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[Music] this scenario is based around Betty our 75 year old patient who had been admitted to the intensive care unit with a community-acquired pneumonia she was retired from work a current smoker and lives at home independently with the husband shes been weaned from ventilation and has been admitted to the medical ward Bettys a morning nurse has received handover from the night staff Betty is fairly stable under current oxygen requirements the trek ostomy tube cuff is to remain inflated and shes awaiting a speech pathology review shes a moderate amount of tracheal secretions requiring too early suction shes slightly confused she also has a CT scan of her chest booked for 10:00 a.m. this morning shortly after handover Bettys nurse found the bed had fallen asleep she decided to tend to rather patients who required toileting medications and breakfast she could then dedicate her time to Betty closer to the CT scan at 10:00 a.m. when Bettys nurse reviewed her later that morning she f