Please see attachments
Before you begin NUR251 Written Assessment 2 It is strongly recommended that students revisit and ensure they understand the University and Unit policies and guidelines related to academic integrity, plagiarism, submission, extension, late submission and resubmission. The Unit Coordinator cannot be held responsible for information about Written Assessment 2 that students’ access outside of the NUR251 Learnline site. This includes information students may access from other students, whether enrolled in the unit or not, using social media tools such as Facebook and/or friends and/or colleagues they may discuss their assignment with. The Unit Coordinator is the person to contact if you have any questions or queries about Written Assessment 2 NUR251 Written Assessment 2 Topic: Nursing care of a patient with a medical condition Due date: Week 08 Thursday, the 28th 2022, 1500 (ACST) Length: 2000 words ± 10%. Markers will stop reading at the maximum allowable word count. This word count includes the text in the template provided to you. Your reference list is NOT included in your word count. Contribution to overall grade: 40% Assessment purpose Learning objectives Assessment 2 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 adhering to the University’s academic integrity standards and plagiarism policy This assessment addresses the unit learning outcomes; 1, 2, 3, 4 and 5 Learning Outcomes 1. Consolidate, integrate, and apply evidence-based knowledge, skills and clinical reasoning in the nursing assessment and management of patients in an acute care setting. 2. Demonstrate the ability to utilise clinical reasoning processes to plan, prioritise, monitor, and evaluate nursing plans of care. 3. Critically discuss appropriate pain and medication management in the treatment of the medical/surgical patient including associated risk management. 4. Identify and critically discuss culturally safe, age-appropriate strategies for promoting patient health and wellness. 5. Critically reflect on the role, responsibilities, and scope of practice of the registered nurse including the legal and ethical framework, in the nursing management of patients in acute care settings. Preparation · Timely completion of study materials including modules 1 - 6 with participation or review of online collaborate sessions, pre-recorded lectures or internal classes. Presentation Guidelines · 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 conclusion are NOT required · Unless otherwise indicated, no acronyms, abbreviations and/or nursing jargon · Unless otherwise indicated, grammatically correct sentences and topic paragraphs are required. · No more than 10% over or under the stated word count. Marking will cease at the 10% over mark. · Note: Headings, any task information copied in and in-text citations are included in 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 practice Referencing Students are reminded of their academic responsibilities and professional nursing practice requirements when using the work of others in assignments. Reminder marks 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 7th referencing 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 between 2012 and 2022 · There must be at least 20 peer-reviewed journal articles and/or evidence-based practice 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 surgical nursing textbook to be referenced. Please complete the assessment task on the next page. Written Assessment 2: Tasks: Using the template provided in the Written Assessment 2 folder and, based on the handover you received at the beginning of your shift today, other information included below and current reliable evidence for practice, address the following tasks. Do not make up or assume information in relation to or about your chosen patient. Only use what you know from the information you received today. This assignment has been split into two parts. Part 1: Based on your chosen case scenario and using the information from the ISBAR handover only, complete stage 2 (collect cues/information) and stage 6 (take action) of the Clinical Reasoning Cycle to; 1. Stage 2 (collect cues/information): Identify three (3) priority nursing assessments that you would conduct at the commencement of your shift. For each assessment you have identified explain the following; · Why it is necessary for the patient’s condition and nursing care? Consider and recall your knowledge explaining the underlying pathophysiology around the concerns you discuss. · What consequences can occur if this assessment is not completed accurately? · What chart or document could you use to assist with/record your assessments? (500 words) 2. Stage 6 (take action): Utilising stage 6 of the Clinical Reasoning Cycle, discuss your nursing actions. These must include; · The most appropriate course of action to