NSG2EHP – Education for Health Professional Practice 1 | P a g e ASSESSMENT Guidelines Assessment 1. Clinical Case Study (1,500 words) 50% Due dates are allocated according to your cohort -check table...

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NSG2EHP – Education for Health Professional Practice
1 | P a g e

ASSESSMENT Guidelines
Assessment 1. Clinical Case Study (1,500 words) 50%
Due dates are allocated according to your cohort -check table in
Assessment Block on LMS
Relevant SILOs:
1. Apply the Australian Nursing and Midwifery Board [ANMB] Standards of
Practice for a Registered Nurse when caring for individuals and their
families, with Cardiovascular, Respiratory and Endocrine disorders

2. Describe the impact of hospitalisation on individuals and their families.

3. Provide person-centred care, using the Clinical Reasoning Cycle to
individuals experiencing Cardiovascular, Respiratory and Endocrine
disorders.
Rationale:
The purpose of this assessment task is to assess the student nurses ability to think
critically and apply the clinical reasoning cycle to plan patient care.
As a Registered Nurse, you will be required to make judgments and prioritise your
patients care multiple times per shift. This assessment task is designed to develop
the sophisticated thinking abilities that are essential to prioritising, planning and
providing safe and effective patient centred, nursing care.
Task:
Nursing Problem Statements [ensure that you are aware of the co
ect problem
statement for your cohort -see table in Assessment block on LMS]

In this Clinical Case Study, you have been allocated, depending on your cohort,
one (1) of the nursing problems provided below. You are to discuss its relevance,
then plan and evaluate patient centred, nursing care. The nursing problems all
elate to Da
en Roberts’ care in the first 4 hours following his discharge from
PARU and return to the ward following his surgery.

1. Potential for respiratory depression related to anaesthesia and opioid
medications and would be evidenced by respiratory rate <10Rpm,
SpO2<95%on RA and shallow
eathing.

2. Potential for pain related to surgical incision as evidenced by grimacing and
a subjective pain score of >3/10 using the Numeric Pain Rating Scale.
2 | P a g e

Required Sections:
• Discuss the importance of the Nursing Problem you have been allocated
and why it is a particular risk for Da
en in the first 4 hours of his return to
the surgical ward.
• Use Da
en’s data and documentation from the Enquiry to inform this
discussion; this does not require APA7 referencing.
• Use evidenced based nursing literature to support your discussion; this
does require APA7 referencing. Approximately 500 words
• Write one Patient Centred SMART Goal for Da
en’s Nursing Problem that
you have selected. Approximately 1 to 2 sentences
• Provide three (3) relevant Nursing Interventions designed to achieve the
selected SMART Goal.
Discuss each intervention separately and include evidenced based
ationales for the intervention; this does require APA7 referencing.
Approximately 600 words (200 for each intervention)
• Discuss the evidenced based assessments you would use to evaluate the
effectiveness of implemented nursing interventions; this does require
APA7 referencing. Approximately 400 words
Format:
• Provide a cover sheet with - your name, student ID, campus and workshop
facilitator -should be clearly visible.
• You may use headings to identify each section if you wish.
• Where you have been asked to ‘discuss’ will be expected to write in
academic fashion. i.e. –use paragraphs and sentences, not bullet points.
• Use APA7 referencing throughout –except when using Da
en’s
documentation provided on the LMS.
• Reference list in APA7 style to be included.
• As per APA7 guidelines – intext references and direct quotes will be
included in the word count.
• Suggested word count for each section is a guide only.
• You are not required to provide either an introduction or a conclusion.
• You do not have to submit the marking ru
ic, as we will be using the
Turnitin ru
ic for feedback.
3 | P a g e

Your completed assessment may look like this:
Nursing Problem Statement [write your allocated nursing problem clearly at the
top of the page]

500-word [approx..] discussion on why this problem is a priority for Da
en’s care,
using APA7 referencing to acknowledge the evidenced based literature you are
using to support your discussion. You also need to connect this discussion to
Da
en in a Person centred way by using his data on LMS (which does not need
eferencing).

