Highlights
Assignment Objectives:
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 2: Comprehensively conducts assessments. RNs accurately conduct comprehensive and systematic assessments. They analyse information and data and communicate outcomes as the basis for practice.
Standard 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.
Standard 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
Case Study
Sarah Blake is a 76-year-old retired pharmacist and has been admitted for a right total hip replacement. Please refer to the following pre and post-operative assessment data to answer the assignment questions.
Task description:
This assignment requires you to consider the case scenario of Sarah Blake who has undergone a right total hip replacement.
Your answer will concentrate on the first 24 hours of post-surgical care.
You may use headings to differentiate the three parts.
1. Provide an INTRODUCTION
An introduction should provide a clear scope about the direction of your assignment. This includes providing some background to your essay (not restating the case) and defining the issue that you will be addressing.
Part A. Explain the pathophysiology of Sarah’s post-operative hypovolemia and how the body might compensate for this physiologically ( In your discussion, consider the possible clinical issues related to the surgical procedure of a total hip replacement (THR), Sarah’s medical history and how Sarah might deteriorate (You will need to explain the relevant pathophysiology).
Consider how the stress of the operation might affect Sarah’s blood pressure
Part B: Identify priority clinical issues, nursing goals and nursing interventions Identify THREE (3)PRIORITY clinical problems for Sarah. Justify each problem based on the data collected from Sarah’s clinical assessment data.
for each of the THREE (3), clinical problem identified, describe ONE (1)nursing goal for Sarah’s care.
For each of the three (3) identified nursing goals, provide nursing interventions(with rationales)that will assist in achieving the identified nursing goals.
Part C: Discharge Plan
Identify and briefly discuss discharge planning for Sarah. Identify from the case the discharge planning that would need to be put in place for Sarah. Keep this section brief.
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