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NRSG258 Acute Care Nursing 1: Case Study | IBL Team Presentation | Central Examination - Nursing Assignment Help

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Internal Code: 1AJJBH Assessment Tasks
  1. Case Study
  2. IBL Team Presentation
  3. Central Examination
LEARNING ISSUE ONE What are the elements of a valid consent? What factors could affect Matt’s ability to provide a valid consent? TRIGGER TWO
  • During your shift Matt becomes increasingly restless and he complains that his leg hurts.
  • You need to conduct a pain assessment on Matt before you can administer Morphine prescribed by his doctor.
LEARNING ISSUE TWO What are three different types of pain assessment that that could be used for Matt? Which tool do you think would be the most appropriate for Matt and why? TRIGGER THREE
  • The next day Matt is transferred to the operating theatre where he had his fracture reduced and external fixation of his right leg performed under general anaesthetic. The surgery was uneventful.
  • After surgery Matt was transferred to the post anaesthesia recovery unit (PARU) and you and your facilitator conduct an A-E assessment.
LEARNING ISSUE THREE What is the rationale for each of the A-E assessments that you undertake on Matt in PARU? TRIGGER FOUR
  • You collect Matt when he is ready for transfer back to the ward. In clinical handover, the PARU nurse tells you that Matt has had Morphine 5mg IV for pain.
  • On return to the ward Matt starts to use his patient controlled analgesia (PCA) containing Morphine
  • During your next assessment you note that Matt’s respiratory rate is 8 breaths per minute, he has pinpoint pupils, is difficult to rouse and you notice this sound with his breathing.
LEARNING ISSUE FOUR What could be causing these symptoms in Matt? TRIGGER FIVE
  • Your actions have resulted in Matt recovering from his respiratory episode.
  • You review his wound following surgery and note that the wound edges have eventually been sutured together.
LEARNING ISSUE FIVE What are the normal phases of wound healing? How long would it normally take for Matt’s fractures to heal? ASSESSMENT QUESTIONS Group two will be required to present and answer one question per person in week 7. All group members must contribute to the presentation and be prepared to demonstrate wider knowledge (not just introduction and conclusion). 3 Mins per person with 5 mins per group for introduction, conclusion and questions
  1. What do you need to know about Morphine before you administer it to Matt?
  2. Using the ISBAR format, what are the critical elements that should be covered in the handover for Matt from PARU?
  1. What actions do you need to take for a narcotised patient such as Matt?
  2. What nursing assessments you would undertake on Matt’s immediate return to the surgical ward?
  1. What are the three categories of wound closure? Which type would Matt most likely have?
  1. According to the research, name two advantages and two disadvantages/barriers to using the ISBAR method of handover?

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