UTI and Sepsis Scenario Mr. Richard Greenan 84-year old male admitted from

UTI and Sepsis Scenario
Mr. Richard Greenan 84-year old male admitted from a care home with a history of a urinary tract infection(UTI). Over the past 3 days the staff from the care home report that he has been complaining of lower abdominall pain and has become increasingly confused and weak. On assessment he is only responding to voice and his skin is warm to touch. Observations on examinations are:
RespiratoryRate 28/min
SpO2 89% on room air
HeartRate 110/min and bounding.
BloodPressure. 95/68mmHg
Capillaryrefill Time 2sec
AVPU V- Responds to Voice
GlasgowComaScale13/15
•Eyeopeningresponse 4
•Verbalresponse 3
Motorresponse 6
Temperature 38.1oC
CapillaryBloodGlucose 5.0mmol/L
Urinary output t30mls
In the last hour Guidance for working through the scenario
1.Uset he principles of ABCDE assessment and NEWS 2 scoring to establish the acute condition of Mr Greenand to assess if he is at risk of deteriorating.
2.Analyse the assessment data and related pathophysiology to plan the next steps of Mr Green’s in terms of medical or surgical interventions and involvement of the multi-disciplinary team. Explain any abnormal signs and symptoms. Link the abnormal signs and symptoms to Mr. Green’s diagnosis and the underlying pathophysiology and/or compensatory mechanisms.
3.Identify and discuss the ethical-legal principles that apply to the clinical assessment of Mr Green. Consider and discuss any capacity issues with reference to legal and ethical frameworks. Analyse the rationale as to why these principles should beapplied. Discuss how you will utilise communicatio n strategies and the ethico-legal principles that apply Mr. Green.
4.Examine the efficacy of strategies you might use to communicate with the multi-disciplinary team, families, carers. 5.Examine your clinicalassessment of Mr Greenand your interpretation of the assessment data and using the evidence base, consider the actions you might take. Discuss the relevant interventions, treatment, including further investigations that Mr. Green requires. Using guidelines and evidence-based literature provide a rationale for each intervention, management and evaluation of care.