Clinical Integration

Case Study

Mr Peter Ling: Post-operative inguinal hernia repair

Mr Peter Ling a 67-year-old man who is admitted to the Surgical ward, following an open mesh inguinal hernia repair. He had presented to ED with a 6-hour history of a R non-reducible tender, inguinal mass, post commencing a new gym/weight lifting regime.

Past Medical History: Mr Ling is retired, lives with his wife, ex-smoker and is obese, with a body mass index (BMI) of 30. Incidentally, he is an ex weight lifter. He is on medication for hypertension and hyperlipidaemia, which are both well controlled, and he also has mild congestive heart failure (CHF)

Mr. Ling was recovering well, but on Day 2 post op, he has become a little agitated and confused, complaining of significant left calf pain.

Case Study Instructions

Utilise the Clinical Reasoning Cycle (Levett-Jones, 2013) (a clinical decision making

framework) to plan and evaluate person-centred care:

1.Considering the person’s situation, collect, process and present related health information;

2.Identify and prioritise at least three (3) nursing problems/issues based on the health assessment data that you have identified for the person at the centre of care;

3.Establish goals for priority of nursing care as related to the nursing problem/issues identified;

4.Discuss the nursing care of the person, link it to assessment data and history;

5.Evaluate your nursing care strategies to justify the nursing care provided;

6.Reflect on the person’s outcomes.