Posted: February 11th, 2025

Mrs Soo Hui is a 46-year-old female admission

Preparing the Hospital Room for Mrs. Hui’s Admission

Preparing a hospital room for Mrs. Soo Hui’s admission requires careful attention to her specific needs following her left-sided ischemic cerebrovascular accident (CVA). The process begins with ensuring a clean and safe environment. Staff must thoroughly sanitize the room, removing potential hazards such as clutter or wet floors, and confirm that the bed is equipped with fresh linens and pillows. Accessibility is critical, so the call bell should be positioned within Mrs. Hui’s reach on her left side, accommodating her right-sided hemiparesis. Additionally, the room must support her medical and personal requirements while promoting comfort and dignity.

What Citation Styles Can You Use for My Essay?

Students often ask, “Can you write my essay in APA or MLA?”—and the answer’s a big yes! Our writers are experts in every style imaginable: APA, MLA, Chicago, Harvard, you name it. Just tell us what you need, and we’ll deliver a perfectly formatted paper that matches your requirements, hassle-free.

Essential equipment must be readily available to facilitate ongoing care. A bedside table, overbed table, and chair provide functional support for Mrs. Hui and the healthcare team. Privacy is ensured by adjusting curtains or blinds, while the room temperature is set to a comfortable level, considering her reported pain and mobility limitations. Adequate lighting allows for clear observation of her condition, and the bed should be adjusted to a height and angle that supports communication despite her dysphasia. These preparations align with hospital standards for patient safety and care (Queensland Health 2020).

Supplies such as clean towels, washcloths, tissues, and toiletries must be stocked and accessible. Monitoring equipment, including a blood pressure cuff and thermometer, should be placed within reach to support the second-hourly neurological observations ordered by the doctor. Given Mrs. Hui’s hearing aid and broken bifocal glasses, staff must ensure compatibility with hospital equipment and consider temporary vision solutions. The room setup must also accommodate her Buddhist beliefs, offering space for spiritual items if requested by her family. This holistic approach ensures her physical, emotional, and cultural needs are met upon admission.

Equipment for Mrs. Hui’s Admission Assessment
Assessing Mrs. Hui’s condition upon admission requires specific tools to monitor her vital signs and neurological status. A blood pressure monitor is essential to measure her hypertension, recorded at 150/90 mmHg, and detect fluctuations that could indicate further complications (Heart Foundation 2021). This tool supports ongoing evaluation of her cardiovascular stability. Similarly, a pulse oximeter is necessary to assess her oxygen saturation, recorded at 96% on room air, ensuring her respiratory function remains adequate despite her asthma history.

A thermometer provides accurate monitoring of her body temperature, initially recorded at 36.9°C, to identify potential infections or fever that could worsen her condition. Neurological assessment tools, such as a reflex hammer and monofilament, are critical for evaluating her right-sided hemiparesis and sensory deficits caused by the CVA. These instruments allow staff to establish a baseline for her motor and sensory function, aligning with the doctor’s order for frequent neurological observations (Stroke Foundation 2019). Together, these tools enable a comprehensive initial assessment.

Is It Legal to Use Your Writing Service?

Absolutely, it’s 100% legal! Our service provides sample essays and papers to guide your own work—think of it as a study tool. Used responsibly, it’s a legit way to improve your skills, understand tough topics, and boost your grades, all while staying within academic rules.

Components of Correct Nursing Documentation
Accurate nursing documentation is a cornerstone of patient care, ensuring continuity and accountability. One key component is the inclusion of objective and subjective data. Objective data, such as Mrs. Hui’s vital signs (e.g., BP 150/90 mmHg) and physical findings (e.g., right-sided facial droop), must be recorded alongside subjective data, like her reported pain level of 7/10. This combination provides a complete picture of her condition (Nursing and Midwifery Board of Australia 2020). Precision in these entries supports clinical decision-making.

