case study
Nursing Intervention Template Problem Goal Intervention 1. 2. NRSG258 Version 1 Feb 2021 NRSG258 2021 Assessment 1- Case Study Incident: 72 yr old female Mrs Geraldine Berry sustained left fractured neck of femur (#NOF) and laceration to her head 5cm while walking her dog. Tripped on an uneven pathway. PMH: Hypertension and depression Current Medications: Coversyl 5mg Doxepin 25mg daily Atorvastatin 40mg daily SHx: Lives with elderly husband. Is the primary carer for elderly husband who has had a stroke previously and is mildly impaired. Attends church every Sunday and is responsible for arranging flowers for every Sunday service. She has started volunteering at the St Vincent De Paul’s Meals on Wheels distribution centre two days a week. She lost two children 5 years ago in a car accident. Geraldine is concerned who will look after her husband and their dog Nala. Geraldine and her husband have no children or relatives nearby. Current presentation Day 3 post op left total hip replacement, increasing pain in hip unable to weight bear, pain score currently 7/10. Geraldine has been prescribed oral tramadol tds, Ibroprofen prn, paracetamol prn, IV Amoxicillin 1000mg tds and Clexane 40mg SC BD. Suture line on hip appears red and swollen. Observations – 10am Day 3 Pulse Rate - 120 Respiratory rate - 22 Blood pressure - 120/80 Pain score - 7/10 Sa02 - 96% Temperature – 39.1 BGL – 6.8 mmol/l Glasgow Coma Score 15 Heat, pain and redness at suture site Refusing to mobilise due to pain NRSG258 Version 1 Feb 2021 Questions 1. Using the CRC and the information presented about Geraldine, identify the abnormal cues, and discuss why these are considered abnormal (200 words) (LO4). 2. Using relevant literature, discuss the pathophysiology related to the two post- operative issues of concern from the abnormal cues you have identified in question one (500 words) (LO1, LO4). 3. Using the template provided below, complete all the sections which include (200 words) (LO4, LO5): a. Identify the nursing goal for each identified issue/problem (2). b. List at least two nursing interventions for each issue/problem. 4. Using relevant literature, provide a rationale for the listed interventions and discuss how the interventions will be evaluated (500 words) ( LO1, LO3, LO4, LO5). 5. Identify 2 medications that were prescribed for the patient’s pre-operative condition. (Coversyl 5mg, Doxepin 25mg daily, Atorvastatin 40mg daily) used in this case study. Provide the mechanism of action, side effects correct dosage and contraindications for each medication. Explain how this might affect Geraldine in the post-operative period (400 words) (LO1, LO3, LO4, LO5). 6. Using the Roper-Logan Tierney Model, identify one (1) potential cultural/biopsychosocial issue/problem and discuss how this will affect the patient post-operatively or on discharge (200 words) (LO3, LO2). Problem Goal Interventions 1. 2. NRSG258: Principles of Nursing: Surgical 2021 NRSG258 _ Assessment1: Case study _ © Australian Catholic University 2021 _ Page 1 of 2 ASSESSMENT INFORMATION Assessment Title Case study Purpose This is a summative written assessment based on a surgical case study requiring appraisal of an individual’s holistic health care needs and subsequent interventions and management to assist with the application of theory into practice Due Date Semester 1, Wednesday, 28th, April, 2021 Time Due 9am Weighting 50% Length 1800 words +/- 10% (includes intext citations, excludes reference list) Assessment Rubric In the unit outline LOs Assessed LO1, LO2, LO3, LO4, & LO5 Task Case study Target Audience Other health professionals Submission Via turnitin dropbox (national assessment tile on LEO) FORMATTING File format .doc or .docx (not .pdf files) Margins 2.54cm, all sides Font and size 11-point Calibri or Arial Spacing Double spacing Paragraph Aligned to left margin, indent first line of each paragraph 1.27cm Title Page Not to be used Level 1 Heading Centered, bold, capitalize each word (14-point Calibri or Arial) Level 2 Headings Not to be used Structure No introduction/conclusion to be used Direct quotes Always require page number. No more than 10% of WC in direct quotes Header Page number top right corner (9 point Calibri or Arial) Footer Name _ Student Number_ Assessment _ Unit _ Year (9 point Calibri or Arial) NRSG258: Principles of Nursing: Surgical 2021 NRSG258 _ Assessment1: Case study _ © Australian Catholic University 2021 _ Page 2 of 2 REFRENCING Referencing Style APA 7th Minimum References 10 references minimum Age of References Published in the last 5 years as this area of knowledge is rapidly developing List Heading “References” is centered, bold, on a new page. (14 point Calibri or Arial) Alphabetical Order References are arranged alphabetically by author family name Hanging Indent Second and subsequent lines of a reference have a hanging indent DOI Presented as functional hyperlink Spacing Double spacing the entire reference list, both within and between entries ADMINISTRATION Late Penalties Late penalties will be applied from 9:01am on the 28th of April, 2021, incurring 5% penalty of the maximum marks available up to a maximum of 15%. Assessment tasks received more than three calendar days after the due or extended date will not be allocated a mark. Example: An assignment is submitted 12 hours late and is initially marked at 60 out of 100. A 5% penalty is applied (5% of 100 is 5 marks). Therefore, the student receives 55 out of 100 as a final mark. Penalty Timeframe Penalty Marks Deducted 9:01 am Tuesday to 9 am Wednesday 5% penalty 5 marks 9:01am Wednesday to 9am Thursday 10% penalty 10 marks 9:01am Thursday to 9am Friday 15% penalty 15 marks Received after 9:01 Friday No mark allocated n/a Return of Marks Marks will be generally returned in three weeks; if this is not obtainable, you will be notified via your campus LEO forum. Final Assignment Marks for the final assessment (exam) of this unit will be withheld until after grade ratification and grade release on 5th, of July, 2021 Assessment template project informed by ACU student forums, ACU Librarians and the Academic Skills Unit.