Patient Centred SMART Goal [this does not need discussion or referencing]

First Nursing Intervention and discussion of rationale with APA7 referencing of
evidenced based literature [approx. 200 words]

Second Nursing Intervention and discussion of rationale with APA7 referencing of
evidenced based literature [approx. 200 words]

Third Nursing Intervention and discussion of rationale with APA7 referencing of
evidenced based literature [approx. 200 words]

400-word [approx..] discussion of the evidenced based evaluation that you will
use to assess the effects of the nursing interventions you have provided for
Da
en. You need to use APA7 referencing to acknowledge the evidenced based
literature you are using to support your discussion.

Reference list –APA7 style
https:
latrobe.libguides.com/apa7
4 | P a g e

General information: (hyperlinks to details in Subject Learning Guide)
Hyperlinks: Referencing Tool, Referencing at LaTrobe
• Academic Integrity/Originality
• Submission details/Turnitin
• Extensions
• Penalties
Refer to http:
www.latrobe.edu.au/policy/ for information about:
• Extension to Submission Dates
• Late Submission of Assessment Tasks
• Special Consideration
• Academic Integrity
• Academic Progress
• Assessment and Feedback
• Occupational, Health and Safety [OHS]
• Privacy
• Student Charter
• Use of Electronic Mail
https:
latrobe.libguides.com/apa7
http:
www.latrobe.edu.au/li
ary/assignment-thesis-support
eferencing
http:
www.latrobe.edu.au/students/academic-integrity
https:
lms.latrobe.edu.au/course/view.php?id=45809#section-1
http:
www.latrobe.edu.au/?a=668155
https:
policies.latrobe.edu.au
owse.php
http:
www.latrobe.edu.au/policy

NSG2EHP – Education for Health Professional Practice
1 | P a g e

ASSESSMENT Guidelines
Assessment 1. Clinical Case Study (1,500 words) 50%
Due dates are allocated according to your cohort -check table in
Assessment Block on LMS
Relevant SILOs:
1. Apply the Australian Nursing and Midwifery Board [ANMB] Standards of
Practice for a Registered Nurse when caring for individuals and their
families, with Cardiovascular, Respiratory and Endocrine disorders

2. Describe the impact of hospitalisation on individuals and their families.

3. Provide person-centred care, using the Clinical Reasoning Cycle to
individuals experiencing Cardiovascular, Respiratory and Endocrine
disorders.
Rationale:
The purpose of this assessment task is to assess the student nurses ability to think
critically and apply the clinical reasoning cycle to plan patient care.
As a Registered Nurse, you will be required to make judgments and prioritise your
patients care multiple times per shift. This assessment task is designed to develop
the sophisticated thinking abilities that are essential to prioritising, planning and
providing safe and effective patient centred, nursing care.
Task:
Nursing Problem Statements [ensure that you are aware of the co
ect problem
statement for your cohort -see table in Assessment block on LMS]

In this Clinical Case Study, you have been allocated, depending on your cohort,
one (1) of the nursing problems provided below. You are to discuss its relevance,
then plan and evaluate patient centred, nursing care. The nursing problems all
elate to Da
en Roberts’ care in the first 4 hours following his discharge from
PARU and return to the ward following his surgery.

1. Potential for respiratory depression related to anaesthesia and opioid
medications and would be evidenced by respiratory rate <10Rpm,
SpO2<95%on RA and shallow
eathing.

2. Potential for pain related to surgical incision as evidenced by grimacing and
a subjective pain score of >3/10 using the Numeric Pain Rating Scale.
2 | P a g e

Required Sections:
• Discuss the importance of the Nursing Problem you have been allocated
and why it is a particular risk for Da
en in the first 4 hours of his return to
the surgical ward.
• Use Da
en’s data and documentation from the Enquiry to inform this
discussion; this does not require APA7 referencing.
• Use evidenced based nursing literature to support your discussion; this
does require APA7 referencing. Approximately 500 words
• Write one Patient Centred SMART Goal for Da
en’s Nursing Problem that
you have selected. Approximately 1 to 2 sentences
• Provide three (3) relevant Nursing Interventions designed to achieve the
selected SMART Goal.
Discuss each intervention separately and include evidenced based
ationales for the intervention; this does require APA7 referencing.
Approximately 600 words (200 for each intervention)
• Discuss the evidenced based assessments you would use to evaluate the
effectiveness of implemented nursing interventions; this does require
APA7 referencing. Approximately 400 words
Format:
• Provide a cover sheet with - your name, student ID, campus and workshop
facilitator -should be clearly visible.
• You may use headings to identify each section if you wish.
• Where you have been asked to ‘discuss’ will be expected to write in
academic fashion. i.e. –use paragraphs and sentences, not bullet points.
• Use APA7 referencing throughout –except when using Da
en’s
documentation provided on the LMS.
• Reference list in APA7 style to be included.
• As per APA7 guidelines – intext references and direct quotes will be
included in the word count.
• Suggested word count for each section is a guide only.
• You are not required to provide either an introduction or a conclusion.
• You do not have to submit the marking ru
ic, as we will be using the
Turnitin ru
ic for feedback.
3 | P a g e

