Please fill out the answers in the template and fill out the necessary charts
HLT54115 Diploma of Nursing NCP106_Nursing care plans - Assessment 1, Parts A & B Charts Standard Adult General Observation Chart (SAGO) – NSW Health NSW Government. (nd).Clinical Excellence Commission Observation Charts, http://www.cec.health.nsw.gov.au/patient-safety-programs/adult-patient-safety/between-the-flags/observation-charts. Abbey pain scale Australian Pain Society. (nd) Abbey pain scale. https://www.apsoc.org.au/PDF/Publications/APS_Pain-in-RACF-2_Abbey_Pain_Scale.pdf Waterlow/ Braden scale WA Health. (nd). Braden scale for predicting pressure sore risk. https://ww2.health.wa.gov.au/~/media/Files/Corporate/general%20documents/safety/PDF/Bradenscale.pdf Falls risk assessment Victoria Department of Health. (2009). Falls risk assessment. https://www2.health.vic.gov.au/Api/downloadmedia/%7BC542FA9B-1A24-4C5C-B921-C8A8ADDC1A9C%7D Version 1. RTO Code 0269. Think: Colleges Pty Ltd. CRICOS Provider No. 00246Page 2 HLT54115 Diploma of Nursing NCP106 Nursing care plans Assessment 1 Part A Brief Version: July 2020. RTO Code 0269. Think: Colleges Pty Ltd. CRICOS Provider No. 00246 Page 1 Introduction Within the health care system, Enrolled Nurses work in a collaborative health care team to ensure that the individual health care needs of their clients are identified, and a plan of holistic care is established early. This starts at the admission of a client and continues for as long as they need care. Assessing the physical, mental and emotional health status of clients on admission can prevent serious complications occurring and can help to identify any specific individual needs that will make treatment, support and final outcomes, smoother. This assessment provides you with an opportunity to demonstrate how knowledge of a client’s health status and treatment outcomes can ensure their treatment is appropriate, holistic and person-centred. Summary The case study provided below is based on a client admitted to your ward. You will need to consider the health status of the client, what you observe of the client and the information provided in order to understand what is needed to support him to make informed decisions relating to his care and provide person centred care. In your answers, you should apply an understanding of Nursing Diagnosis, nursing assessments and analytical thinking and assessment. Use medical terminology where appropriate and apply directional terms when referring to nursing interventions. Task Instructions To complete Assessment 1, Part A, provide your responses to the questions on the Assessment Response Template. These short response questions are based on the information received in the case study. Your responses must be typed into the spaces provided beneath each question, and the whole document must be submitted to Blackboard as your response to Part A. These questions must be answered in full. When responding to the questions, please pay attention to the entire question being asked, as well as the prescribed word count, if provided. You are required to use the correct medical terminology when answering all questions and well as referring to your assessment charts. Provide nursing rationales for each nursing intervention. All answers must be referenced in alignment with Think Education policy. Assessment 1, Part A CASE STUDY - BRIEF Course HLT54115 Diploma of Nursing Subject Code and Title NCP106_Nursing care plans Unit(s) of Competency HLTENN004 Performance criteria, Knowledge evidence and Performance assessed PC: 1.1, 1.2, 2.1, 2.2, 2.3, 2.4, 2.5, 2.6, 3.1, 3.3, 4.1. PE: 1, 3. KE: 1, 2, 3, 4, 7, 8. Title of Assessment Task Assessment 1, Part A: Case Study Type of Assessment Task Short Response Length As indicated in each question Submission Due by the end of Module 3 (Week 7) HLT54115 Diploma of Nursing NCP106 Nursing care plans Assessment 1 Part A Brief Version: July 2020. RTO Code 0269. Think: Colleges Pty Ltd. CRICOS Provider No. 00246 Page 2 You will be assessed on your responses and will be deemed as either satisfactory or not satisfactory. ALL your responses must be marked as satisfactory in order to pass both assessments. If your assessment is not deemed satisfactory, you will be re-assessed as per the THINK Education Assessment Policy for Vocational Education and Training (VET), before being awarded a Non Satisfactory mark for the assessment and the unit. Submission Instructions Submissions for Assessment 1, Part A - will be open from the beginning of Module 1.1 until the due date, which is 2355hrs AEST/AEDT Sunday of Module 3, week 7. Submit your final response via the Assessment link in the main navigation menu in the NCP106 subject page. The Academic will provide feedback via the Grade Centre in the LMS portal. Feedback can be viewed in My Grades. Assessment Process • All items must be submitted. • All items must be satisfactorily answered / addressed / completed in order for you to achieve a “Satisfactory” outcome for this