Acute Nursing
B3a3i2
acute_nursing.pdf
2803NRS ACUTE NURSING PRACTICE TRIMESTER 1, 2017
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Written Assignment: Essay
Word Count: 1500 Words
Weighting: 30%
Due Date: Tuesday, 2nd May, 2017 at 1700 hrs
Aim:
The aim of this essay is for you to demonstrate an ability to apply theoretical knowledge to plan effective evidence-based, person-centred care for a client with an acute medical or surgical condition, in line with the NMBA (2016) Registered nurses standards for practice. Assessment description: Consider the following client scenario:
John Grant, a 63 year old man has been diagnosed with bilateral knee osteoarthritis. His GP
added Endone 5 mg prn but due to his worsening pain, mostly in his right knee, John was
referred for a right total knee replacement and a plan to have the left knee done also, once
he was fully recovered from the first operation. He has a history of angina, hypertension
(HTN), hyperlipidemia, type 2 diabetes (T2DM), and depression.
John is widower and owns a café, along with his eldest daughter. He previously worked 6
days / week however due to his painful knees he has reduced his work to light duties and
office work 2 days/week and now worries about his daughter’s workload. John lives in his
own home, which has six steps at the front, and is usually able to do all his own Activities of
Daily Living (ADLs) and household work independently. His family visits regularly, and
recently his son and daughter-in-law have been helping with the housework and cooking.
John has returned to your ward after having his total knee replacement surgery and you are
the nurse taking over his post-operative cares.
1. Choose ONE of the topics listed below – Post op respiratory infection OR Post op
deep vein thrombosis (DVT).
2. Search the literature for at least 10 recent [less than five years old] research journal
articles or systematic review papers related to the topic you have selected.
3. Write an essay of 1500 words in length in response to the following essay
criteria.
4. Use current evidence to support your discussion on the topic.
5. Refer to the marking criteria to see how many marks are allocated to each section
and to get further information on the assignment structure.
6. Use the APA 6 Referencing style and the School’s assignment formatting guidelines
https://sites.google.com/a/griffith.edu.au/griffith-health-writing-and-referencing-guide/
2803NRS ACUTE NURSING PRACTICE TRIMESTER 1, 2017
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TOPICS: Choose ONE of the following post-operative conditions
For your chosen post-operative condition address the following criteria.
A. POST OP RESPIRATORY INFECTION
1. Provide an overview of the patient: ● Briefly outline their current condition and include some basic pathophysiology. ● Discuss other relevant medical history, social environmental and family situation. ● Identify and discuss risk factors (in other words what might go wrong to cause a
respiratory infection and why). ● Use scholarly literature to support your discussion.
2. Comprehensive assessment ● Discuss 2 areas of the systematic assessments relevant to the client and their
associated condition. ● Include in your discussion 2 risk assessments that may be relevant for this client,
including why they were chosen. ● Refer also to culture, ethnicity, family and the inter-professional team. ● Use scholarly literature to support your discussion.
3. Plan nursing care based on your assessments of the patient ● Discuss 2 specific strategies to meet the client’s needs identified in the assessment. ● From your analysis of the literature, propose and justify a plan to prevent a post-
operative respiratory infection in this client. (i.e., make a case for what is best practice based on your reading, and provide supporting evidence).
● Compare and contrast differing views that you found in the literature and construct an argument for what you think is best practice (i.e., evidence-based) in this particular scenario.
● Use scholarly literature to support your discussion (i.e., journal articles and contemporary sources).
4. Evaluationof care ● Discuss any inter-professional collaboration that may be required to manage the
patient whilst in hospital or at home. ● In your own words, and using reflective practice, discuss strategies to evaluate the
plan of care.
B. POST OP DEEP VEIN THROMBOSIS (DVT)
1. Provide an overview of the patient ● Briefly outline their current condition and include some basic pathophysiology. ● Discuss other relevant medical history, social environmental and family situation. ● Identify and discuss risk factors (in other words what might go wrong to cause a
DVT and why). ● Use scholarly literature to support your discussion.
2803NRS ACUTE NURSING PRACTICE TRIMESTER 1, 2017
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2. Comprehensive assessment ● Discuss 2 areas of the systematic assessments relevant to the client and their
associated condition. ● Include in your discussion 2 risk assessments that may be relevant for this client,
including why they were chosen. ● Refer also to culture, ethnicity, family and the inter-professional team. ● Use scholarly literature to support your discussion.
3. Plan nursing care based on your assessments of the patient ● Discuss 2 specific strategies to meet the client’s needs identified in the assessment. ● From your analysis of the literature, discuss and justify a plan to prevent a post-
operative deep vein thrombosis (DVT) in this client. (i.e., make a case for what is best practice based on your reading, and provide supporting evidence to back it up).
● Compare and contrast differing views that you found in the literature and construct an argument for what you think is best practice (i.e., evidence-based) in this particular scenario.
● Use scholarly literature to support your discussion (i.e., journal articles and contemporary sources).
4. Evaluation and of care ● Discuss any inter-professional collaboration that may be required to manage the
patient whilst in hospital or at home. ● In your own words, and using reflective practice discuss strategies to evaluate the
plan of care.
2803NRS ACUTE NURSING PRACTICE TRIMESTER 1, 2017
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WRITTEN ESSAY MARKING CRITERIA
CRITERIA POSSIBLEMARKS
Overview of the Client
● Provides a brief outline the clients current condition including some basic pathophysiology
● Discusses other relevant medical history, social environmental and family situation
● Identifies and discusses risk factors (in other words what might go wrong to cause a respiratory infection and why)
/ 20
Comprehensive assessment
● Discusses 2 areas of the systematic assessments relevant to the client and their associated condition.
● Includes in their discussion 2 risk assessments that may be relevant for this client, including why they were chosen.
● Refers also to culture, ethnicity, family and the inter-professional team
/ 25
Plan nursing care based on assessments of the client
● Discusses 2 specific strategies to meet the client’s needs identified in the assessment
● From the analysis of the literature reviewed, discusses and justifies a plan to prevent chosen condition in this client. (i.e., make a case for what is best practice based on your reading, and provide supporting evidence to back it up).
● Compares and contrasts differing views found in the literature and constructs an argument for what is best practice (i.e., evidence-based) in this particular scenario.
/ 30
Evaluation of care
● Discusses inter-professional collaboration that may be required to manage the patient whilst in hospital or at home
● In their own words used reflective practice to discuss strategies in evaluating a plan of care
/ 10
Presentation and Structure
Introduction and Conclusion
● Provides an introductory paragraph that clearly explains the purpose and
structure of the essay
● Provides a concluding paragraph that summarises the main points and
ideas of the essay, with no new material introduced
/ 5
Presentation
● Complies with academic standards – spacing, cover sheet, title page, and
word count
● Appropriate sentence and paragraph structure, overall logical flow,
appropriate grammar and spelling
/ 5
Referencing
● Supports all key points with current scholarly literature (at least 10)
● Complies with APA 6th format in-text and in reference list
/ 5
TOTAL MARKS / 100
2803NRS ACUTE NURSING PRACTICE TRIMESTER 1, 2017
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