achieve your goals of care. · Address your nursing diagnoses, using current evidenced based practice. · Discuss who is best placed to undertake the required interventions and why. · Detail your chosen parameters, to include who should be notified and when. (500 words) Part Two: Step 8 of the Clinical Reasoning Cycle requires a nurse to reflect on process and new learning. Based on your chosen case scenario and using the information from the ISBAR handover and the shift events, critically reflect on the role and responsibilities of the registered nurse. Your reflection must demonstrate how your thinking or assumptions have been challenged, and the deeper insights you have gained. You should use a reflective cycle to guide your reflection, such as the Gibbs Reflective Cycle. Your reflection should be informed by the latest research and guidelines. The following points must be discussed. · Critically analyse pain and medication management in the treatment of your patient, included associated risk management. · Consider culturally safe, age-appropriate strategies for promoting health and wellness. · Critically reflect on your role, responsibility, scope of practice to include legal and ethical frameworks in the management of patient care in an acute care setting. (1000 words) Your assignment must include a reference list after the completion of the tasks and a key is permitted if you have used any abbreviations. Websites of interest Australian Commission on Safety and Quality in Health Care Standards https://www.safetyandquality.gov.au/standards/nsqhs-standards Nursing and Midwifery Board Professional Standards for Practice. https://www.nursingmidwiferyboard.gov.au/codes-guidelines-statements/professional-standards/registered-nurse-standards-for-practice.aspx Nursing and Midwifery Board Professional Code of Conduct https://www.nursingmidwiferyboard.gov.au/codes-guidelines-statements/professional-standards.aspx International Council of Nurses Code of Ethics for Nurses: https://www.icn.ch/sites/default/files/inline-files/2012_ICN_Codeofethicsfornurses_%20eng.pdf Choose one of the below two case studies. Both case studies are real life cases, with some embellishments. Written Assessment 2: Case Scenario One – Vanessa Anderson Shift handover: Identify: Miss Vanessa Anderson, HRN: 123456, DOB: 25/12/2004 Situation: Vanessa is a 16yo, healthy active female living in Darwin who was admitted after experiencing a traumatic head injury after being struck on the R) side of her head, behind her ear by a golf ball at approx 0825. Paramedics attended and brought her into ED. She was sent for an urgent CT which diagnosed depressed focal right temporal skull fracture. Bone fragments in brain matter and dural lacerations present. She has been complaining of a headache and has a GCS of 14-15. She has been transferred to the CDU Neurological ward for continuing care, it is now Sunday 1300. Background: Vanessa lives with her parents and has an older brother Jason. She plays golf 3-4x a week and is in yr11 at High School. Pmh – Asthma – Seretide and Ventolin Allergies – Shellfish and nuts 60kgs, normal BMI Assessment: Airway: Own, patent Breathing: RR 23, O2 Sats 98% on RA. Circulation: HR 68bpm, BP 120/65 mmHg. Disability: GCS 14/15, she is intermittently confused, PEARL 3mm, BGL 5.0mmol/L Exposure: Temp 36.5 oC, She has 1 x PIVC inserted to her R) ACF, it is patent. Recommendations/Read back: Medical orders Routine ward assessments and observations 4/24 full neuro observations Administer analgesia as prescribed Diet and fluids as tolerated TED stockings and DVT prophylaxis Medication orders Panadeine Forte 1000mg/60mg QID Oxycodone 5mg PRN (Max dose 30mg in 24hrs) Phenytoin 100mg IV over 6hrs Nursing orders Devise a plan of care for your patient The following events transpired over the course of the next few shifts. Monday 0830 Medical review. GCS 15. Continue with regular Panadeine Forte Oxycodone changed to 5-10mg 3hrly PRN You return on Monday for the nightshift, and you are allocated to care for Vanessa. 2100hrs On handover at 2100hrs you are told that Vanessa last had the following analgesia. 1900 - Panadeine Forte 2000 – PRN Oxycodone 10mg You perform your assessment and note the following: Airway: Own, patent Breathing: RR 16, O2 Sats 96% on RA. Circulation: HR 62bpm, BP 105/58 mmHg. Disability: GCS 14/15, she is intermittently confused, PEARL 3mm, BGL 6.0mmol/L Exposure: Temp 36.2 oC, 2300hrs Vanessa rings the bell and complains of a continual headache, you administer: 2300 – PRN Oxycodone 10mg 0000hrs You review Vanessa and she complains of no improvement in her headache, pain is 9/10, you administer her scheduled Panadeine Forte. 0100hrs At 0100 Vanessa rings her bell for assistance, she tells you, in a distressed voice that she cannot move. You attempt to do a full set of neurological observations and ask Vanessa to lift