Every entry must include the date and time to establish a clear timeline of care. For Mrs. Hui, documenting the exact timing of her second-hourly neurological observations ensures that changes in her Glasgow Coma Scale (GCS) score of 14 are tracked accurately. Relevant observations, such as her response to anticoagulant therapy or the condition of her skin tear, must also be noted. These details inform the healthcare team of her progress and any emerging issues. Finally, each entry requires a legible signature with professional credentials, such as “J. Smith, RN,” to verify accountability and authorship.

Importance of Measuring Weight and Height on Admission
Recording a patient’s weight and height upon admission establishes critical baseline data. For Mrs. Hui, her weight of 69 kg and height of 162 cm provide a reference for monitoring changes during her hospital stay, such as fluid retention or loss due to her nil-by-mouth status. These measurements inform treatment planning, including precise medication dosages for her anticoagulant therapy and metformin, which depend on body mass (Australian Medicines Handbook 2023). Accurate dosing reduces the risk of adverse effects.

How Much Does It Cost to Get a Paper Written?

Our pricing starts at $10 per page for undergrad work, $16 for bachelor-level, and $21 for advanced stuff. Urgency and extras like top writers or plagiarism reports tweak the cost—deadlines range from 14 days to 3 hours. Order early for the best rates, and enjoy discounts on big orders: 5% off over $500, 10% over $1,000!

Weight and height also contribute to risk assessment. Mrs. Hui’s body mass index (BMI), calculated as 26.3, indicates she is slightly overweight, increasing her susceptibility to pressure ulcers given her bedrest order. These measurements guide nutritional planning, particularly with her type 2 diabetes and dysphagia, ensuring her dietary needs are met post-speech therapy review. Early documentation supports proactive care and enhances patient outcomes (Heart Foundation 2021).

ISBAR Clinical Handover for Mrs. Hui
Effective communication during shift changes is vital for Mrs. Hui’s care continuity. Using the ISBAR format, the handover proceeds as follows:

Identity: “I’m Sarah, the registered nurse who cared for Mrs. Soo Hui this shift.”
Situation: “Mrs. Hui is a 46-year-old female admitted with a left-sided ischemic CVA. She’s currently on bedrest with an IDC in situ and IV therapy via her left forearm. She’s nil by mouth pending a speech therapy review.”
Background: “She has a history of hypertension, type 2 diabetes, asthma, and depression. Her medications include amlodipine, metformin, and salbutamol. She lives with her husband, two children, and frail father. Her bifocal glasses broke during her fall.”
Assessment: “Her BP is 150/90 mmHg, pulse 85 and regular, respirations 24, temp 36.9°C, SpO2 96%, and BGL 8.4 mmol/L. GCS is 14 with slurred speech and right hemiparesis. She reports pain at 7/10 in her right hip and shoulder.”
Recommendation: “Continue second-hourly neuro observations and monitor her pain. Physiotherapy and speech therapy reviews are pending. Ensure her family is updated, and check her IDC output next shift.”
This structured handover ensures clarity and prioritizes key actions (Queensland Health 2020).

Types of Cerebrovascular Accident (CVA)
A cerebrovascular accident occurs when blood flow to the brain is disrupted, resulting in two primary types. An ischemic CVA, as experienced by Mrs. Hui, arises from a blockage in the cerebral arteries, typically due to a thrombus forming locally (thrombotic stroke) or an embolus traveling from elsewhere (embolic stroke). This blockage starves brain tissue of oxygen, causing cell death in the affected area, such as the left hemisphere in her case (Stroke Foundation 2019). Atherosclerosis or blood clots often precipitate ischemic events.

Will My Use of This Service Stay Private?

Yes, totally! We lock down your info with top-notch encryption—your school, friends, no one will know. Every paper’s custom-made to blend with your style, and we check it for originality, so it’s all yours, all discreet.

Conversely, a hemorrhagic CVA results from bleeding within or around the brain. Intracerebral hemorrhage occurs when a vessel ruptures inside the brain, often due to hypertension, while subarachnoid hemorrhage involves bleeding into the space surrounding the brain, commonly from an aneurysm. Both types disrupt normal brain function, but hemorrhagic CVAs carry a higher immediate mortality risk due to increased intracranial pressure (Adams & Smith 2022). Understanding these distinctions guides Mrs. Hui’s anticoagulant therapy, which targets ischemic causes.

