has been complaining of dizziness when mobilising and fell yesterday, bruising her hip when she was rushing to get to the toilet. Margaret lives with her husband who states that she is awaiting investigation at the memory clinic and is a little confused but there has been no recent change. Margaret takes regular furosemide and has just finished a course of antibiotics for a urinary tract infection but is still experiencing urinary frequency and some discomfort.
MUST/Fluid and Electrolytes scenario
Vijay Kumari: DOB 04/05/1980
CHI 0405801111.
It is 11am and you are on placement in the Acute Receiving Unit.
Vijay Kumari is a teacher and is experiencing an exacerbation of his Inflammatory Bowel Disease (IBD. He is currently on a course of prednisolone. Since having his routine review appointment 3 months ago, he has noticed some unintentional weight loss and his partner has commented on how his clothing has started to look “too big”. He has a decreased appetite, abdominal pain and an increased frequency of loose stools for a few weeks but reports nausea and significantly worsening diarrhoea over the last few days.
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