Nursing care of a patient with a medical condition
2000 words ± 10% + 100 words to account for the headings in the template. Markers will stop reading at the maximum allowable word count. This word count includes the text in the template provided to you.
Contribution to overall grade:40%
| Assessment purpose | Learning objectives |
| Assessment 1 is the only written academic assignment in NUR251 for students to demonstrate they:
•Are developing the ability to locate, interpret, integrate, synthesize and apply nursing knowledge from NUR251 to a relevant nursing practice scenario in medical surgical settings •Are developing appropriate critical thinking, clinical reasoning and sound clinical decision making processes and strategies essential for safe, evidence-based and competent nursing practice in medical surgical settings •Are able to focus their attention to the needs of the individual patient as the key concern of nursing practice in medical surgical settings •Are able to explain and justify or defend their nursing care decisions •Have a developing understanding of the role and scope of practice of the registered nurse in the Australian health care context •Are progressing towards the level of professional written communication required for nursing practice in Australia •Are demonstrating ethical and professional practice by adheringto the University’s academic integrity standards and plagiarismpolicy |
This assessment addresses the unit learning outcomes; 1, 2, 3, 4 and 5 |
NUR251 Medical Surgical Nursing 2: Assessment 2 Topic and Tasks S1 2020
Preparation
•Timely completion of study materials including modules 1, 2, 3, 4 and 5 with participation or review of online collaborate sessions, pre-recorded lectures or internal classes.
Presentation Guidelines
- On the Assessment 1 template located in the Assessment 1 folder on NUR251 Learnline
- As a computer generated document in Word format.
- 1.5 spaced using Arial or Calibri font in size 11 or 12
- In clear, coherent Australian English that demonstrates progression towards the standard for written communication for professional nursing practice in Australia
- Using appropriate professional terminology
- Contents page, title page, introduction and conclusionareNOT required
- Unless otherwise indicated, no acronyms, abbreviations and/or nursing jargon
- Unless otherwise indicated, grammatically correct sentences and topic paragraphs are required. Dot points only accepted in the nursing care plan.
- No more than 10% over or under the stated word count. Marking will cease at the 10% over mark.oNote:Headings, any task information copied in and in-text citationsare includedin the word count. 100 words have been included in the word count to account for the headings within the nursing care plan template.
- Use of trade names is not acceptable. Only generic terms or names are to be used when referring to specific medications or other prescribed treatments or resources that may be used in nursing practiceReferencing
Students are reminded of their academic responsibilities and professional nursing practice requirements when using the work of others in assignments.
Remindermarks are allocated for academic integrity. See the marking criteria for Assessment 1 for full details. Breaches of academic integrity will be lodged on the University system and may have serious consequences for students.
- All information is to be interpreted and restated in your own original words demonstrating your ability to interpret, understand and paraphrase material from your sources
- CDU APA 7threferencing style is to be used for both in-text citations and end of assessment reference list.
- All resources for NUR251 assignments should be from quality, reliable and reputable journals relevant to nursing practice and the Australian healthcare industry.Please DO NOT use patient information leaflets or websites.
- All resources must be dated between2010 and 2020
- There must be at least 10 peer-reviewed journal articles and/or evidence-basedpractice guidelines cited in your assignment.
- Do not use any health facility or local health service policies or procedures
- Only 1 current Australian medication textbook and 1 current Australian medical surgicalnursing textbook to be referenced.
NUR251 Medical Surgical Nursing 2: Assessment 2 Topic and Tasks S2 2020 2
Shift handover:
Please complete the assessment task on the next page.
Assessment 2: Case scenario one
| Identify: | Mr Dennis Black, HRN: 123456,DOB: 26/01/1945 | ||||||||
| Situation: | Dennis is a 75 year old Caucasian man from Darwin. He has been admitted to the CDU medical ward following a cerebrovascular accident. He has a 2/7 history of confusion, fatigue, and headache. HisCTscanshowedthathehassufferedathromboticstroke. He has now been transferred to the CDU Medical ward for continuing care. | ||||||||
| Background: | Dennis lives in an aged care facility. His daughter lives close by and visits him occasionally. He needs assistance with his ADL’s,including feeding and showering. He has an extensive past medical history including: T2DM (on insulin), AF, HTN, Hyperlipidaemia, chronic kidney disease stage 3 (Baseline eGFR 40 ml/min/1.73m2), previous R) sided stroke with mild L) sided hemiparesis, anxiety. No known drug allergies (NKDA). He is obese (BMI 30) and drinks 1 small glass of whiskey every night. |
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| Assessment: | Airway: Own, patent Breathing: RR 22, O2 Sats 94% on RA. Circulation: HR 96 bpm, BP 105/65 mmHg. Disability: GCS 14/15, feels tired and‘a bit worried’. Exposure: Temp 37.2oC Michael looks unwell. He is restless and pleasantly confused. His urine is dark in colour. He has urinated 50 ml into a urine bottle in 8 hours. Hehad 2 x IVC’s inserted to both ACF’s andhas been tolerating a diabetic diet. He last opened his bowels this morning. He is currently nil by mouth, awaiting speech pathology review. Pathology(on admission)
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NUR251 Medical Surgical Nursing 2: Assessment 2 Topic and Tasks S2 2020 3
| Recommendations/Read back: | Medical orders
•Devise a plan of care for your patient |
NUR251 Medical Surgical Nursing 2: Assessment 2 Topic and Tasks S2 2020 4
Shift handover:
Assessment 2: Case scenario two
| Identify: | Mrs Lily Orange, HRN: 123567,DOB: 10/02/2005 | ||||||||
| Situation: | Lily is a 15 year old Indigenous female from Katherine. She has been admitted to the CDU medical ward due to Diabetic Ketoacidosis. She has a 2/7 history of feeling unwell, fatigue, and a fever. She became increasingly dyspnoeic, so she presented to the emergency department. She was treated for DKA in ED, and she has now been transferred to the CDU Medical ward for continuing care. | ||||||||
| Background: | Lily lives with her parents. She is independent with her cares. She was diagnosed with type 1 diabetes when she was 6, she is not always compliant with her insulin regimen; this is her 3rdpresentation with DKA. Her past medical history: T1DM (on insulin); last HbA1c: 13.2 % No known drug allergies (NKDA). |
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| Assessment: | Airway: Own, patent Breathing: RR 24, Sats 96% on RA. Circulation: HR 106 bpm, BP 95/65 mmHg. Disability: GCS 15/15 Exposure: Temp 37.4oC Lily feels tired. Lilyhad 2 x IVC’s inserted to both ACF’s. She is refusing to eat, and she feels sad. Pathology(on admission to the ward)
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NUR251 Medical Surgical Nursing 2: Assessment 2 Topic and Tasks S2 2020 5
| Recommendations/Read back: | Medical orders
•Devise a plan of care for your patient |
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