NUR330 - Advanced Medical Surgical Nursing - Nursing Case Scenario - Nursing Assignment Help

Assignment Task:

Assessment 1 Description:

Using the case study provided, create a 1000 word written report answering the following questions.

Task 1

a) Identify the Australasian Triage Scale (ATS) you would assign to Gail on her arrival at the triage via the ambulance bay without any nursing assessment findings. Provide a rationale for your score.

b) What location in the emergency department would you allocate Gail for assessment and treatment? Provide a rationale for your answer

Task 2 patient assessments

a) Would you perform a secondary survey on the patient? Provide a rationale for your answer.

b) Would you perform an ECG on Gail? Provide a rationale for your answer.

c) Using the ECG provided, calculate the patient's heart rate and Identify the rhythm. Provide a brief explanation of how you came to this conclusion. 

Task 3 focused assessments: 

a) Identify the specific body system(s) related to Gail’s presenting condition, you would conduct a focussed assessment. Provide a rationale for conducting this type of nursing assessment(s).

Task 4 medication management: 

a) Critically evaluate the pharmacological pain management prescribed for Gail. What medication would you use, if any, to treat Gail’s pain? Provide a rationale for your answer. 

Task 5 patient safety: 

a) Identifying any concerns, complications or issues that may develop for Gail or the nursing staff as a consequence of a prolonged stay in the emergency department. Briefly explain why they may be an issue or concern. 

Assessment 2 Case scenario:

Gail Peters is a 70 years old female brought into the Emergency Department by ambulance. She was found at the roadside in pain and unable to stand. She recalls going out to walk her dog and then remembers being on the ground in pain. The ambulance report states Gail was alert on arrival to the scene, she was lying in the prone position, crying and distressed about the whereabouts of her pet dog. Gail was given Penthrox inhaler “green whistle” to manage the pain in her right leg during transfer. Gail lives in independently in a low-level retirement estate following the sudden death of her husband two (2) years ago. Gail’s medical history includes hypertension and osteoarthritis. 

Assessment findings: 

Triage note 

BIBA –? mechanical fall with no recall of event. Alert and orientated. Deformity and pain to right leg. Multiple abrasions to hands and legs. 

Mhx: hypertension & osteoarthritis 

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