Assessment Task 1b: Case Study Application of health assessment, planning, implementation and evaluation of professional nursing care to a clinical deterioration patient scenario Due date: Thursday...

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Assessment Task 1b: Case Study Application of health assessment, planning, implementation and evaluation of professional nursing care to a clinical deterioration patient scenario Due date: Thursday 5th May 11.59pm 2022 Weighting: 30% Purpose: This assessment task is designed to develop the student’s ability to integrate theory into practical clinical knowledge using a patient case scenario. This task is intended to encourage students to practise writing and presenting researched material in a logical and concise manner that is academically rigorous. Therefore, each student is to demonstrate critical thinking, development of argument, discerning use of resources and the application of the principles of academic writing. Referencing, spelling and grammar, and overall presentation will also be assessed. Word Count: 2000 words (+/- 10%) Format: The layout is a questions and answer style; an introduction or conclusion is NOT necessary. However, should include logically structured discussion sections. May use diagrams in their answers where appropriate. You are strongly encouraged to use headings to assist in the flow of your writing, but they must conform to APA guidelines. The preferred layout of your paper should be double spaced with block paragraphing (no indenting). Do not indent the first line of each paragraph. Page numbers are to be included on the bottom left corner of the page. Presentation: All work should be typed in 12-point font, double spaced; and written and presented according to the academic guidelines using APA (7th Edition) referencing. For further assistance in relation to academic writing and referencing, refer to the Federation University library home page: http://federation.edu.au/library. The length of the essay is 2000 words (+/- 10%). Any task that is under or over the allocated limits by 10% will attract a deduction from the final mark for the task. References: A minimum of 15 references must be used for the essay. These should be no more than 7 years old unless of historical significance and/or of specific relevance to the topic (for example; the Ottawa Charter from 1986). These references must be a mixture of books and journals or Library database sources. Dictionaries or Wikipedia are not considered a primary reference and therefore will not be counted in the reference count. Direct quotes, appendices or the reference list, are not counted in the word limit. Direct quotes must be limited to no more than 50 words and be according to APA 7th Edition style. Please ensure that you adhere to the specific guidelines set out by the APA 7th Edition CRICOS Provider No. 00103D RTO Code 4909 http://federation.edu.au/library CRICOS Provider No. 00103D RTO Code 4909 guidelines available within the general guide to referencing: https://federation.edu.au/__data/assets/pdf_file/0020/313328/FEDUNI-GENERAL-GUIDE-TO- REFERENCING2016-E DITION_ed.pdf Submission: All essays for Assessment task 1b are to be submitted before or on the due date and stipulated time and submitted electronically via Turnitin. Please ensure the first page of your submitted work includes the assessment title, due date, relevant academic, student name AND student ID number. When submitting online, please ensure that the file name includes the Course Code, Surname and Student ID number. For example: NURBN3030Smith30109999. Ensure there are no spaces or use of punctuation (!?/;_-). Marks maybe deducted if the file name does not conform to these instructions (presentation guidelines). Turnitin: Turnitin software will be used in this course and all essays submitted for marking must be submitted through the Turnitin software. For assistance with the use of Turnitin please see the section Assistance with Online Submission provided in this document. Students are required to submit their Essay as a Microsoft Word file (.doc/.docx) via the corresponding assessment task Turnitin dropbox within the Assessment Module of Moodle. Please note that your Essay will be graded within Turnitin using GradeMark and therefore you are no longer required to submit your work via the submission link in Moodle. The GradeMark® digital mark-up tool allows instructors to mark and grade papers online in a paperless environment. Instructors can create custom sets of comments and marks for grading as well as use rubric scorecards that feature quick scoring of student papers against a list of scaled criteria created by the instructor or educational institution. For instructions about using Turnitin, please go to the following link: https://guides.turnitin.com/01_Manuals_and_Guides/Student_Guides/Turnitin_Classic_for_Students/1 5_Gra demark. Please Note: If Turnitin prevents the electronic submission of your assignment (e.g. if either service is defective or unavailable) you should contact the ICT Service Desk and attempt to resolve the problem. If the problem cannot be resolved, you must email an electronic copy of your final assignment directly to the Course Coordinator before the due date. The Course Coordinator or the assessor of the assignment may then elect to submit the assignment to Turnitin on your behalf. Please note you will need to indicate in a covering email with the assignment submission, the date, time and circumstances of the reason that you could not submit your assignment to Turnitin. Please note that you should always attempt to complete and submit your assignment as early as possible to avoid any potential problems. Please note that written