New Era University

College of Nursing

NCM118-18 - Care of Clientsw/Life

Threatening Conditions
Acutely III/Multi-organ Problems High
Acuity&Emergency

S.Y. 2022-2023

ECHANES KATREENA LYNN A. CON4B

FORUM 1 - ICU PLACEMENT PRIORITIZATION

Case Scenario 1
(5 POINTS)

Patient Maria is a 66-year-old with stage 4 metastatic colon cancer. She

presents to the Emergency Department with shortness of breath. Chest
x-ray reveals right lower lobe pneumonia. She is admitted to the hospital.
She has advanced directives that include no intubation or CPR.

1. Is patient Maria candidate for admission to the ICU? Why or why not?
For a patient to be admitted to ICU, they should be in a serious illness/ life-
threatening condition that requires a 24-hour monitoring and care and as for
patient Maria--she’s a candidate for admission to the ICU due to her stage 4
metastatic colon cancer and having shortness of breath due to her penumonia.

2. Identify her priority for ICU placement based on the guidelines found
in your book High- Acuity Nursing sixth edition at page 14.
Patient Maria is categorized in a Priority 3 status since she have stage 4
metastatic colon cancer and considered as critically ill and have unstable
condition since she’s also suffering shortness of breath due to her
pneumonia-- this can consider as lower chance of recovering from her illness
and also due to her advance directive which is the no intubation or CPR even
 New Era University
College of Nursing

NCM118-18 - Care of Clientsw/Life

Threatening Conditions
Acutely III/Multi-organ Problems High
Acuity&Emergency

S.Y. 2022-2023
though the health care team can have interventions about her respiratory
management. To be able for the health care team to do save lives, they
should do every interventions they know but as for this case, the interventions
will have limitations and this would affect the recovery of patient Maria.
 New Era University
College of Nursing

NCM118-18 - Care of Clientsw/Life

Threatening Conditions
Acutely III/Multi-organ Problems High
Acuity&Emergency

S.Y. 2022-2023
Case Scenario 2
(5 POINTS)

Patient Patricio Juan, with a history of new onset of seizures, is

admitted to a level III ICU. A diagnosis of brain tumour is made and
surgery will be required. The physician informs Patricio of the need to
be transferred to another hospital that has a level I ICU.

After the physician leaves the room, Patricio says he doesn't

understand why he needs to be transferred and asks the nurse why.
What explanation will you provide to the patient?

I will explain to Patient Patricio Juan that seizures is a serious concern that
may cause serious complication and can even lead to death so it should
require a immediate intervention/treatment and that often, patients with
seizure needs to be admitted to ICU since the seizure medication can impair
respiratory and hemodynamic function.
I will also explain that he will be transferred to another hospital that has level I
ICU since his seizures were already managed and I’m gonna assure him that
the health care team of that hospital will also do their very best for his fast and
sure recovery.