Mrs. Fiona Watkins Case Study - Nursing Assignment Help

Assignment Task

The Answers must be followed on study case of Fiona patient

It is 0800 hrs and you are a first year nursing student working on the medical ward of a regional hospital. 

Mrs s Fiona Watkins 70 years, has been admitted to the ward. 

She appears dishevelled and quite anxious; she is wearing a hospital gown. 

Fiona’s story 

Fiona married the first man that showed her any real interest and she and Keith moved into a flat that he already owned and Fiona was soon pregnant. After a few years, with three children under five and now pregnant again, Keith informed Fiona that she was burden, selfish and ungrateful. That all she did was spend his hard earned money. Desperate to please Keith, Fiona began working casually cleaning offices at night. She cared for the children and the house during the day and then, once her husband arrived at home, she went out to work. Throughout these years, Keith continued the narrative “You are so selfish and useless”. Her children heard this narrative and eventually, they started chorusing what their father was saying “Selfish, bore, useless, bad wife, bad mother”.

Question 1

Using the Levett-Jones et al. (2010) article and additional evidence based nursing literature discuss the importance of clinical reasoning in relation to preventing patient deterioration and maintaining safe nursing practice. (350 words maximum) [20 marks]

Question 2

The first phase of the CRC is: Consider the Patient Situation. Identify the aspects that are considered when evaluating the patient situation; and why it is an important initial step in the CRC? (100 words maximum) [5 marks]

Question 3

The second phase of the CRC is: Collecting Cues and Information. This question has 3 parts. (400 words maximum) [Total 20 marks]

3a) Discuss the importance of collecting cues. In your answer consider the possible consequences for not collecting enough cues, and how therapeutic communication could impact the collection of cues. Use evidence based nursing literature to support your answer. [8 marks]

3b) Current information: Using the scenario, provide a list of all the cues that you identify based on the current information for Mrs Watkins. [4 marks]

3c) Gather new information: Based on the current information listed for 3b, list two additional assessments that you would conduct and provide a brief rationale for each, using evidence based nursing literature to support this discussion. [8 marks]

Question 4

The third phase of the CRC is: Processing Information. As you progress through your BN degree you will become more confident with processing information, at this point we will focus on the following: This question has three parts (400 words maximum) [Total 20 marks]

4a) Briefly describe what is involved in the processing information phase. As a nurse, what is the purpose of processing information? [3 marks]

4b) Identifying normal versus abnormal: Using your list of cues in question 3b, list what cues you consider are not in the normal range for Mrs Watkins (using supportive literature) [ 12 marks]

4c) Discriminate: From the cues identified above, identify the one cue that would be your priority for Mrs Watkins (what are you most concerned about), and why? [5 marks]

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