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Use current evidence to discuss the management of the difficult situation outlined in the scenario.

Nursing current evidence to discuss the management
Q1
Use current evidence to discuss the management of the difficult situation outlined
in the scenario. Please outline the key resources that you might use to prepare a
plan to support Sophie and her family.
Enter a 350-400 word .
The scenario
A Patient with an Altered Conscious State
Sophie a 25 year old was admitted under your care to the High Dependency Unit
from the Emergency Department for ongoing observation following diagnosis of grade
one sub-arachnoid haemorrhage (SAH). A short time after admission you notice that
Sophie has become less responsive and does not appear to be moving her right arm.
You notify the medical officer and an urgent CT scan is ordered. Whilst awaiting
her CT scan Sophies GCS continues to drop requiring her to be intubated for the
purposes of the scan. Sophies scan reveals a ruptured posterior inferior
cerebellar artery (PICA) aneurysm. She is promptly taken to theatre and an
emergency surgical clipping is performed.
Sophie was later transferred to the Intensive Care Unit post operatively for
recovery. She is intubated sedated and ventilated with aim to wake her and assess
her neurological status prior to extubation. After her condition stabilised her
sedation is ceased to allow her to waken for neurological assessment. As her
registered nurse you perform a full neurological assessment and note decreased
movement in her right arm and leg her eyes are opening spontaneously but she is
not obeying commands and is attempting to pull out her endotracheal tube. To
protect Sophie from self-accidental harm you request permission from the doctor to
apply hand restraints.
Later when Sophies husband and mother attend her bedside they expressed their
concern over the use of the restraints and demand that they be removed. When you
try to explain the need for the restraint the husband becomes increasingly
distressed and insists you remove the restraints immediately. Although you try to
explain the temporary need of restraints the husband refuses to listen and begins
to remove the restraints stating you do not have the right to do this to my wife.
You then ask the husband and mother to leave the room as their behaviour was
upsetting Sophie.
The husband and mother then complain to the Team Leader that they were not
consulted regarding the tying down of Sophie and wish to make a complaint.
Question 2
Cite and summarise a journal article which takes into account the role of the
Australian Registered Nurse in the discharge planning process. Briefly outline how
discharge planning in the acute care setting may maximise health and minimise
costs.
This can be done as an annotation. Link to explain the annotation
( https://student.unsw.edu.au/annotated-bibliography).
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