HNN114: Kaylene McCallum Case Study - Nursing Assignment Help

Assignment Task :

Purpose of assessment task The purpose of this assessment task is to provide you with the opportunity to engage with key knowledge and skills drawn from each of the five Unit Learning Outcomes (ULOs) paying particular attention to ULO one, two and three. This will allow you to demonstrate your ability to use this knowledge to organise and explain assessment findings, using principles of anatomy, physiology and pathophysiology and health assessment frameworks. Completing this task will assist you to engage with, and to demonstrate attainment of, key knowledge and skills.

Topic background: Health assessment is a foundational skill for nurses in all contexts of care. Assessment informs identification of patient problems in relation to risk, symptoms and patient function. Appropriate use of assessment data will assist students to further develop clinical decision making skills foundational to the provision of quality patient care. In your role as a student nurse, you will be asked to undertake elements of health assessments in a range of settings during your clinical placements. 

Assignment Question / Task Description: You are required to answer 5 questions that are presented as part of an ongoing case study. Each question draws on one of the first 5 weeks of content in this unit. 

Shift to shift Handover 

Introduction Kaylene McCallum is a 64-year-old female admitted under Dr. Tracy Taylor Situation Kaylene presented as an inpatient to a surgical ward 2 days ago for a right knee replacement. She has mentioned that she feels bloated with slight abdominal pain/discomfort and reports she has not had her bowels open since admission. Background Kaylene has a history of hypertension, asthma and osteoporosis. She lives alone with her dog Sam. Nil known allergies. Kaylene receives an annual zoledronic acid infusion for her osteoporosis and she takes irbesartan for blood pressure control. She uses a Seretide inhaler daily and salbutamol PRN to manage her asthma. Appendectomy at 12 years of age. Assessment Vital observations 

Encourage oral hydration Encourage exercise as tolerated Consider nurse initiated laxatives and report symptoms to surgical team Change diet to high-fibre Maintain use of anti-embolism compression stockings Maintain use of nonslip footwear when ambulating 

Kaylene McCallum is a 64-year-old widow and a recently retired school teacher. She has a past history of hypertension, osteoporosis and asthma, which is usually well controlled with medication. She is normally active and enjoys swimming to keep fit and is looking forward to being able to take Sam on longer walks following her knee replacement. 

Today you are looking after Kaylene, who is two days post-surgery. She is reporting bloating, generalised abdominal pain and mentions she has not used her bowels since the operation. Your facilitator explains that Kaylene may be experiencing constipation. 

ULO2 Relate principles of anatomy, physiology, and pathophysiology to the collection and interpretation of data collected during a nursing health assessment. 

Question One You are asked to carry out an abdominal assessment on Kaylene. Describe how you would carry out this assessment, providing rationales based on anatomy and physiology. Outline the sequencing of assessment and expected findings. 

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