HLT54115 : Diploma of Nursing Nursing Care Plans - Medical Science Assignment Help

Assignment Task:

Task:

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 along with the completed charts 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
Mr George McFarlane is a 53 year old Male,
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”.
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)
Mr. McFarlane uses glasses for reading and driving. He also has partial dentures (lower)
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
Mr McFarlane is 135kg and 170cm in height. Current vital signs Resp 17, O2 SPO2 96% on room air (RA), BP 150/100, HR 99 and regular, Temp 36.9, BGL 7.8mmol/L , GCS 15, Pain score 8/10 (last pain relief was Endone 10mg orally@22:10).
Further orders include;
X-Ray of L) Knee shows significant advancement of Osteoarthritis. 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 according to organisational processes.
2/24 Vital signs
2/24 Neurological observations
2/24 neurovascular observations on L) leg
Regular pain relief as charted
Non weight bearing on L) Leg
Assistance with ADL`s
TED`s to be applied
Braden score to be assessed
Mr McFarlane was transferred to the Med/Surgical ward at 0730hrs and you have received handover for this patient in your morning shift (0700-1530)
Answer the following questions 1-13 based on the scenario.

Question 1
Referring to the information provided in Mr McFarlane’s case study, complete the
Charts provided as a part of this case study (These charts MUST be uploaded as a part of your submission)
Nursing admission form, on the template provided below
Use appropriate medical terminology in your answer and ensure that the documentation meet legal requirements.
NAME: Mr George McFarlane
DATE OF BIRTH 03/01/19XX
ADDRESS: 23 Sunset drive, Homerville. 2300
MRN 4936236
GP: Dr Geoff Waterson
DATE: AGE ON ADMISSION: GENDER: ALLERGIES: PREVIOUS MEDICAL HISTORY: SOCIAL HISTORY: ADL ASSESSMENT ON ADMISSION: DIET:
MOBILISATION:
HYGIENE:
ELIMINATION:
ADMISSION OBSERVATIONS: T____ P: ____ R: ____ BP: ____ BGL: _____SpO2: ____ GCS: ____ Pain score:__
HEIGHT: ____ WEIGHT: ____
Skin assessment (Including Braden score) Falls risk assessment (SCORE/ RISK CATEGORY) NURSING NOTES:
Reason for presentation to hospital:
Admission Plan:
Discharge Plan:
Name: ___________________ Signature: _______________ Designation: Date: ____________
Question 2
As a new admission to your ward, you need to plan appropriate care for Mr McFarlane, based on the information received in the case study. Develop a care plan for Mr. McFarlane using the template below

• Specify four (4) nursing diagnoses/problems (actual/ potential) or risk factors associated with the client’s current health presentations.
• Note at least one (1) expected outcomes that you would hope for as a result of each intervention (Consider SMART goals when discussing outcomes).
• Record two (2) nursing interventions with rationale that could be applied for each diagnosis/problem. These interventions must be in line with current best practices.
• Specify at least one (1) member of the multi – disciplinary team that may be able to support your suggested interventions.
• Nursing diagnosis/
• Client problems Expected Outcome Nursing intervention Rationale Multidisciplinary member to provide support
• 1 1 1 2 2 2 1 1 2 2 3 1 1 2 2 4 1 1 2 2
• Question 3 (word limit 150 – 200 words)
• Mr. McFarlane is not able to weight bear or mobilise very well. He is mostly restricted to bed due the pain in his left knee. The Nursing care plan indicates that Mr McFarlane requires assistance with ADLs including a sponge in bed and full bed sheet change. He currently has a pain score of 7/10.
• How and when will you manage his pain?
• How could you encourage independence for Mr McFarlane while assisting with his personal care including dressing and grooming?
• Discuss how you will promote oral hygiene (Consider brushing, interdental cleaning, care of dentures and use of alcohol free mouthwash).
• Specify the safety considerations/ manual handling requirements considering his obesity.
• Mention TWO purposes of promoting hygiene and grooming
• Reference required
• Response :
•  
• Question 4 (word count 100 words)
• Mr. McFarlane's anthropometric measurements are available in the case study. Answer the following questions based on his nutritional status.
• Calculate his Body Mass Index (BMI) and interpret your finding (Show the formula, working and answer).
• What are the risks related to not maintaining a recommended dietary intake, weight management and exercise for an individual with type 2 DM?
• Discuss the education/ information that needs to be provided to Mr. McFarlane, considering his Type II diabetes, BMI and dietary pattern.
• Which multi-disciplinary team member could assist with this care?
• References required
• Response
•  
• Question 5 (word count 150 words)
• Mr. McFarlane has high Body Mass Index, is non-weight bearing on his left leg and has been restricted to bed.
• Discuss FOUR potential problems/complications associated with immobility (in general).
• State Mr. McFarlane’s Braden score and list the contributing risk factors for this score.
• Describe the nursing interventions to prevent pressure injuries in line with best practices.
• References required
• Response:
• Question 6 (word count 150 words)
• Mr. McFarlane is non-weight bearing on his left leg and has been restricted to bed.
• Discuss how you will assist him with his elimination needs (specify procedures and devices).
• Mr. McFarlane informs you that he has urine leakage while coughing (stress incontinence). How would you deal with this problem?
• Discuss the aids/devices that could be used to manage urinary and faecal incontinence in patients (general).
• Reference required.
• Response:
• Question 7 – (word count 100 -150 words)
• Mr McFarlane has pre-existing osteoarthritis in his Left Knee and is currently on non-weight bearing activities. He is currently restricted to bed and the nursing care plan suggests that he is has a considerable risk of Venous thromboembolism (VTE)
• What is Venous thrombo-embolism (VTE), Deep Vein Thrombosis (DVT) and Pulmonary Embolism (PE)?
• Specify TWO clinical manifestations for DVT.
• Specify TWO clinical manifestations for PE.
• Specify four VTE prevention measures that could be implemented for Mr. McFarlane and discuss how each intervention would help to prevent VTE.
• Which multi-disciplinary team members could assist with this care?
• References required
• Response:
• VTE
• DVT
• PE
• 1.
• 2.
• 1.
• 2.
• Preventive measures for VTE Rationale (How it will help to prevent VTE?)
• Question 8 – (word count 100 words)
• Mr McFarlane has voiced his concern over being unable to sleep well, since his admission.
• Identify THREE factors that could have affected Mr McFarlane’s comfort and sleep.
• Describe the nursing interventions that could be implemented to promote comfort, rest and adequate sleep for Mr McFarlane (Consider pain management strategies, Mr. McFarlane's environment and alternative therapies in your answer).