assessment. • Please note that this is one assessment from the range of assessment tasks you will complete. You must complete all assessment tasks in this subject. Please refer to your subject outline for information on the other assessment tasks. • Clear, constructive and accurate feedback will be given to you on your results and performance • The assessment items you submit will be retained by the college as evidence of your performance. College Policies and Procedures relating to assessments, and associated forms, are available via http://www.think.edu.au/studying-at-think/policies-and-procedures http://www.think.edu.au/studying-at-think/policies-and-procedures HLT54115 Diploma of Nursing NCP106 Nursing care plans Assessment 1 Part A Brief Version: July 2020. RTO Code 0269. Think: Colleges Pty Ltd. CRICOS Provider No. 00246 Page 3 Scenario – Mr George McFarlane I: Mr George McFarlane is a 53year old Male, S: He was brought to the Emergency Department by ambulance at 2130hrs on Saturday evening, after sustaining a fall at home. Mr McFarlane lives with his wife, who was not present at the time of the fall. On Mrs McFarlane’s arrival home, she found Mr McFarlane on the floor and called the ambulance. Mr McFarlane is experiencing pain in his Left Knee, he is unable to weight bear on his left leg and is unsteady. He states he is feeling dizzy and unstable when attempting to stand upright. It is unclear if he hit his head in the fall as he states he “Felt dizzy when going to the bathroom and I think I blacked out”. B: Mr McFarlane past Medical History (PMHx) include: • Type ll Diabetes needing close management • Osteoarthritis in L) Knee • Peripheral vascular Disease (PVD) • Chronic Obstructive Airway disease (COPD) Social History (SHx): • Occupation Long Haul truck driver • ETOH (Alcohol) usage on a regular basis • Smoker, averages 15/20 cigarettes per day • Often consumes take away/ fast food diet as away from home regularly A: Mr McFarlane is 135kg and 170cm in height. Current vital signs Resp 17, O2 Sats 96% on room air (RA), BP 150/100, HR 99, Temp 36.9, GCS 15. R: Further orders include; X-Ray of L) Knee shows significant advancement of Osteoarthritis, requiring further investigation, pain score is currently 8/10, Endone 10mg administered orally for pain relief at 2210hrs with little effect, neurovascular observations commenced and GCS score currently 15. Further investigation of Osteoarthritis in L) knee needs to be arranged. Referrals for the Physiotherapist, dietician, social worker, diabetic educator and endocrinologist are to be arranged via eMR (electronical medical record). Regular pain relief as charted • 2/24 Vital signs • 2/24 Neurological observations • 2/24 neurovascular observations on L) leg • Non weight bearing on L) Leg • Full assistance with ADL`s • TED`s to be applied • Water Low (Braden) score to be assessed Mr McFarlane was transferred to the Med/Surgical ward at 0730hrs and you have received handover for this patient and are require to complete the following. HLT54115 Diploma of Nursing NCP106 Nursing care plans Assessment 1 Part A Brief Assessment 1, Part A CASE STUDY - BRIEF Student Name MAHIMA PATEL Date 31/10/2020 Course HLT54115 Diploma of Nursing Subject Code and Title NCP106_Nursing care plans Unit(s) of Competency HLTENN004 Performance criteria, Knowledge evidence and Performance assessed PC: 1.1, 1.2, 2.1, 2.2, 2.3, 2.4, 2.5, 2.6, 3.1, 3.3, 4.1. PE: 1, 3. KE: 1, 2, 3, 4, 7, 8. Title of Assessment Task Assessment 1, Part A: Case Study Type of Assessment Task Short Response Length As indicated in each question Submission Due by the end of Module 3 (Week 7) Task Instructions To complete Assessment 1, Part A, provide your responses to the questions on the Assessment Response Template below. These short response questions are based on the information received in the case study. Your responses must be typed into the spaces provided beneath each question, and the whole document must be submitted to Blackboard as your response to Part A. These questions must be answered in full. When responding to the questions, please pay attention to the entire question being asked, as well as the prescribed word count, if provided. You are required to use the correct medical terminology when answering all questions and well as referring to your assessment charts. Provide nursing rationales for each nursing intervention. All answers must be referenced in alignment with Think Education policy. You will be assessed on your responses and will be deemed as either satisfactory or not satisfactory. ALL your responses must be marked as satisfactory in order to pass both assessments. If your assessment is not deemed satisfactory, you will be re-assessed as per the THINK Education Assessment Policy for Vocational Education and Training (VET), before being awarded a Non Satisfactory mark for the assessment and the unit. Scenario – Mr George McFarlane I: Mr George McFarlane is a 53year old Male, S: He was brought to the Emergency Department by