Case Study of Mr. John Hemsley – Medical Science Assignment Help

Assignment Task


Mr John Hemsley Case Study

A-Plus Writing Help For University Students

Get expert assistance in any academic field. All courses and programs covered.

Get Help Now!

Mr John Hemsley, 56 years old, presented to his general practitioner (GP) with a three-month history of constipation and abdominal discomfort. More recently he has felt very fatigued and has been experiencing lower abdominal pain. In the weeks prior consulting the GP, Mr Hemsley noticed his stools were long and narrow with small amounts of bright blood on the toilet paper. He ignored these signs and symptoms as he was too embarrassed to talk about them. The GP performed a digital rectal examination to rule out the haemorrhoids. The findings were a firm irregular non capsulated mass in John’s rectum. The GP arranged a consultation with a gastrointestinal specialist. The specialist scheduled a colonoscopy for John the following week. During the colonoscopy, a biopsy was taken of the large sessile lesion located in the proximal third of John’s rectum. Three polyps were also removed from John’s colon. The biopsy results confirmed a stage IIA rectal adenocarcinoma. Following these findings John was scheduled for surgery the following day to have an abdominal-perineal resection and the formation of a sigmoid colostomy. There were no complications reported during John’s surgical procedure. Postoperatively John has been commenced on analgesia of I.V. Morphine 2.5mg – 5mg PRN 2-4 hourly and I.V. 4mg-8mg Ondansetron PRN 8 hourly for nausea.

Additional Medical/Social background:
John states that his father died from bowel cancer at the age of 84 years old and his younger brother was diagnosed with Crohn’s disease when he was 18 years old. John states he was quite active as a “young man”but over the last 10 years does not do any form of regular exercise and has gained 20kgs. He did admit to the “occasional”cigarette on the weekends but did say how he was proud to have now “given up”regular smoking of cigarettes for the last 5 years. John’s current weight is 107kgs.

Three (3) Short Answer Questions
In addressing the Australian National Health Priority Area of bowel cancer prevention and treatment use a person centred care approach to respond to the following:

Question 1: Postoperatively, Mr. Hemsley has been ordered PRN I.V. 2.5mg to 5mg Morphine for his pain relief. Discuss one (1) nursing care consideration for the safe administration of this medication. 

Question 2: Discuss one (1) non-pharmacological nursing comfort measure you can undertake to help manage Mr. Hemsley’s postoperative pain. Please do not mention massage and hot cold application as a nursing considerations.

Question 3: A sigmoid colostomy was performed on Mr. Hemsley during surgery. Discuss one (1) nursing consideration when caring for the patient with a colostomy during the postoperative period. 

This Medical Science Assignment has been solved by our Medical Science Expert at TV Assignment Help. Our Assignment Writing Experts are efficient to provide a fresh solution to this question. We are serving more than 10000+ Students in Australia, UK & US by helping them to score HD in their academics. Our Experts are well trained to follow all marking rubrics & referencing Style. Be it a used or new solution, the quality of the work submitted by our assignment experts remains unhampered. 

You may continue to expect the same or even better quality with the used and new assignment solution files respectively. There’s one thing to be noticed that you could choose one between the two and acquire an HD either way. You could choose a new assignment solution file to get yourself an exclusive, plagiarism (with free Turn tin file), expert quality assignment or order an old solution file that was considered worthy of the highest distinction.

Welcome to our Online Essay Writing Agency. Securing higher grades costing your pocket? Order your assignment online at the lowest price now! Our online essay writers are able to provide high-quality assignment help within your deadline. With our homework writing company, you can order essays, term papers, research papers, capstone projects, movie review, presentation, annotated bibliography, reaction paper, research proposal, discussion, or another assignment without having to worry about its originality – we offer 100% original content written completely from scratch

We write papers within your selected deadline. Just share the instructions