Josephine Hayes Case Study - Nursing Assignment Help

Assignment Task:

Case Study 

For this essay, select EITHER Case Option 1 (adolescent case) or Case Option 2 (adult case). Review your chosen case. Using the clinical reasoning cycle you are required to assess, plan, implement and evaluate your care for the patient. After identifying the relevant assessment data you must identify two (2) current or potential problems for your patient. For each problem identified, list two (2) nursing interventions (collaborative/independent) linking to your research of the literature. One intervention must be nursing initiated. In collaborative interventions, you must focus on the role of the nurse. Include a one to two-line rationale for each intervention. Evaluation of the effectiveness of your interventions is essential. 

I want to used this case study 

Case Option 1 (adolescent case)

Josephine Hayes is an 15 year old girl who has just arrive in emergency department after falling off her bicycle on the way to school. Josephine has a history of type 1 diabetes which was diagnosed when she was 12 years old. Josephine normally manages her diabetes herself and states that she understands how to look after. She seems defensive in the way she says this.
 

Josephine has sustained a fractured right radius, which will require to be set in a cast for 6 weeks. Her right arm is her dominant arm. She states 6/10 pain on rest and 8/10 on movement.
On examination, all vital signs are within normal limits except for her blood glucose level (BGL) which is 18mmol/L and her temperature which is 38.4 deg C.
 

You also notice a small wound on Josephine’s left toe which looks to be old, purulent, red and a little swollen. It is infected. When you ask Josephine about it, she states she has never noticed it before and must have got it when she fell of her bike.
When Josephine’s mum arrives to collect her, she asks to speak to you privately and voices concerns that Josephine’s diet is not as good as it could be for someone with her condition and she is frequently eating unhealthy snack food with her schoolfriends. Josephine has gained a significant amount of weight in the last 6 months 

What you need to do: 

The essay should cover the points below: 

• Introduction (75 words approximately): State an overview of the patient’s condition and identify TWO actual or potential nursing problems. 

• For each of your identified problems (Approximately 750 words for each problem): Briefly explain how it relates to the patient’s assessment data. You must demonstrate your understanding of the relevant pathophysiology to explain the link between the problem and the patient’s signs and symptoms. Identify TWO interventions to address each problem. Justify the interventions you will implement (explain what is involved in implementing the intervention, why it is suitable, any relevant special considerations relevant to the patient or situation) and support/justify the use of these interventions with reference to current evidence-based literature (a minimum of 5 current articles for each intervention). Outline the expected evaluation criteria/data that would indicate that each intervention is improving or resolving the identified problem. 

• Conclusion (100 words approximately): Briefly restate the overall clinical scenario and how your interventions can benefit the patient’s health. 

• You need to discuss at least one independent nursing intervention in your essay. This intervention must be nurse initiated and driven. 

• For any collaborative interventions you must discuss the nursing responsibilities and actions in relation to this collaborative intervention. Referral to another health discipline alone does not constitute an intervention 

• Medications cannot be both of your chosen collaborative interventions for a problem. If a medication is one of your collaborative interventions, you must identify an appropriate drug that is likely to be prescribed by the doctor. You must consider and discuss the nursing responsibilities associated with the medication (action, dose, side effects, prevention and management of same, administration requirements and evaluation). 

• CiteWrite APA style referencing. 

Learning outcomes assessed: 

• Apply and integrate knowledge of the key NMBA Registered Nurse Standards for Nursing Practice, National Safety and Quality Health Service Standards, and National Health Priorities to enable effective clinical decision making, planning and action in a range of situations that reflect the diversity of contemporary health care settings and challenges. 

• Apply knowledge of anatomy, physiology and pathophysiology to support evidence-based decisions for planning and action in a range of clinical situations. 

• Demonstrate clinical reasoning and clinical decision making in line with safe and quality person-centred care across the lifespan. 

• Apply knowledge and skills to communicate and collaborate effectively with consumers and families. 

• Reflect on the clinical placement experience and care provision, using feedback from a range of sources, to identify opportunities to enhance individual practice.

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