Highlights
Scenario: Patient Aruneel
At the end of your Bachelor of Nursing degree, you are delighted to be accepted into a Transition to Practice Program in a large metropolitan hospital and your second rotation is the emergency department (ED).
On a morning shift you accept the care of a 45-year-old man called Aruneel, who is accompanied by his daughter Priya after having a vasovagal syncope at home while opening his bowels (diarrhoea) in the toilet - accompanied by abdominal pain. Aruneel comes from a non-English speaking background, is on a vegetarian diet, wears hearing aids, and normally lives with his daughter. Aruneel's daughter speaks fluent English and discloses that Aruneel has a recent diagnosis of irritable bowel syndrome following an endoscopic examination. Priya informs you that Aruneel is not currently confused, you notice that his Glasgow Coma Scale (GCS) score has been 15 for the past three hours, and all other vital observations are stable, you are not concerned.
At 10 am while you are doing your hourly rounding, you notice that Aruneel's daughter had left the ED, and you discern Aruneel's disappointment as he pushes his morning tea aside in front of the kitchen personnel. Upon observation you notice Aruneel was given a sandwich that is not vegetarian, and that he has a facial expression showing dissatisfaction regarding the food. As the kitchen staff leaves the emergency department, they say to a registered nurse, “again this patient is so problematic, can't he just eat what we bring, it's for free anyway!" You notice the registered nurse nods their head and says they agree.
At 10:30 am you decide to come back to Aruneel's room to do an assessment, and notice that Aruneel is upset and using nonverbal cues to act out an eating behaviour while touching his abdomen.
After assessing Aruneel you decide that he has a few needs, and he must be your focus now...
Task
In this assessment, you will be required to write a report based on the Assessment 2 case study which is provided in the subject site Assessment 2 tab.
Write a report addressing the following points:
a. describe how it applies to the case study to address the person's immediate needs.
b. describe two evidence-based nursing interventions that could be implemented to ensure the person's immediate needs are met and reflect the chosen principle of the Australian Charter of Healthcare Rights.
Ensure that you integrate information and provide examples from the case study to support all your responses.
Introduction
Include an introduction that outlines the overall structure of the report.
Section One
Describe how a Registered Nurse could apply one (1) element of the ICN Code of Ethics (2021) that will guide you to address Aruneel's needs. In your answer give consideration to one (1) of the registered nurse standards for practice from the Australian Nursing Standards Assessment Tool (ANSAT).
Section Two
Describe how two (2) Caritas Processes could apply to address Aruneel's needs.
Section Three
From the case study, choose one (1) relevant principle of the Australian Charter of Healthcare Rights and:
a. describe how it applies to the case study to address Aruneel's immediate needs.
b. describe two evidence-based nursing interventions that could be implemented to ensure Aruneel's immediate needs are met and reflect the chosen principle.
Conclusion
Include a conclusion that outlines the key points of your discussion from section one (1), section two (2) and section three (3).
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