Admission Avoidance

Preventative Response Unit
Example Case Studies

Case Study 1

Summary:

An NHS Trust refers an urgent case, a trained nurse conducts an on-site assessment of the patient’s symptoms like confusion, incontinence, pain, and reduced mobility.

An Advanced Nurse Practitioner (ANP) then remotely reviews the case and can prescribe treatment if appropriate, which the nurse administers at the patient’s home.

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Case 1

Case Study 2

Summary:

A patient is requiring IV antibiotics for a severe respiratory infection. A nurse conducts an initial assessment and initiates IV treatment on-scene if appropriate, in consultation with the patient’s GP or an in-house prescriber. Health Care Assistants (HCAs) are then deployed to monitor vital signs, administer prescribed treatment, and collaborate with existing care providers.

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Case 2

Case Study 3

Summary:

The patient is presenting with symptoms indicative of an ear infection, such as redness, swelling, discharge, and likely pain or discomfort in the affected ear. The nurse conducts a thorough assessment, including a physical examination of the ear, to evaluate the severity and confirm the diagnosis of an ear infection.

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Case 3

Case Study 4

Summary:

Mrs. Jane Doe, an 82-year-old receiving home care, was referred to the Preventative Response Unit (PRU) for urgent assessment after her care agency reported signs of confusion and abnormal urine odor, but the District Nurses lacked capacity for a same-day visit.

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Case 4

Case Study 5

Summary:

Mr. John Smith, a 72-year-old gentleman with no formal care package or known informal support network, contacted emergency services due to experiencing chest pains. He was promptly transported to the A&E department, where clinical assessments revealed a chest infection and a grade 2 pressure sore on his sacral area.

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case 5