Highlights
1.1 An Introduction to this Unit
This unit provides the theoretical background knowledge for Professional Practice 3. It introduces the student to the fundamental principles of perioperative nursing care in supporting clients undergoing surgical interventions incorporating the related pathophysiology and pharmacology. In particular, nursing care of surgical interventions relating to the gastrointestinal, musculoskeletal and reproductive systems, and injury prevention and controls will be the focus of case history reviews. The National Health Priority Areas of Injury Prevention and Control, Arthritis and Musculoskeletal conditions and Cancer Control will be addressed.
1.2 What is Expected of You
Study Load
A student is expected to study an hour per credit point a week. For example a 10 credit point unit would require 10 hours of study per week. This time includes the time spent within classes during lectures, tutorials or practicals.
Attendance
It is strongly recommended that students attend all scheduled learning activities to support their learning.
Learning Outcomes
This unit will contribute to completion of course level outcomes, Western Sydney University graduate attributes and the Nursing and Midwifery Board of Australia Registered Nurse Standards for Practice. Course level learning outcomes can be accessed on your Unit vUWS Home Page. TheHealthVariations1-PerioperativeunitispartoftheBachelorofNursing, BachelorofNursing(GraduateEntry) and the Bachelor of Nursing (Advanced). The unit provides the foundation for developing comprehensive, coherent andconnectedknowledgeinthenursingdisciplineandintroducesanddevelopsinteractionskillswhichwillberequired by graduates in their work environments. Learning outcomes for the unit are outlined below.
1. Apply the principles of perioperative nursing to the role of the nurse in the perioperative period
2. Explain safe and effective use of pharmacological agents across the lifespan in the perioperative period
3. Discuss non-pharmacological comfort measures that may be used during the perioperative period
4. Discuss the pathophysiology of gastrointestinal conditions across the lifespan
5. Discuss breast and bowel conditions across the lifespan
6. Discuss the pathophysiology of arthritis, musculoskeletal conditions and cancer across the lifespan
7. Discuss injury prevention and control as they relate to pathophysiology across the lifespan 8 Use information literacy skills to access and evaluate relevant evidence-based literature on the provision of effective nursing management of people across the lifespan in the perioperative period
Scenario :
Case Study with four (4) guided questions Case Study: Jordan James is a 25-year-old male. Jordan has been admitted to hospital with a five day history of right lower abdominal cramping pain, a feeling of abdominal bloating, nausea and bilious vomiting, and an increased amount of abdominal gurgling and rumbling. Jordan stated that over recent weeks, he has experienced persistent diarrhoea, lower right abdominal pain and tenderness, fatigue and malaise. Jordan stated he has not been able to keep up with his work demands and is not getting quality rest and sleep. Due to his diarrhoea and current vomiting Jordan states that he has been reluctant to eat or drink much during the past five (5) days. He reported that he has lost seven kilograms in the last three weeks. JordanwasdiagnosedwithCrohn’sdiseasewhenhewas17yearsold. HisCrohn’sdiseasewasdiagnosedafterJordan presented to his general practitioner (GP) with a perianal abscess. Since his diagnosis and surgical management of his perianal abscess, Jordan’s Crohn’s disease has been managed with pharmacological (infliximab) and dietary strategies, and medical monitoring. During this time, Jordan has had a number of exacerbations of Crohn’s disease.
On examination, Jordan had a distended abdomen, a tender mass in his right lower abdominal quadrant and audible bowel sounds. His skin was pale and dry with poor turgor. His extremities were cool to touch. The medical o?icer (MO) noted that Jordan had poor capillary refill and flat neck veins. The MO ordered some preliminary blood tests and an abdominal CT scan.
Questions
1. Explain the structural and functional changes in the disease process that led to Jordan’s weight loss. Student answers must be supported by relevant academic references. References are not included in the word limit.
2. Explain the pain pathway and how Morphine alters the conscious perception of pain. Students answers must be supported by relevant academic references. References are not included in the word limit.
3. Explain the clinical manifestations that may indicate the deterioration of Jordan’s Crohn’s condition and explain why they occur. Students answers must be supported by relevant academic references. References are not included in the word limit.
4. Explain the characteristics of the intravenous fluid that was ordered for Jordan and explain the rationale for the administration of the IV fluid relating to Jordan’s specific fluid balance. Students answers must be supported by relevant academic references.
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