NUR241 - Health Alterations - Midwifery Practice - Mini Case Study - Nursing Assignment Help

Assignment Task

Task goal - The goal of this case study is for you to identify the role of the registered nurse / registered midwife in evidence-based assessment and care of individuals experiencing health alterations.

What you need to do:

In this task you will conduct a case study. There are three clinical scenarios, you will study only one. Please follow the steps below:

Step 1: Identify your allocated clinical scenario

• Students in Group A (starting in February, 2021) will select Clinical scenario 1.
• Students in Group B (starting March, 2021) will select Clinical

Scenario 2.
• Midwifery students will select Clinical scenario 3.

Step 2: Focused assessment of the patient
Detail the focused assessment and investigations appropriate for this patient, identifying the pathophysiology of the condition.

Step 3: Implementation and evaluation

Select, justify and describe one (1) intervention and describe the nursing / midwifery actions required to implement and evaluate it.

Additional notes
Select an intervention that corrects the pathophysiological change within the patient. Patient monitoring actions (completing vital signs and fluid balance charts) is considered as assessment or evaluation, it is not an intervention.

Clinical Scenario 1 (for Group A nursing students)

Identification -Fred Boyle, 75 year old, aged care resident Situation Presented to ED with increasing shortness of breath, confusion, and pale. Fred is now admitted with pneumonia

Background - Allergies: metoprolol Medication: Lasix 20mg mane, ramipril 5mg BD, Past illnesses: hypertension, prostate enlargement,

Last meal: breakfast at 6am (prune juice) and a small bowl of porridge (short of breath on eating) Events leading up to presentation: difficulty sleeping at night, sleeping upright in a recliner, nocturia, constant short of breath (has not been to the dining room for four days)

Assessment RR:25, decreased air entry on right lung SpO2: 95% 6L/min (Hudson mask)
HR: 113, regular fast pulse
BP: 100/70, pale facial colouring, warm to touch
T: 38.5
GCS: 14, confusion as to place and time

Recommendations Complete a focused assessment of the patient including investigations. Supplemental oxygen is currently applied to the patient. Select, justify and describe one (1) intervention and describe the nursing actions required to implement and evaluate it.

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