• Question 9 – (word count 50 words)
• The medical officer has reviewed Mr McFarlane and recommended that he can commence mobilising for short distances and that he can be considered for discharge after two days if everything is well
• What are the possible safety concerns for Mr McFarlane as he commences mobilising?
• Identify the equipment/ devices that could assist to provide a safer environment for Mr. McFarlane
• Provide FOUR examples on how you can provide a safe environment for Mr. McFarlane (Please also consider sensory deficits in your answer).
• Identify TWO MDT professionals who could assist Mr McFarlane here?
• References required
• Response:
• 1
• 2
• 3
• 4
• 1
• 2
• Question 10 (Word count 50 words)
• The medical officer has advised that a cognitive assessment be completed on Mr. McFarlane.
• State a common tool that is used for cognitive screening or mini-mental state examination of hospitalised patients.
• Provide a brief description of the tool mentioned in (a) above.
• Reference required
• Response:
• Question 11 (Word count 50 words)
• The orthopaedic surgeon has reviewed Mr. McFarlane and recommended him to undergo an elective arthroscopy (surgery) for his left knee, two weeks post discharge.
• Identify FOUR comorbidities that may pose as risk factors for this invasive procedure for Mr. McFarlane.
• Identify FOUR potential risks related to anaesthesia or surgery that he could experience related to the procedure.
• Reference required
• Response:
• 1
• 2
• 3
• 4
• 1
• 2
• 3
• 4
• .
•  
• Question 12 (100-200 words)
• Having completed questions 1-11, complete an end of shift progress note for Mr. McFarlane below using a body systems approach, considering all the care provided to him during your shift including discharge planning.
• Clinical documentation
• Response:
• Date and Time
• Nursing:
• Signed: _________________________ Print Name: _________________________
• Question 13 : (50 words)
• After you received handover in the morning, the care activities for Mr. Mc Farlane have been scheduled in the table below. Pain relief includes Endone 10 mg orally three times a day and Panadol 1000mg PRN (when required).
• Reflect on the following situations/ changes to care and use the table below to reprioritise and modify the care activities for Mr. McFarlane. You also need to balance your workload with a 15 min morning tea, 30 minutes lunch, writing progress notes and hand over
• You visited Mr. Mc Farlane @08:00 to take observations and found that his urinal overflowed/ tilted, and his clothes and bedlinen were wet with urine.
• Diabetes specialist has reviewed Mr. McFarlane 10:30 and advised that BGL has to be taken before each meal.
• Mr McFarlane complaints of pain 6/10 while you visited @10:00 to take observations and exercises.

The above    Medical Science Assignment has been solved by our    Medical Science Assignment  Experts at onlineassignmentbank. Our Assignment Writing Experts are efficient to provide a fresh solution to this question. We are serving more than 10000+ Students in Australia, UK & US by helping them to score HD in their academics. Our experts are well trained to follow all marking rubrics & referencing style.

Be it a used or new solution, the quality of the work submitted by our assignment experts remains unhampered. You may continue to expect the same or even better quality with the used and new assignment solution files respectively. There’s one thing to be noticed that you could choose one between the two and acquire an HD either way. You could choose a new assignment solution file to get yourself an exclusive, plagiarism (with free Turnitin file), expert quality assignment or order an old solution file that was considered worthy of the highest distinction.