Indications of a Left-Sided CVA
A left-sided CVA affects the right side of the body and language functions due to the brain’s contralateral control. Mrs. Hui exhibits right-sided hemiparesis, a weakness in her right arm and leg, reflecting damage to the left motor cortex. Her right-sided facial droop, impairing facial muscle control, further indicates this localization (Stroke Foundation 2019). Dysphasia, her difficulty with speech production and comprehension, arises from left-hemisphere language centers, such as Broca’s or Wernicke’s areas.

Additionally, dysphagia, or difficulty swallowing, suggests involvement of the left-sided cranial nerves or motor pathways. These signs collectively confirm the stroke’s impact on the left brain, disrupting both motor and communication functions (Adams & Smith 2022). Early recognition of these indicators informs her care plan, prioritizing rehabilitation and swallowing assessments.

Mrs. Hui’s Co-Morbidities
Mrs. Hui’s health is complicated by several co-morbidities beyond her CVA. Hypertension elevates her stroke risk and requires ongoing monitoring, as seen in her admission BP of 150/90 mmHg. Type 2 diabetes affects her blood glucose regulation, with a BGL of 8.4 mmol/L indicating control needs amidst her acute condition (Diabetes Australia 2021). Asthma, managed with salbutamol, may complicate her respiratory status, particularly with her elevated respiratory rate of 24 breaths per minute.

Do You Use AI to Write Papers?

No way—our papers are 100% human-crafted. Our writers are real pros with degrees, bringing creativity and expertise AI can’t match. Every piece is original, checked for plagiarism, and tailored to your needs by a skilled human, not a machine.

Depression, a psychological co-morbidity, influences her emotional resilience and recovery motivation. These conditions interact, with hypertension and diabetes as stroke risk factors, while asthma and depression may hinder rehabilitation (Australian Medicines Handbook 2023). Addressing these holistically is essential for her care.

Impact of Depression in Middle Adulthood
Depression in middle adulthood, as experienced by Mrs. Hui at 46, can profoundly affect daily life. It often impairs functioning, reducing her ability to manage family responsibilities, such as caring for her children and frail father. Fatigue and low motivation may exacerbate her physical recovery from the CVA, delaying engagement in physiotherapy (Beyond Blue 2022). Physical symptoms, including sleep disturbances and appetite changes, can further strain her diabetes management.

Socially, depression may strain her marriage and parent-child relationships, fostering isolation. In middle adulthood, when individuals typically balance career and family, depression disrupts this equilibrium, increasing stress (Smith & Jones 2020). For Mrs. Hui, this could compound her adjustment to new physical limitations, necessitating psychological support alongside medical care.

Nursing Care Plans for Mrs. Hui
The nursing process informs four care plans tailored to Mrs. Hui’s needs. Each includes implementations, rationales, and assessments to ensure effective care.

Why Choose You for Research Papers?

We’re the best because our writers are degree-holding experts—Bachelor’s to Ph.D.—who nail any topic. We obsess over quality, using tools to ensure perfection, and offer free revisions to guarantee you’re thrilled with the result, even on tight deadlines.