Your completed assessment may look like this:
Nursing Problem Statement [write your allocated nursing problem clearly at the
top of the page]

500-word [approx..] discussion on why this problem is a priority for Da
en’s care,
using APA7 referencing to acknowledge the evidenced based literature you are
using to support your discussion. You also need to connect this discussion to
Da
en in a Person centred way by using his data on LMS (which does not need
eferencing).

Patient Centred SMART Goal [this does not need discussion or referencing]

First Nursing Intervention and discussion of rationale with APA7 referencing of
evidenced based
Answered Same DayApr 04, 2022

Solution

Deblina answered on Apr 05 2022
11 Votes
Clinical Case Study: Da
en Roberts         2
CLINICAL CASE STUDY: DARREN ROBERTS
Table of Contents
Importance of Nursing Problem    3
Particular Risk for Da
en Roberts    3
Nursing Literature    4
Patient Centered SMART Goal    4
Nursing Interventions    5
Evidence Based Assessments    7
References    8
Importance of Nursing Problem
Nursing plays an important role in patient care and it becomes more significant in the post-operative situation. The nursing problem that is significant in the scenario of Da
en Roberts 50-year-old male who has just had an Open Cholecystectomy. The patient has a history of hypertension, hyperlipidemia, and GORD. After the surgery, the saturated oxygen level was less than 95% and the respiratory rate was 10Rpm. Nursing intervention at this stage is an important context. Cholecystectomy is a procedure in which the gallbladder is removed and after the surgery, it is effective to be under professional nursing guidelines. The post-operative intervention by the nurses is a sign of effective nursing care and monitor the patients.
Particular Risk for Da
en Roberts
The particular risk that Da
en Robert is facing following his surgery is respiratory depression which has a connection to anesthesia and opioid medications. It is evident from his respiratory rate which is less than 10 Rpm and his saturated level of oxygen was less than 95% on RA with shallow
eathing. The other particular risks that are potential are the aspects of pain because of surgical incision more pronounced due to grimacing and a subjective pain score of 3/10 using the Numeric Pain Rating Scale. This seems to be a particular risk for Da
en during the first 4 hours of his return from the surgical ward because the effect of anesthesia that persists among the patients and it may lead to the seriousness of hypoxemia. Hypoxemia is a complication that can arise immediately in the post-operative period when the pulse oximetry becomes as low as 90% and the PO2 becomes less than 60 mmHg per ABG. It is more of a risk because it may result in hypoventilation which is a general cause and related to opioids which cause respiratory center depression and then after effect of the general anesthesia. These are the particular risks pertaining to the problem of Da
en Roberts in terms of his health conditions.
Nursing Literature
Nursing literature has contemplated that when post-operative patients are monitored it is significant that the patient must be monitored in terms of various signs of hemo
hage, shock, sepsis, and the effects of analgesia and anesthetic. It is therefore expected that the patient’s pain must be controlled and managed well with intravenous opioids as mentioned by the various nursing literature. Studies have also contemplated ensuring that the patient has liquid analgesia and must be communicated and cooperated with the clinical staff during the post-operative period. Literature has also established certain rules and aspects that nurses must consider when they are monitoring a post-operative patient. Clinical papers have contemplated that it is effective to monitor the oxygen saturation and search that the oxygen saturation must be above 95% on air. However, it is relaxed if the patient has a lung disease or COPD and maintaining have of 95% oxygen therapy is prescribed in order to prevent...
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