Principles of Patient and Family Assignment

Assignment Task

Primary

During this stage the nurse begins to collect relevant information by asking questions and performing a brief primary assessment.

What are the components of a comprehensive primary assessment that are clinically appropriate for Mrs White? DRSABCDE relates to Mrs White.

Identify any areas of concern in the primary assessment you would like to highlight for Mrs White. Your answers may be in dot-point form for this section only

Focussed

Based on the findings of the primary assessment, the nurse begins to collect information by asking relevant questions and performing a focussed assessment.

• Choose two (2) priority systems to assess and provide rationale for why you have prioritised these two (2) systems. Look for clues in the case information/handover/notes to ensure your choice is relevant to the case. Provide rationale behind choosing those two prioritise system.

• Identify any other relevant information/assessment connected to your two (2) systems (focussed assessments) you would like to know more about to ensure a thorough focussed assessment has occurred.

Identifying Nursing Problems

In this stage, the nurse synthesizes all the information that has been collected and identifies the most urgent patient problems.

• Discuss the physical assessment findings that may alert you to physiological deterioration and explain why the findings are concerning.
• Identify and prioritize two (2) actual patient problems and provide rationale for your prioritising of each patient problem.
• Identify and prioritise one (1) potential problem of concern for this patient, and provide a rationale for each of your choices. These problems must be of significance and relevance to the patient in this case.

Planning and Implementing Care

Based on Mrs White's nursing problems, the nurse selects the most appropriate course of action and prioritizes interventions.

Discuss two (2) key evidence-based nursing interventions, including brief rationales for each intervention.

• Interventions may relate to Mrs White's presentation at 0730 or be based on the 'bigger picture' of her needs during admission.
• Interventions must be prioritized.
• Interventions need to be nursing interventions, not medical.
• Interventions must not be generic (i.e. vital signs, medication rounds are relevant to all patients; you should focus on interventions specific to Mrs White's needs.)

Evaluation

This stage requires the nurse to evaluate each of the two (2) proposed interventions and determine whether the patient's condition has improved. This is how you will determine if the interventions you proposed have been successful.

• What physical assessment findings would indicate that the two (2) nursing interventions you have suggested, have been effective or not? For each intervention you have identified, state at least one (1) way you can evaluate if the intervention has worked or not.
• You may include your evaluation as part of your planning and implementing section.

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