work not submitted to Turnitin will not be marked, and therefore result in a zero grade. Marking: Marking of essays will be completed by relevant academics and feedback will be provided both via electronic track changes and on the marking guide (see final page of this document). The marking guide will demonstrate assessment standards for expected content as well as structure, https://federation.edu.au/__data/assets/pdf_file/0020/313328/FEDUNI-GENERAL-GUIDE-TO-REFERENCING2016-E%20DITION_ed.pdf https://federation.edu.au/__data/assets/pdf_file/0020/313328/FEDUNI-GENERAL-GUIDE-TO-REFERENCING2016-E%20DITION_ed.pdf CRICOS Provider No. 00103D RTO Code 4909 grammar, and spelling. Referencing will also be assessed. Assessment grades will be provided to students via Moodle. Marking is to be completed and grades allocated within approximately 3-4 weeks of submission as per university policy. Appeals: In accordance with the Student Appeals Procedure, an appeal against a final grade must be submitted in writing and lodged within 10 working days of the publication of the final grade or result. Following due consideration (within 30 days) the student will be provided with a written response to the appeal, including reasons for the decision. The School must notify Student Administration of any amended results following an appeal. If the student is not satisfied with the decision, they can submit an appeal to the Appeals Committee in accordance with Regulation 2.2. CRICOS Provider No. 00103D RTO Code 4909 Description: This assessment task allows students to demonstrate theoretical clinical knowledge around nursing assessment, pathophysiology of factors impacting on clinical deterioration, planning of nursing care, nursing and medical management, and evaluation of care. Students are required to answer the case scenario questions provided. Students should attempt all questions in the case study: …You are a Graduate Nurse commencing your afternoon shift in a busy Emergency Department. Your patient has been stepped down from the resuscitation bay to your monitored cubicle. The ISBAR handover highlights: • Identify: Robert is a 78-year-old male who presented to the Emergency Department 2 hours ago. His wife Agnes is present with him at the bedside. • Situation: after waking this morning with left upper and lower limb moderate weakness, left side facial droop and aphasia. His wife noted his symptoms and called an ambulance. His CT Brain confirms signs of a cerebrovascular accident (stroke), however because no time of onset can be identified he is not a candidate for thrombolytic management. • Background: Previous ST- elevation Myocardial Infarction (STEMI) 5 yrs ago with associated Left Ventricular Failure (LVF), hypertension and hypercholesterolaemia. Managed with medications: Aspirin, Furosemide, Enalapril, and Bisoprolol. He has nil known allergies. • Assessments: Pathology has been sent for initial Urea & Electrolytes, Glucose, Full Blood Examination, coagulation studies, cardiac markers, and C-Reactive Protein (CRP) and results are normal so far. Initial ECG reveals Robert’s cardiac rhythm is Atrial Fibrillation, which is new for him. Of interest, his vital signs indicate a moderate hypertension 165/96 and altered conscious state GCS currently 12. He has two intravenous cannulas inserted to his left and right cubital fossa. • Review: Robert is awaiting a formal medical admission to stabilise his risk factors for further cerebral vascular accident and commence rehabilitation. Question 1: Using your existing knowledge of Cerebrovascular Accident (CVA), identify and describe the pathophysiology of the most likely type of CVA Robert has presented with. In your response include a definition, causes, clinical manifestations, and typical initial management. Ensure you link this discussion to Robert’s presentation and history. (approx. 400 words) CRICOS Provider No. 00103D RTO Code 4909 … You check on Robert to undertake routine post CVA assessments and note the following: • Altered conscious state, GCS 10 • Temperature: 35.1 and cool on palpation • Pulse: 65 bpm and irregular • Blood Pressure: 196 / 120 mmHg • Respiration: 14 bpm • SpO2: 96% on room air • Pain scale using Baker Wong pain scale indicates no pain. Question 2: Discuss TWO specific nursing assessments that should be PRIORITY for Robert’s deterioration (excluding vital signs). For EACH nursing assessment, ensure your discussion includes a description of the undertaking of each assessment in the context of Robert’s condition AND clear rationale as to why these assessments would be priority. (approx. 400 words). …During your assessment, Robert starts to seize. You grab some gloves and observe no immediate danger, Robert provides no pain response so you press the emergency call bell and lay the bed flat, awaiting the assistance of other staff. Question 3: Discuss THREE specific nursing interventions that YOU as a Graduate Nurse could initiate to initially support Robert’s airway and ventilation. For EACH intervention, ensure your discussion includes link to evidence-based practice AND provides rationale as to how it would improve the physiological outcomes of Robert’s condition. (approx. 400 words) *Nursing interventions would include nursing activities or actions that the nurse could initiate in response to nursing assessment findings. Note: please be aware of the difference between an assessment and an intervention. …The resuscitation team arrives and provides supportive care, and after 5 minutes an stat order of Lorazepam 8mg Intravenously is prescribed. CRICOS Provider
Answered 1 days AfterApr 21, 2022

Answer To: Assessment Task 1b: Case Study Application of health assessment, planning, implementation and...

