NURS 2040 - Diagnostics & Pharmacotherapeutics Assignment

Assignment Task

Course Objectives assessed:

CO1 Demonstrate the ability to synthesise and interpret assessment data from a variety of sources to inform clinical decisions and care planning in the provision of comprehensive person-centered care in a simulated environment.

CO2 Critically analyse the nursing application of diagnostic, therapeutic and preventative techniques in the recognition and management of the deteriorating client.

CO3 Apply pharmacological knowledge to recognise and describe indicators and contraindications for appropriate medication management in the provision of person-centered care.

CO4 Apply principles of diagnostic reasoning and pharmacotherapeutic management to the provision of person-centered nursing care of clients with common health conditions.

Assessment Description

In this essay, you will apply your knowledge of clinical assessments, clinical reasoning, and pharmacotherapeutics to critique a scenario involving a person living with heart failure (Mrs Gina Goddard). The scenario presents a series of events leading up to an exacerbation of heart failure and readmission to hospital. Your task is to analyse the situation, identify the critical errors of omission made in assessment, clinical decision-making, and medication management and provide recommendations for improving patient care and safety. This essay will allow you to demonstrate your understanding of the importance of these nursing skills and their impact on patient outcomes.

Introduction 

Introduce the essay purpose and structure. Briefly summarise the clinical scenario (Mrs. Gina Goddard) and identify the main issues arising from the scenario that you will focus on in the essay.

Heart Failure with Reduced Ejection Fraction (HFrEF)

Explain the pathophysiology and clinical manifestations of heart failure with reduced ejection fraction (HFrEF) as experienced by Mrs Goddard. Support your explanation with specific clinical information from the clinical scenario, Australian clinical guidelines, and evidenced-based literature.

Medication Management for Heart Failure with Reduced Ejection Fraction

Describe the medication management for heart failure with reduced ejection fraction (HFrEF), as prescribed for Mrs Goddard. Review the clinical scenario and identify the probable drug-to-disease interaction and/or drug-to drug interaction that has contributed to the exacerbation of heart failure and hospital re-admission for Mrs Goddard. Support your discussion with specific clinical information from the clinical scenario, Australian clinical guidelines, and evidence-based literature.

Person-centered nursing care 

Describe the nurse’s role in patient education and discharge planning to ensure safe person-centred nursing of the person living with HFrEF. Discuss the factors that may have contributed to the exacerbation of heart failure and hospital re-admission for Mrs Goddard. Support your discussion with specific clinical information from the clinical scenario, Australian clinical guidelines, and evidence-based literature.

Clinical Scenario: Mrs. Gina Goddard

The following scenario describes the case of Mrs Gina Goddard who had an unplanned medication-related hospital readmission within 72 hours of discharge post-surgical repair of a fractured Left femur.

Mrs Goddard is a 78-year-old woman who is returning home following an open reduction and internal fixation (ORIF) for a left hip fracture sustained after a fall at home. Mrs Goddard has heart failure with reduced ejection fraction (HRrEF), diagnosed 12 months ago, post experiencing a ‘silent’ anterior myocardial infarction. She has a history of hypertension and hypercholesterolemia. Prior to this latest hospital admission, Mrs Goddard was living in her own home independently, managing her own activities of daily living including medications. She is mobilising with a frame and has required regular pain relief post operatively. Mrs Goddard’s discharge medications were dispensed in blister pack and did not include any analgesia. She was advised by the discharge nurse to visit the community pharmacy for over the counter (OTC) medications (e.g., nonsteroidal antiinflammatory drugs) and to take Ibuprofen 400mg TDS. Her blister pack contained the following morning medications:

• Enalapril 20mg daily
• Bisoprolol 10mg daily
• Spironolactone 25mg daily
• Furosemide 40mg daily
• Atorvastatin 40mg daily

Two days post-discharge Mrs Goddard phoned her daughter because she was feeling breathless and was having difficulty using the walking frame because her ankles were very swollen. On further questioning from her daughter, Mrs Goddard denied pain and said she had been managing this well with the new painkillers that the nurse recommended for her on discharge. She did admit to feeling increasingly breathless over the weekend and needed to sleep in the recliner chair at night. She had not felt safe standing on the scale, so she had not weighed herself since discharge from the hospital. Mrs Goddard did have an appointment with her General Practitioner for Wednesday the following week, and an outpatient appointment in two weeks with the orthopaedic surgeon. Being a Sunday, Mrs Goddard’s daughter decided to take her into the emergency department for review.

On admission to the emergency department, her clinical observations were documented as:

• BP 190/110
• HR 120
• RR 28
• SpO2 96% with 6L oxygen via Hudson mask
• AE: diverse crackles auscultated bilateral lung fields
• Pitting oedema bilateral legs

A peripheral intravenous cannula was inserted, and bloods were taken. She was prescribed intravenous Furosemide 80mg which was administered with good effect. Mrs Goddard was admitted with exacerbation of heart failure for investigation.

This Medical Science has been solved by our PhD Experts at My Uni Paper. Our Assignment Writing Experts are efficient in providing a fresh solution to this question. We are serving more than 10000+ Students in Australia, the UK, and the US by helping them to score HD in their academics. Our Experts are well-trained to follow all marking rubrics and referencing styles.

Be it a used or new solution, the quality of the work submitted by our assignment experts remains unhampered. You may continue to expect the same or even better quality with the used and new assignment solution files respectively. There’s one thing to be noticed you could choose one between the two and acquire an HD either way. You could choose a new assignment solution file to get yourself an exclusive, plagiarism (with free Turnitin file), expert quality assignment or order an old solution file that was considered worthy of the highest distinction.