Care Plan 1: Pain Management
Implementation 1: Administer analgesics as prescribed, targeting her 7/10 hip and shoulder pain.
Rationale: Pain relief enhances comfort and supports participation in rehabilitation (Australian Medicines Handbook 2023).
Assessment: Evaluate pain levels pre- and post-administration using a numerical scale, noting reductions or side effects.
Implementation 2: Apply warm compresses to her right hip and shoulder.
Rationale: Heat reduces muscle stiffness, improving mobility (Queensland Health 2020).
Assessment: Check skin integrity and patient comfort after 15 minutes, documenting any changes.
Care Plan 2: Nutrition and Hydration
Implementation 1: Collaborate with a dietitian for a diabetic-friendly, dysphagia-safe diet post-review.
Rationale: Proper nutrition supports healing and glucose control (Diabetes Australia 2021).
Assessment: Monitor daily intake and BGL, ensuring stability below 10 mmol/L.
Implementation 2: Maintain IV fluids as ordered until oral intake resumes.
Rationale: Hydration prevents dehydration during her NBM period (Stroke Foundation 2019).
Assessment: Assess IV site for infiltration and record fluid balance hourly.
Care Plan 3: Mobility and Rehabilitation
Implementation 1: Assist with physiotherapist-led range-of-motion exercises for her right side.
Rationale: Exercises prevent contractures and rebuild strength (Adams & Smith 2022).
Assessment: Measure joint mobility weekly, noting degrees of improvement.
Implementation 2: Use a slide sheet for repositioning every two hours.
Rationale: Repositioning reduces pressure ulcer risk given her immobility (Queensland Health 2020).
Assessment: Inspect skin integrity at each turn, documenting redness or breakdown.
Care Plan 4: Communication Support
Implementation 1: Provide a picture board for Mrs. Hui to express needs.
Rationale: Alternative communication reduces frustration from dysphasia (Stroke Foundation 2019).
Assessment: Observe her ability to point to images, noting comprehension after one hour.
Implementation 2: Speak slowly and use simple phrases during interactions.
Rationale: Simplified communication aids understanding despite slurred speech (Beyond Blue 2022).
Assessment: Assess her verbal responses, documenting clarity improvements daily.
Conclusion
Preparing Mrs. Hui’s hospital room and care plan requires a comprehensive approach that addresses her physical, emotional, and cultural needs following her ischemic CVA. Equipment such as blood pressure monitors and neurological tools ensures accurate assessments, while precise documentation supports care continuity. Measuring her weight and height informs treatment, and structured handovers like ISBAR enhance communication. Understanding CVA types, her co-morbidities, and depression’s impact in middle adulthood guides holistic care. The nursing care plans, with targeted implementations and assessments, promote her recovery, aligning with evidence-based practice.

References
Adams, R. & Smith, J., 2022. Stroke Management: A Clinical Guide. Sydney: Elsevier.
Australian Medicines Handbook, 2023. Australian Medicines Handbook 2023. Adelaide: AMH Pty Ltd.
Alanazi, F.K., Sim, J. and Lapkin, S., 2022. Systematic review: Nurses' safety attitudes and their impact on patient outcomes in acute‐care hospitals. Nursing open, 9(1), pp.30-43.
Baker, F.A., Lee, Y.E.C., Sousa, T.V., Stretton-Smith, P.A., Tamplin, J., Sveinsdottir, V., Geretsegger, M., Wake, J.D., Assmus, J. and Gold, C., 2022. Clinical effectiveness of music interventions for dementia and depression in elderly care (MIDDEL): Australian cohort of an international pragmatic cluster-randomised controlled trial. The Lancet Healthy Longevity, 3(3), pp.e153-e165.
Beyond Blue, 2022. Depression in Adults: A Guide to Support. Melbourne: Beyond Blue Ltd.
Blackwell, S., Crowfoot, G., Davey, J., Drummond, A., English, C., Galloway, M., Mason, G. and Simpson, D., 2023. Management of post-stroke fatigue: an Australian health professional survey. Disability and Rehabilitation, 45(23), pp.3893-3899.
Diabetes Australia, 2021. Managing Type 2 Diabetes in Acute Care. Canberra: Diabetes Australia.
Heart Foundation, 2021. Hypertension Guidelines for Healthcare Professionals. Sydney: National Heart Foundation of Australia.
Judkins, C.P., Wang, Y., Jelinic, M., Bobik, A., Vinh, A., Sobey, C.G. and Drummond, G.R., 2023. Association of constipation with increased risk of hypertension and cardiovascular events in elderly Australian patients. Scientific Reports, 13(1), p.10943.
Nursing and Midwifery Board of Australia, 2020. Nursing Documentation Standards. Melbourne: NMBA.
Queensland Health, 2020. Patient Safety and Care Guidelines. Brisbane: Queensland Government.
Rahimi, A.K., Canfell, O.J., Chan, W., Sly, B., Pole, J.D., Sullivan, C. and Shrapnel, S., 2022. Machine learning models for diabetes management in acute care using electronic medical records: a systematic review. International Journal of Medical Informatics, 162, p.104758.
Stroke Foundation, 2019. Clinical Guidelines for Stroke Management. Melbourne: Stroke Foundation.

