NUR2203 - Nursing the Gastrointestinal Surgical Patient Assignment

Assignment Task

The purpose of this assignment is to develop your critical thinking skills and clinical decision-making abilities in the care of a client with complex needs. In doing so, you are examining and applying the following standards for registered nurses for a patient episode of care. Read the case study below and answer the questions with subheadings in essay style

1. Thinks critically and analyses nursing practice.

RNs (Registered Nurses) 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.

2. Comprehensively conducts assessments

RNs accurately conduct comprehensive and systematic assessments. They analyse information and data and communicate outcomes as the basis for practice.

3. 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.

4. 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 Registered Nurse standards for practice Retrieved from:

Case Study

Mrs Sara Singh, a 56-year-old part-time landscape gardener presented to her GP (General Practitioner) four weeks ago with a 2-month history of abdominal pain and diarrhoea. A colonoscopy and CT (Computed Tomography) scan revealed a large tumour in the ascending colon.  Sara has been scheduled for an open right hemicolectomy.

Please refer to the following pre- and post-operative assessment data to answer the assignment questions.

Task description in detail

This assignment requires you to consider the case scenario of Sara Singh who has undergone an open right hemicolectomy. Your answer will concentrate on the first 24 hours of post-surgical care and includes discharge planning

1. Provide an introduction

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

This section will focus on the first 24 hours of post-surgical care and involves prioritising nursing care for Ben. Consider Sara’s co-morbidities including obstructive sleep apnoea (OSA), previous MI, asthma, hypertension, and hypercholesterolemia in the context of having a general anaesthetic (GA) and in identifying your clinical issues.

1. Identify three (3) Priority clinical issues for Sara e.g., at risk of severe pain

2. IdentifyNursing intervention for each of the three clinical issues e.g., Encourage deep breathing exercises hourly

3. Explain 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: Jones (2022) surmises that this promotes normal lung expansion increases oxygen levels, and is useful in preventing pneumonia and atelectasis

Part B: Discharge planning 

1. Plan and prioritise discharge advice for Ben

2. In the discharge plan, consider the appropriate post-operative education for Sara’s 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.

This NUR2203 - Nursing has been solved by our PhD Experts at My Uni Paper.