Nursing Reflection - Diabetices Ketoacidosis - Case Study Assignment Help

Internal Code : 3HFD

Nursing Reflection Case Study Assignment Help

Case Scenario : 1 This case mainly focusedfocusses on a 34 year old patient, Mr. Y, who presented in Emergency Department (ED) with Diabetices Ketoacidosis (DKA). DKA is defined as an acute state of severe uncontrolled diabetes associated with ketoacidosis that requires immediate treatment with insulin and intravenous fluids (Adams, S 2001 – Old reference – anything newer?). A 34 years old male was presented in ED The patient presented with two days history of persistent vomiting, nausea, epigastric pain, headache, high blood sugar of 28.7 and ketones of 5.6mmol. The Ppatient was given category 2 triage score (what relevance is this?) by using (Manchester triage 2014) and placed in the resuscitation bay for further management. I chose this cases due to high incidence of presentation of patients with these conditions in the acute setting. Case Scenario : 2 Urosepsis isare the most common cause of bacteremiabacteraemia in elderly people and are one of the leading cause of fever and admission to the hospital (Armitage et al., YEAR). The writer I will examines the medical case of 76 years old Mr X (whose identity have been withheld for confidentiality). Mr X presented to the Emergency Department (ED) via ambulance with complaints of a two- day history of worsening right flank pain, fever of 38.6 cCelsius, chills, nausea ,vomittingvomiting, dysuria, acute onset of confusion and frequent urination. History taken revealed that Mr X hasd hypertension, dementia, renal calculi, stenting and previous urinary tract infections. This case was of interest to the writerme as obtaining information from dementia patient with acute confusion proved challenging and also sepsis is one of the leading cause of mortality in Ireland (HSE 2018). Task :  Instructions for Completion of the Reflection on Practice Written Assignment: Following completion of the learning units, relevant workshops and clinical simulated scenarios for the Continuous Professional Development (CPD) in Emergency Nursing Course, the Reflection on Practice written assignment is completed to consolidate learning. The Assessment of Clinical Competencies (ACC) and the written assignment represent the final assessment for the course.  The criteria for the written assignment are as follows: 1. Select two patients you cared for in the Emergency Department (ED) during the final 13 weeks of the Course. 2. For each of the two patient cases, you should provide a short Introduction of no more than 150 words, which is part of the overall word count i.e. 1,250 words for each patient scenario. In the introduction, you must very briefly outline:

•  Patient history and presentation to the ED – chief complaint and symptoms.
•  Why you chose this patient case / situation.

3. Then, reflect on the patient case / situation, utilising Kolb's (1984) experiential learning cycle, which involves:

•  Identifying the problem: via focused patient assessment and interview and findings in collaboration with the multidisciplinary team (MDT), including nursing diagnoses.
•  Planning the care for the patient: prioritisation of care, including initial patient rescue, plus facilitation and coordination of relevant MDT, patient review and collaboration in care planning.
• Carrying out the care of the patient: applying appropriate skills and interventions in a dynamically changing environment/situation, underpinned by knowledge / best available evidence.
• Evaluating patient outcomes: from care and interventions delivered, measured against pre-set goals / plan of care and pre-set clinical determinants of clinical progress.
• Reflecting on your experience: how did the situation feel to you? What do you think went well, and why? What do you think could have gone better, and why? What would you do differently next time? What skills / knowledge do you think you need to improve in order to enhance the situation next time?

4. Under the above headings, the participant is required to write a 1,250 word piece on each of the two patient cases / situation, to a total of 2,500 words. The front page, these instructions, and the reference list are not included in this word count. However, any headings are.

5. Entries into the written assignment must be based on best available evidence and research, and sources cited must be appropriately referenced, both within text and in the reference list at the end of the assignment, utilising the Harvard Referencing System.

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