RECENT ASSIGNMENT

Assessment One
Case study (50%) Monday 20th April 2020 (by 23:59)
• 1800 words +/- 10% via Turnitin dropbox.
• Answer the questions relating to the case study
• Discussion must be academic and supported by appropriate academic references
• Information must BE RELEVANT to the patient in the case study
• HINT: Label your drafts e.g. draft 1, draft 2 and then FINAL so you do not submit a draft in error.
• In the in the Case Study folder on LEO additional information will be available to assist you. These will include:
– Assignment Guide to help you write your assignment
– Quick Guide to APA Referencing to help you reference
– Format your Assignment guide to help you set out
– Rubric so you know what is being marked
Planning - Writing begins with a process
• Assessment Task 1: Case Study
• Instructions/ Questions
• Marking criteria
Use these documents for:
• Priorities for topics (themes) to include
• Sources to include
• Writing style (i.e. formal language)
• Format and presentation
See the Checklist for assignment writing in the ACU Study Guide
Assessment Questions
• Question 1: Use stage one of the clinical reasoning cycle (CRC) ‘Consider the patient situation’ to identify the biopsychosocial, spiritual and cultural impacts of Ted’s surgery for him and his family
(250words)
[Hint: use the RLT model in your answer]
• Question 2: The information for stage two of the CRC collect cues and information has been provided for you in the case study. Use this information to provide responses to CRC stages three
‘Process the information’ and stage four ‘Identify Problems.’ Please link to pathophysiology and provide evidence from the literature to support your thinking. (600words)
Assessment Questions
• Question 3: Using stage five of the CRC Establish goals outline and justify (5) nursing care interventions/strategies the registered nurse would implement to provide care for Ted. Justify your thinking with links to current peer reviewed evidence and literature
(600words) [Hint: can be in dot point format]
• Question 4: Select two classes of drugs that would be used to manage Ted’s post operative condition. Please provide a rationale for why that drug class would be suitable for Ted. Provide a detailed description of the pharmaco-dynamics of each of the selected class of drug as well as the potential side effects and the nursing implications for administration
(250 words)
[Hint: How do they work? How would it help Ted resolve his issue?]
Case Study – Edward (Ted) Williams
• Edward (Ted) Williams is an 82year old male who is day 4 post-operative following a bowel resection and formation of a temporary colostomy. Ted had previously had a coloscopy and biopsy that confirmed a malignant mass. He has a past medical history of; heart failure, type II diabetes melilites, obesity and gout. (BMI 37.6m2; Height 175cm; weight 115kgs)
• Ted is a widower and lives alone. His wife died 3 years ago following a bout of pneumonia. One year ago, Ted moved into a retirement village located in a regional area two and a half hours from the city. The retirement village is near where he lived with his wife and children until they left home. Ted has 2 grown up children, a son Christopher who lives overseas with his wife and son, and a daughter Janice who lives with her husband and 3 children in the city. While Ted lives alone, he has a partner Gwen 78, who also lives in the same retirement village as Ted.
Case Study – Edward (Ted) Williams
• Current medication:
Metformin 500mg Mane
Captopril 12.5mg mane
Frusemide 40mg mane
Allopurinol 100mg Daily
Paracetamol 1g QID
• Ted is now day 4 post op. He was Nil By Mouth (NBM) for the first 48 hours after surgery. Yesterday he commenced on a full fluid diet and has upgraded to a light diet yesterday evening. Today, Ted was given his regular metformin and ate breakfast. Since then Ted has vomited twice and feels nauseous. He has been given ondansetron 4mg for nausea.
Case Study – Edward (Ted) Williams
• Teds vital signs at 10am are as follows: T 38.1; HR 98 reg; BP 135/85; RR 26; SpO2 94% on 3L NP. He has right sided inspiratory coarse crackles and he has a moist productive cough. He has PCA morphine in situ for effective pain regulation. Ted has some abdominal pain that he says is at a scale of 4-5/10, he says the pain worsens on palpation to 7/10 and you note that his abdomen is distended. The colostomy bag is intact and the stoma can be sighted through the bag. The stoma is warm, pink, moist and slightly raised above the skin. There has been no output since his surgery. He has sluggish bowel sounds and has not passed flatus. The abdominal laparotomy has a clear occlusive dressing (opsite) and there is minimal ooze present. He has a redivac drain with 30mls of haemoserous fluid, and a urinary catheter in situ and is passing approx. 60-70mls of urine/hr.
Hints
• Hints for completing this assessment:
• Please review the marking Rubric and see the weighting for each question. This should guide your answers along with the suggested word limit for each. Note: word limits are suggestion ONLY. The whole assessment is 1800words +/-10%
• This is not an essay however I do expect full sentence structure and academic writing,
• The word count is minimal therefore your answers need to be concise. (this is a skill of academic writing). You do not have the word limit to ramble.
• Please use headings such as 'Question 1'; 'Question 2' etc. and then answer the question beneath. This will save your word count.
• For Question 3 you can use dot points for each intervention to save on word count but please maintain proper sentences structure. And you still must provide enough explanation so the reader knows what your nursing intervention involves and why?