NURSE12160 - Acute Alteration In Health Assignment - CQUniversity

Assignment Task

Aim

The aim of this assessment is to demonstrate your understanding of the nursing roles within the perioperative and postoperative care of a patient. You will apply your understanding of the perioperative nursing roles in the care of a patient and demonstrate your understanding of the early recognition of deterioration and sepsis in the treatment and care of a person in an acute care environment.

You are a second-year nursing student on clinical placement. You have been given the opportunity to follow Emily from the emergency department (ED) to the theatre and then provide care for her on the surgical ward. Emily is a 45-year-old female who sustained abdominal trauma during a workplace incident. Emily was transferred from her hometown in regional QLD to a large acute hospital (tertiary). Emily has a history of Type 2 Diabetes and Obesity. Emily is a First Nations person and lives at home with her two children. A CT scan indicates internal injuries requiring emergency surgery.

This assessment contains five questions. It is suggested you utilise approximately 200 words for each response.

Question

1. Identify and discuss the acute National Health Priority Area that this scenario represents.

2. Identify three risks and challenges, based on Emily's medical and socio-cultural history, that may impact her care.

Emily's immediate post-operative phase and recovery is uneventful, and she is transferred to the surgical ward. Upon transfer to the unit, Emily is to commence on prophylactic cefazolin. You administer 2 grams of IV cefazolin (under the supervision of the RN) through a peripheral IV cannula. Twenty minutes later, Emily calls you complaining of an itch at the intravenous site travelling across her whole upper body. There is slight redness at the intravenous site but nowhere else on her body.

3. Prioritise three nursing actions that you will implement. Provide a wcy rationale for each action using evidence-based literature (order the actions from lemost important to least important).

It is now day two of Emily's recovery on the surgical ward. The surgeon has ordered the abdominal dressing to be taken down for a suture line review. When you remove the dressing, you note it is damp, there is purulent ooze, redness & slight sloughing of the peri-wound skin.

A wound culture is taken and sent for microscopy, culture and sensitivity (MSC) testing. The results indicate a gram-positive bacterium - staphylococcus is present.

4. Discuss the role and actions you would expect a registered nurse to implement to rule out the possibility of sepsis. Emily is now day seven and is ready to be transferred/discharged back to the regional hospital in her local town for further care.

5. Discuss three considerations that should be made when organizing Emily's discharge to the regional facility. The quality and credibility of your citation sources are important and give your writing strength and credibility.

You can use unit provided materials and other credible sources (e.g. journal articles, books) to reference your argument. The quality and credibility of your sources are important.

• We recommend that you access your discipline specific library guide: the Nursing and Midwifery Guide; Social Work and Community Services Guide.
• We recommend you use EndNote to manage your citations and reference list. More information on how to use EndNote is available at the CQUniversity Library website.
• For information on academic communication please go to the Academic Learning Centre Moodle site. The Academic Communication section has many helpful resources including information for students with English as a second language.

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