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    Task 2 Case Notes: James Hutton: Time Allowed

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    Kelvin Kanengoni
    James Hutton, an 89-year-old retired farmer, underwent a right corneal graft surgery and will need assistance during his recovery. He is currently blind in his left eye and will be without sight in his right eye for several hours as it recovers from the local anaesthetic. He requires help with mobility, showering, dressing, and eye drop medications over the next day as well as transport to his follow up appointment tomorrow. A letter is being written to the nurse at the post-operative care residence explaining Mr. Hutton's condition and care needs during his overnight stay.

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    Task 2 Case Notes: James Hutton: Time Allowed

    Uploaded by

    Kelvin Kanengoni
    2K views3 pages
    James Hutton, an 89-year-old retired farmer, underwent a right corneal graft surgery and will need assistance during his recovery. He is currently blind in his left eye and will be without sight in his right eye for several hours as it recovers from the local anaesthetic. He requires help with mobility, showering, dressing, and eye drop medications over the next day as well as transport to his follow up appointment tomorrow. A letter is being written to the nurse at the post-operative care residence explaining Mr. Hutton's condition and care needs during his overnight stay.

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    Task-2-Case-Notes

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    James Hutton, an 89-year-old retired farmer, underwent a right corneal graft surgery and will need assistance during his recovery. He is currently blind in his left eye and will be without sight in his right eye for several hours as it recovers from the local anaesthetic. He requires help with mobility, showering, dressing, and eye drop medications over the next day as well as transport to his follow up appointment tomorrow. A letter is being written to the nurse at the post-operative care residence explaining Mr. Hutton's condition and care needs during his overnight stay.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    2K views3 pages

    Task 2 Case Notes: James Hutton: Time Allowed

    Uploaded by

    Kelvin Kanengoni
    James Hutton, an 89-year-old retired farmer, underwent a right corneal graft surgery and will need assistance during his recovery. He is currently blind in his left eye and will be without sight in his right eye for several hours as it recovers from the local anaesthetic. He requires help with mobility, showering, dressing, and eye drop medications over the next day as well as transport to his follow up appointment tomorrow. A letter is being written to the nurse at the post-operative care residence explaining Mr. Hutton's condition and care needs during his overnight stay.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    Task 2 Case Notes: James Hutton

    Read the case notes below and complete the writing task which follows.

    Time Allowed
    Reading Time: 5 minutes
    Writing Time: 40 minutes

    Today’s Date
    10/06/2015

    You are a registered nurse at the Queensland Eye Hospital and you are responsible for
    the care of Mr James Hutton following the operation he had today (Right Corneal
    Graft). 

    Patient Details

     Name:              James Hutton


     Address:          “Lilyvale" Mugalala
     Queensland, 4461
     Phone:              07 45678910
     Date of Birth:   25/03/1926
    Medical History 

     Blind in left eye following corneal tear in 2006

     Corneal graft to right eye in 2009 


     Cornea in right eye is now distorted and needs replacement
     Hypertension diagnosed 2008 
    Social History 

     Marital status:            Widowed


     Next of kin:                 William Hutton (son)
     Employment:               Retired grazier
     Religion:                      Church of England
    Background Information 

     Lives in separate accommodation with his son and his family on the family
    farm

     Is generally independent despite limited navigational vision in his right eye


    and no sight in his left eye

     Able to walk without assistance and assist with light work on farm
     World War 2 veteran and has a Gold Card which means his expenses for all
    health care and related transport are paid by the Department of Veterans’
    Affairs (DVA)   

    Current Medication 

     Atacand  4 mg mane

     Lipex 10mg nocte

     Chloromycetin Eye Drops 1 drop in right eye QID

     Prednefrin Forte Eye Drops 1 drop in right eye QID (Shake well before use
    and give 1 – 2 minutes after Chloromycetin)

     Tenopt Eye Drops  1 drop to left eye only  BD

     Panadol  1 gram PRN (Maximum 4 grams per day)

    Nursing care needs 

    Mr Hutton was given sedation and a local anaesthetic to his right eye. The local
    anaesthetic was a full block and he will not be able to open the right eye for several
    hours.  He will be totally without sight until this occurs and should then have
    restricted vision.  A clear eye shield must remain on his right eye at night, to protect
    from knocks while sleeping.  He will need assistance with mobility, showering and
    dressing.

    Dark Glasses have been provided by eye hospital to cut down glare when outdoors, if
    needed. 

    Mr Hutton has an appointment with his eye surgeon at 11am tomorrow.  He should be
    ready for discharge by 10.am when a carer will transport and assist him to the
    doctor’s surgery.   

    Writing Task

    The Queensland Eye Hospital provides day surgery only and does not provide over-
    night care.  Patients who need nursing care over-night are sent to a Post -Operative
    Care Residence.  Using the information in the case notes, write a letter to the
    Registered Nurse at the Post Operative Care Residence explaining Mr Hutton’s
    condition and the care he will require.

    In your answer:

     Expand the relevant case notes into complete sentences


     Do not use note form 
     The body of the letter should be approximately 180~200 words
     Use correct letter format

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