Insha answered on Apr 22 2022
84 Votes
Assessment Task 1b: Case Study        1
Assessment Task 1b: Case Study                         
Assessment Task 1b:
Case Study
Table of Contents
Q.1    4
A definition    4
Causes    4
Clinical manifestations    4
Typical initial management    5
Q.2    5
Swallowing Dysfunction, Fever, and Hyperglycemia    5
Acute Ischemic Stroke Complications    6
Q.3    7
Communication review    7
Checking settings and modes of ventilators    7
Suction appropriately    8
Q.4    8
Mode of action    8
Indications    8
Nursing administration    9
Assessments    9
Interventions    9
Teachings    9
Adverse effects    10
Contraindications    10
Q.5    10
Q.6    11
References    12
Q.1
A definition
The vast majority of strokes (87%) develop when blood arteries to the brain constrict or get blocked with fatty deposits known as plaque. An ischemic stroke is a stroke caused by a shortage of blood reaching a portion of the brain. Ischemic stroke is caused by high blood pressure, which is a major risk factor (Reddy et al. 2020).
Causes
It is usually caused by a blood clot in the brain that plugs or blocks a blood vessel. This prevents blood flow to the brain. Brain cells begin to die within minutes. A stenosis, or narrowing of an artery, is another reason. This can occur as a result of atherosclerosis, a condition in which plaque forms inside the arteries. When the blood supply to the brain is suddenly disrupted, transient ischemic attacks (TIAs) occur (Kuriakose, & Xiao, 2020). In case of Robert, he is not a candidate for thrombolytic management, which means he doesn’t have large blood clots and just need acute treatment on time.
Clinical manifestations
There is a need to gather information and establish a diagnosis of Mr. Robert and his stroke or TIA (transient ischemic attack). Doctors and nurses need go over the events that have transpired and will:
• Inquire as to when the stroke symptoms began. According to the wife the symptoms began right after he woke up in the morning.
• Ask a family member for a medical history. Robert had had a previous ST-elevation Myocardial Infarction (STEMI) 5 years ago, which was followed by hypercholesterolemia, Left Ventricular Failure (LVF), and hypertension. Bisoprolol, Enalapril, Aspirin, and Furosemide are used to treat these conditions. He has no allergies that are known to him.
• Doctors performed a physical as well as a neurological assessment and obtained specific laboratory (blood) testing. Also, Have his brain scanned using a CT (computed tomography) or MRI (magnetic resonance imaging) scan (Dichgans, Pulit, & Rosand, 2019). Robert's first ECG indicates that he has Atrial Fibrillation, which is not typical for him. “His vital signs show significant hypertension (165/96) and an altered state GCS of 12 at the moment.” C - reactive protein (CRP) tests, Cardiac Markers, Coagulation Studies, Initial Urea & Electrolytes, Full Blood Examination, and Glucose tests have been submitted to pathology, and the findings have been normal thus far.
Typical initial management
When a stroke occurs, the health-care team provides prompt treatment. The objective of immediate therapy is to minimize brain harm. This is accomplished by promptly restoring blood flow to the area of the brain where the blockage occurred. Ischemic stroke is treated with a clot-busting medication called alteplase (IV r-tPA) (Hui, Tadi, & Patti, 2018). It can lessen the effects of a stroke by dissolving a blood clot that is blocking blood flow to the brain.
Q.2
Nurses are supposed to conduct thorough and systematic physical examinations on all stroke patients, including monitoring the five vital signs. "Patients should get stroke nursing care consistent with best practice regardless of whatever hospital unit they are admitted to if a specialist stroke unit is not available" (Tanz et al. 2019).
Swallowing Dysfunction, Fever, and Hyperglycemia
For all stroke patients, monitoring of dysphagia, body temperature, and blood glucose is considered standard of care."According to data from the Australian Stroke Foundation's national stroke audit, less than half of patients with fever (48 percent) got paracetamol /acetaminophen within an hour" (Okoth et al. 2020). The adoption of the swallowing (FeSS) clinical guidelines, fever, sugar guidelines for the management of swallowing dysfunction, fever, and hyperglycaemia dramatically decreased mortality and dependence, according to the QASC study (Quality in Acute Stroke Care) (Shan et al. 2020).
For stroke therapy, FeSS procedures are currently strongly recommended by Australian clinical recommendations. In this case, who have had an ischemic stroke, intensive therapy for hyperglycaemia is not suggested. On admission to the hospital, nurses should examine the swallowing condition of Robert as soon as feasible following a stroke.
Acute Ischemic Stroke Complications
For patients, managing, recognizing, anticipating, and preventing possible post stroke medical consequences is critical. No modifiable predictors are responsible for up to 70% of early fatalities and poor outcomes. The most important factors are the severity of the stroke at the time of admission, age, and pre-stroke impairment (Yuan, Chen, &...
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