NUR2203: Nursing the Gastrointestinal Patient - Medical Science Assignment Help

Assignment Task

Assessment Purpose

Standard 1: Thinks critically and analyses nursing practice. RNs use a variety of thinking strategies and the best available evidence in making decisions and providing safe, quality nursing practice within person-centred and evidence-based frameworks.

Standard 4: Comprehensively conducts assessments. RNs accurately conduct comprehensive and systematic assessments. They analyse information and data and communicate outcomes as the basis for practice.

Standard 6: Provides safe, appropriate and responsive quality nursing practice. RNs provide and may delegate, quality and ethical goal directed actions. These are based on comprehensive and systematic assessment, and the best available evidence to achieve planned and agreed outcomes.

Standard 7: Evaluates outcomes to inform nursing practice. RNs take responsibility for the evaluation of practice based on agreed priorities, goals, plans and outcomes and revises practice accordingly.

Case Study

Mrs. Anne Green a 68-year-oldpart-time teacher presented to her GP three weeks ago with a 3-month history of abdominal pain and diarrhea. A colonoscopy and CT scan revealed extensive diverticular disease of the large bowel and a tumor in the ascending colon. Anne has been scheduled for an open right hemicolectomy. Please refer to the following pre- and post-operative assessment data to answer the assignment questions.

Pre-operative clinical data

Postoperative Clinical Data

Anne returned from theatre at 2000following an open right hemicolectomy for a poorly differentiated adenocarcinoma of the ascending colon with lymph node metastasis in four of the 28 dissected lymph nodes. You are the registered nurse looking after Anne on the day shift following her surgery.

Task

This assignment requires you to consider the case scenario of Anne Green who has undergone an open right.

Description

1. Provide an INTRODUCTION (approximately 100 words)

An introduction will provide clear scope about the direction of your assignment. This includes providing some background to your essay (not restating the case) and defining the issues that you will be addressing in your discussion.

Part A: Analyse the case to identify potential clinical issues and relevant nursing care (1000 words) This section will focus on the first 24 hours of post-surgical care and involves prioritising nursing care for Wendy. Consider Anne’s co-morbidities including obstructive sleep apnea (OSA), previous MI, asthma, hypertension, and hypercholesterolemia in the context of having a general an aesthetic (GA) and in identifying your clinical issues.

1. Identify THREE (3) PRIORITY clinical issues for Anne e.g., at risk of severe pain

2. Identify NURSING INTERVENTIONS for each of the three clinical issues e.g., Encourage deep breathing exercises hourly

3. Provide RATIONALES for each nursing intervention. Rationales justify your interventions and are referenced. Suggestion: Intervention: Encourage deep breathing exercises including use of the spirometry, hourly; Rationale: Smith (2019) surmises that this promotes normal lung expansion increases oxygen levels, and is useful in preventing pneumonia and atelectasis

Part B: Discharge planning (600 words)

1. Plan and prioritise discharge advice for Anne

2. In the discharge plan, consider the appropriate post-operative education for Anne post-surgical care. Provide a concise discharge plan that includes education around medication, prevention of post-operative complications, psychosocial issues, and lifestyle modification.

3. Refrain from merely providing generic information. Be succinct and appropriate in your advice but also critically evaluate the information in the case and specifically relate this to your discharge plan.

Provide a CONCLUSION (approximately 100 words). Your conclusion succinctly summarises the main points of your assignment but this section is not an opportunity to introduce new information.

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