Neuro-obs · Whatisyourrationalefor conductingthistypeofassessment,withevidence · Howfrequentlyandforhowlongwouldyouconductthisassessment,withevidence

Neuro-obs · Whatisyourrationalefor conductingthistypeofassessment,withevidence
· Howfrequentlyandforhowlongwouldyouconductthisassessment,withevidence
Ben is a 38-year old male and was brought into the ED due to a major road traffic accident and required urgent open reduction internal fixations for both his left femoral fracture and left tibial fracture. Considering Ben’s blood test result and present situation, it is believed that Post operatively, Ben’s one of actual problem is Anaemic and the potential problem is at risk of compartments syndrome.
PROBLEM 1:
Rationale:
Intervention
Direct Action: (of a nurse in conjunction with a doctors order)
Direct Action: (of a nurse in conjunction with a doctors order)
Direct Action: (of a nurse in conjunction with a doctors order)
Direct Action: (of a nurse in conjunction with a doctors order)
Referral:
Evaluation
Outcome
PROBLEM 2:risk of compartments syndrome
Rationale:
Intervention
Direct Action: (of a nurse in conjunction with a doctors order)
Direct Action: (of a nurse in conjunction with a doctors order)
Direct Action: (of a nurse in conjunction with a doctors order)
Direct Action: (of a nurse in conjunction with a doctors order)
Referral:
Evaluation
Outcome
COMPLEX NURSING CARE – MEDICAL/SURGICAL
ADDITIONAL GUIDELINES
ASSESSMENTTASKS1 AND 2
PLEASE READ THE DESCRIPTION OF THE ASSESSMENT ITEMS IN THE SUBJECT OUTLINE or in UTSOnline IN CONJUNCTION WITH THESE ADDITIONAL NOTES
Assessment 1 – Complex Patient Care Plan
Focus on patient assessment data, problem identification and optimal patient outcomes
Patient problem identification
Use the principles of the nursing process and the assessment data from one of two case studies (Ben Casey Part 1 or Peter Lars) to identify actual or potential health problems which can be dealt with using nursing interventions. Nursing interventions can be:
Independent interventions – nurse led, nurse initiated
Collaborative interventions – with other members of the multidisciplinary team
Dependant interventions – for example dependant on a doctors order
The process to do this will involve:
Examination of assessment data: assessment data can be either:
Objective data: data which is empirical or which can be verified by an external source. Examples include: patient observations or lab tests.
Subjective data: this is information which comes from the patient, family, or other sources and cannot be verified independently. An example is quality of pain described by patients (it is the patient’s perception of pain and cannot be verified by tests), patient descriptions about how they are feeling or a patient’s history told by the patient or family.
Organising the data:
Group the assessment data,for example using Gordon’s Functional Health Patterns or an A-G style format may assist.
After collecting both the subjective and objective data start to make connections between various assessment items and consider actual or potential health problems.
Identify as many problems as you can for the patient then prioritise up to 6 problems that are the most immediate for this patient. This will form the basis of Assessment task 1.
Problems may be:
an actual health problem: a health problem that is currently occurring and needs intervention to either end or reverse its effects. Patient signs and symptoms support the manifestation of the problem.
Examples: Anxiety related to…..
Dehydration due to ……..
Infection related to ……
Pain related to ….
Impaired skin integrity due to ….
a potential health problem: a health problem which has not yet occurred, however based on assessment items is likely to occur if no intervention or prevention is initiated within a short period of time. The patient is ‘at risk of’.
At risk of falls due to …
At risk for DVT due to….
Once the actual or potential health problems are identified, the patient and/or nursing outcomes need to be considered. The outcome, like the problem, needs to be of a patient or nursing nature. This means that the intervention should be one that a Registered Nurse can perform/is involved with. The nursing outcomes (dot points) describe whatnursing interventions expect to achieve for the patient.
Focus on those problems and nursing/patient outcomes that nursing interventions could contribute to or could be completed during one standard nursing shift.
Actual or potential problem Assessment data Nursing outcome
Actual problem: the patient is dehydrated related to decreased fluid intake Low blood pressure (or ↓BP)
Tachycardic
Patient states he is thirsty
Patient will return to a normotensive state as evidenced by higher blood pressure, stable and
acceptable pulse, and a lack of reported thirst
Note: you can use common abbreviations or symbols, e.g. BP for blood pressure,↓ for decrease.
List 1 key reference, policy or guidelines for each problem identified that has informed your care plan. List these as a bibliography – they do not need to be cited in the care plan. These need to be nursing/professionally oriented sources not, for example, patient/consumer websites.
Assessment 2 – Individual written report
Focus on the implementation of nursing care, the rationale for care and its evaluation.