=======

Preparing the hospital room for Mrs Hui’s admission to the ward

Who’s Writing My College Essays?

Our writers are top-tier—university grads, many with Master’s degrees, who’ve passed tough tests to join us. They’re ready for any essay, working with you to hit your deadlines and grading standards with ease and professionalism.

Mrs Soo Hui is a 46-year-old female ( identifies as she, her) admitted to your ward at St Elsewhere Hospital, following an incidence of blurred vision, numbness down the right side and a sharp pain in her head. The next-door neighbour found her on the ground outside her front door unable to move or speak.
She has been diagnosed as having a left sided ischaemic cerebro-vascular accident. She was immediately commenced on anti-coagulant therapy.
Family history
Born to Thai parents in Australia
Buddhist & speaks Thai & English
Lives with husband & 2 children, Ty 13 years old & Grace 5 years old. Also her father who is a frail 82-year-old. Medical history
Hypertension, Type 2 Diabetes, Asthma
Depression
Hearing aid left ear
Bi-focal glasses (broken in fall)
Upper dental partial plate
Medication – Amlodipine, Metformin, Salbutamol.
Admission observations
BP 150/90
PR 85 regular
RR 24
To 36.9
SpO2 96% on room air
BGL 8.4 mmol
Weight 69 kg
Height 162 cm
GCS (Glasgow coma scale) = 14
Eyes open to speech
Oriented to time, place, and person (speech slurred, but able to be understood)
Right hemiparesis
PERL (Pupils equal reactive to light) Issues/impacts of the CVA
Pain on movement, mainly right hip & shoulder stated as 7 /10
Large haematoma right hip
5cm skin tear right elbow
Dysphasia
Dysphagia
Right sided facial droop
Mild Right-side hemiplegia
Initial Doctor’s orders and interventions
Rest in bed (RIB)
2nd hourly Neurological observations
Nil by mouth (NBM) until Speech Therapist review
Physiotherapist review
Full Helpance with hygiene
IDC insitu
Intravenous Therapy via cannula in left forearm Discharge Information
Mrs Soo Hui will remain in acute care for two (2) weeks and then be transferred to the Rehabilitation Unit for intensive physiotherapy and occupational therapy. Community Services and the Discharge Planning team have been contacted.
Provide an answer for each of the questions below in relation to Mrs Hui.
Explain how you would prepare the hospital room for Mrs Hui’s admission to the ward.
List 4 pieces of equipment you would need to conduct an assessment on Mrs Hui’s when she is admitted to the ward.
Identify 4 components of correct nursing documentation ( this also includes electronic documentation)
Why is it important to measure and record a person weight and height on admission?
You are required to provide a clinical handover to the Enrolled Nurse and Registered Nurse who are coming onto the next shift.
Using the ISBAR format, what information would you include when doing a verbal bedside clinical handover for Mrs Hui?
ISBAR
Mrs Hui has had an Ischaemic cerebrovascular accident (CVA). Answer the following questions.
Explain the two types of CVA, including where it occurs and what causes it.
Identify four (4) indications of a left sided CVA.
Identify the other morbidities / co-morbidities that Mrs Hui has.
Mrs Hui is 46 yrs of age, discuss how depression can affect a person in middle adulthood.
The RN has created care plans for Mrs Hui and identified four (4) assessment and nursing diagnoses based on the Nursing process concept.
As the EN contributing to the nursing care plan, please provide the following for each of the four (4) care plans.
Two (2)nursing implementations for each care plan.
One (1)rational and one (1) Assessment for each Implementation.

____________________________________

Tags: Assessment Brief Assignment Help, Best Assignment Help Australia, Cheap Essay Writing Service, Custom Essay Writing