Question: Case study i am a current nursing student having trouble answering question in this case study Case Study Mr SaheedBott is a 69 year old...

Question:Case study

i am a current nursing student having trouble answering question in this case study

Case Study

Mr SaheedBott is a 69 year old semi-retired university professor. His wife passed away 12 months ago and Saheed has kept himself busy marking papers from the university, reading and travelling. He has a son who has recently moved interstate for work.

Mr Bott wears glasses for reading and other than a permanent colostomy (resulting from a large bowel infarction in 2005) he has nil significant medical history to report. 

Last night Mr Bott was at dinner with friends when he suddenly became unwell and had difficulties speaking. Mr Bott was brought in by ambulance to the emergency department and was diagnosed as having had a cerebrovascular accident (CVA) with residual right (R) sided hemiplegia, dysphagia and dysphasia. 

Mr Bott is transferred to the acute medical ward where you work.

Mr Bott appears drowsy but is responsive. He is currently Nil by Mouth (NBM) whilst awaiting a speech pathology review.

His vital signs on arrival are: T 36.5 degrees C; P 120; R 24; SpO2 94% and BP 180/90.

QUESTION 1

The registered nurse asks you to perform neurological observations on Mr Bott. Identify what data you would collect and how you would perform a neurological assessment.

QUESTION 2

You are now asked to complete admission document for Mr Bott. Considering Mr Bott's age, cultural, spiritual and religious data, identify six (6) ways in which these could be addressed in a plan of care.

QUESTION 3

As a result of the (R) sided hemiplegia, Mr Bott requires assistance to empty and change his colostomy bag. Outline the steps involved (for the nurse) to change the colostomy bag 

QUESTION 4

Outline 3 risk factors associated with immobility, providing a