Select 2 of the problems identified on the care plan in Assessment task 1 – it is suggested that at least one should be an actual problem
The individual written report expands on the information presented in the care plan for 2 of the identified problems. The written report will need to hold more detail and explanation than in the care plan. In particular you will need to give the rationale for the nursing intervention, why is thisappropriate care to provide. In addition you will need to demonstrate an understanding of the underlying pathophysiology –again as applies to the chosen interventions/nursing care. This is not a biology essay.
As this is a report format headings/sub headings can be used. It is your choice to use headings; they are not required but can make it easier to organise your work. These are two possibilities:
Address each section individually (i.e. discuss both health problems, then both outcomes, then all interventions and evaluations). This can work well if there is a relationship between the two patient problems ,
or address all sections of each individual health problem together (i.e. health problem one- rationale, outcome, interventions, evaluation; health problem two…)
Items to include in the report:
Background on your patient (please keep it very brief, only include enough for your reader to understand your content).
Assessment data- this will only be needed in order to explain how you arrived at your chosen health problems.
Identified health problems- you will only need to choose two from the original list in your care plan. At least one should be an actual problem.
The identified health outcomes for your problems- these will be key to linking your health problem and intervention through to evaluation of care (s).
What you will need to accomplish within the report
Using assessment data from the case study and scholarly evidence provide a pathophysiological rationale for arriving at the two health problems from the collected data.
Using scholarly evidence and reasoning provide a rationale for the chosen health outcomes.
Using scholarly evidence prioritise the main nursing interventions which can be undertaken by a new graduate registered nurses to assist the patient to achieve the desired health outcome. What evidence, policy or guidelines supports these interventions. For some patient problems there may potentially be a wide range of possible interventions, so focus on the exploring the key interventions to generate some depth.
How would you measure the effectiveness of your chosen interventions, what evidence would be required to demonstrate if the goals of care had been achieved.
Support your work with in textcitation to references and associated reference list. Please take care with websites/online materials. These must be of a scholarly nature and is focused at health professionals. Acceptable online content includes journal articles accessed online, policies or guidelines e.g. NSW Health policies, identifiable documents from government sources or organisation like WHO.
Interventions
Many interventions are undertaken in conjunction with other members of the healthcare team for example many direct interventions require doctor’s orders prior. This table gives examples of some different types of interventions and what evidence would be expected for each type. It is not exhaustive:
Interventiontype Example Requiredinformation
Directaction Administeringoxygen · Evidenceforrationale
· Amount/quantityyouwoulduseandevidenceforthis
· Type/deviceusedifapplicable
· Duration-forhowlong
· Safety – must be prescribed, though protocols allow initiation in an emergency
Notification Informingthedoctor · Rationalefor whythiswouldbemostappropriate
· Whatinformationwouldyougivetothedoctor
· Whatrecommendedactionwouldbeappropriateaccordingtotheevidence/why
Direct
Assessment
Neuro-obs · Whatisyourrationalefor conductingthistypeofassessment,withevidence
· Howfrequentlyandforhowlongwouldyouconductthisassessment,withevidence
· Whatparameterswouldyouconsiderabnormal-andifabnormal whatwouldbeyournextresponse,withevidence
Referral Referraltodietician · What specifically wouldyou wantthereferringpersontoaddress, why
· Howwould thisreferral reasonablyleadtotheoutcomebeingachieved
· Whatinformationwouldyougivetothepersonreceivingthereferral
Monitoring WatchingforsignsofLOC · Howwould youmonitorthis overandaboveyournormalnursingcare
· Provideevidencethatthistypeofmonitoringisrecommendedforthehealthproblem
· Whatsigns/symptomswouldbeconsideredabnormalandwhatwouldyourresponsebe,withevidence
Teaching/education Teaching post-op exercise · Rationale
· Summary of what these entail
· Frequency required
· How you would confirm patient understanding +/or is compliant
92330 Autumn 2017

Having Trouble Meeting Your Deadline?

Get your assignment on Neuro-obs · Whatisyourrationalefor conductingthistypeofassessment,withevidence · Howfrequentlyandforhowlongwouldyouconductthisassessment,withevidence completed on time. avoid delay and – ORDER NOW

Do My Paper

 
PLACE THIS ORDER OR A SIMILAR ORDER WITH NURSING TERM PAPERS TODAY AND GET AN AMAZING DISCOUNT

Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Order Now and we will direct you to our Order Page at Litessays. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.