Male patient 45 Years is a father to 5 children, and working as a driver on private car, he arrived at Al'Shifa Hospital ED at 1300, complaining of:

    Headache

    Anorexia

    Dyspnea

    Fever 39.5

    What is the initial care plan would you do for him in ED

    Define subjective and objective data from patient complaints

    The previous patient was stabilized in ED and transferred to the MMD in 1745, 1920 his case deteriorated, and started to; cough, irritability, tacky cardia

    What is the nursing diagnosis appropriate for this complaint

    What would you do to alleviate the identified patient problem

    In the morning of the next day physician diagnosed the previous patient with (Hiatus Hernia) and make the decision for surgery in the coming two days:

    Transfer the patient from MMD to the SMD

    Monitoring the patient well and what points are important to be observed in this case

    Prepare the patient for surgery as a full experienced nurse

    You are assigned to care about the above-mentioned patient and you will receive him from the operative department (Theater) after surgery:

    How will receive him as a professional nurse

    What the care you will give to him in the first 8 hours

    What the plan you will put for the coming two days of care

    After 7 days of surgery the physician decides to discharge the patient and to be followed in the out clinic:

    Make the discharging process for this patient very smooth

    What instruction you will give him

    Clarify to him or his family the process of follow up and referral

    How will you help him in his socio-economical status upon your ability and networking process?