Highlights
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.
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.
Question 1: Describe the Hartmann’s Procedure including definition, indications, and complications. Ensure you apply this discussion to Mr Kahil.
Question 2: Review the above vital signs of Mr Kahil. Using your knowledge of the common causes of clinical deterioration in the postoperative patient; state which likely reversible cause (one of the 4H’s & 4T’s) Mr Kahil is experiencing and describe its pathophysiological cause resulting in Mr Kahil’s deterioration. Ensure you include a discussion of the pathophysiology of the reversible cause and link to the above vital signs.
Question 3: Discuss THREE specific nursing assessments that would be prioritised for Mr Kahil’s deterioration (excluding vital signs). For EACH nursing assessment, ensure your discussion includes a description of these assessments in the context of Mr Kahil’s condition AND clear rationale as to why these assessments would be priority.
Question 4: Discuss THREE specific nursing interventions that YOU as a Registered Nurse could initiate to manage Mr Kahil’s deterioration. 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 Mr Kahil’s condition.
Questions 5: Mr Kahil is prescribed a bolus of intravenous isotonic crystalloid fluids. Describe the indication for and physiological effect of administration of bolus fluids. Ensure you link to the pathophysiology occurring in Mr Kahil’s deterioration and how intravenous fluids may assist.
Question 6: Describe THREE nursing evaluations that you would complete in response to the assessments and interventions you have completed. For EACH evaluation, provide a brief rationale as to how these evaluations will assist in preventing the further clinical deterioration of Mr Kahil.
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