Ms. Estelle Nelson Case Study - Nursing Assignment Help

Assignment Task

ASSESSMENT: DESCRIPTION
Engaging in clinical reasoning enables the registered nurse to process the clinical cues collected when caring for the healthcare recipient so that they can plan and implement timely, person centred care.
This assessment task required you to demonstrate your clinical reasoning skills in relation to providing immediate care for Ms. Estelle Nelson, a 48-year-old Indigenous lady with cellulitis of her left leg. You are required to develop a plan of care for Ms. Nelson for the immediate acute care phase of her injuries. This plan must be person centred and specifically related to Ms. Nelson.
You are required to develop a plan of care for Ms Nelson that is based on the immediate (24-48 hours) acute care phase, of her injuries. This plan must be person centred and be directly related to the needs of Ms Nelson.
Identify a three nursing problems specific to Estelle’s situation and develop a plan of care. You must select a PRIORITY problem listed as number 1 - that can be actual or potential.
Develop one person-centred goal for the nursing problem identified. Ensure your goal is written in SMART (Specific, measurable, achievable, relevant and time limited) format.
Identify three nursing interventions to address the cause of the problem.
You are then required to write a rationale for the problem, goal and interventions. The justification will be a detailed discussion based around the problem you have identified and the nursing interventions that you have chosen to achieve the goal you have set. Justify your nursing interventions based on cues, pathophysiology, pharmacology and/or psychosocial where appropriate. Within the rationale you also need to demonstrate how this knowledge and action assists you to meet the Registered nurse standards for practice (NMBA, 2016). The discussion is to be supported with high quality evidence-based literature.
Assessment Task 6: Clinical Scenario and Information
Estelle Nelson is a 48 year old Indigenous woman from Doomadgee who is generally well and healthy. She lives with her daughter, Ruby and is currently employed as an assistant at the local school.
Estelle went fishing with friends approximately ten (10) days ago and has multiple Midge bites on her lower limbs. These were incredibly itchy causing Estelle to scratch constantly. As a result some of these Midge bites became infected, all but one has healed. The one which remains is on her left lower calf has become swollen and she has developed cellulitis on her calf.
Estelle commenced initial treatment at Doomadgee Primary Health Clinic. Estelle has developed chills and lethargy. Her left calf, the site of the infected Midge bite remains warm to touch, inflamed and painful. The decision has been made to transfer Estelle to tertiary hospital for ongoing treatment. Upon arrival at the ED in the tertiary facility, Estelle is triaged at ATS2 and taken directly into the acute area of the emergency department.
Primary Survey:A = PatentB = RR 14 per minute – no stridor, chest rise equal, increased work of breathing - Sa02 92% RAC = HR 122 beats/min , capillary refill < 3 seconds, BP = 90/87mmHg, temp 38.50CD (disability) = AVPU = Drowsy, Pain = c/o moderate pain score 7/10, NauseaE = Expose and examine (to check for life-threatening injuries) – Head to toe assessment reveals swollen lower left leg in the calf area.
A = Allergic to AspirinM = Medications – Nil regularP = Rheumatic Heart Disease as a child which has left her with a mitral valve murmur L = Last time she had food or fluids was 1600hrs yesterday.E = What was the event that caused the injuries
Height = 170cmWeight = approximately 65kg

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