NUR251 Medical Surgical Nursing 2 Assignment-Charles Darwin University Australia.

Assessment purpose
Assessment 1 is the only written academic assignment in NUR251 for students to demonstrate they:
1.Are developing the ability to locate, interpret, integrate,synthesize and apply nursing knowledge from NUR251 to a relevant nursing practice scenario in medical surgical settings
2.Are developing appropriate critical thinking, clinical reasoning and sound clinical decision making processes and strategies essential for safe, evidence-based and competent nursing practice in medical surgical settings
NUR251 Medical Surgical Nursing 2 Assignment-Charles Darwin University Australia.

NUR251 Medical Surgical Nursing2 Assignment-Charles Darwin University Australia.

3.Are able to focus their attention to the needs of the individual patient as the key concern of nursing practice in medical surgical settings
4.Are able to explain and justify or defend their nursing care decisions
5.Have a developing understanding of the role and scope of practice of the registered nurse in the Australian health care context
6.Are progressing towards the level of professional written communication required for nursing practice in Australia
7.Are demonstrating ethical and professional practice by adhering to the University’s academic integrity standards and plagiarism policy

Learning objectives
This assessment addresses the unit learning outcomes; 1, 2, 3, 4 and 5

Timely completion of study materials including modules 1, 2 and 3 with participation or review of online collaborate sessions, pre-recorded lectures or internal classes.

Presentation Guidelines

  • On the Assessment 1 template located in the Assessment 1 folder on NUR251 Learn line
  • As a computer generated document in Word format.
  • 1.5 spaced using Arial or Calibri font in size 11 or 12
  • In clear, coherent Australian English that demonstrates progression towards the standard for written communication for professional nursing practice in Australia
  • Using appropriate professional terminology
  • Contents page, title page, introduction and conclusion are NOT required
  • Unless otherwise indicated, no acronyms, abbreviations and/or nursing jargon
  • Unless otherwise indicated, grammatically correct sentences and topic paragraphs are required. Dot points only accepted in the nursing care plan.
  • No more than 10% over or under the stated word count. Marking will cease at the 10% over mark.
    o Note: Headings, any task information copied in and in-text citations are included in the word count. 100 words have been excluded from the word count to account for the headings within the nursing care plan template
  • Use of trade names is not acceptable. Only generic terms or names are to be used when referring to specific medications or other prescribed treatments or resources that may be used in nursing practice

Students are reminded of their academic responsibilities and professional nursing practice requirements when using the work of others in assignments.Reminder marks are allocated for academic integrity. See the marking criteria for Assessment 1 for full details. Breaches of academic integrity will be lodged on the University system and may have serious consequences for students.

NUR251 Medical Surgical Nursing 2 Assignment-Charles Darwin University Australia.

  • All information is to be interpreted and restated in your own original words demonstrating your ability to interpret, understand and paraphrase material from your sources
  • CDU APA 6th referencing style is to be used for both in-text citations and end of assessment reference list.
  • All resources for NUR251 assignments should be from quality, reliable and reputable journals relevant to nursing practice and the Australian healthcare industry. Please DO NOT use patient information leaflets.
  • All resources must be dated between 2010 and 2019
  • There must be at least 10 peer-reviewed journal articles and/or evidence based practice guidelines cited in your assignment.
  • Do not use any health facility or local health service policies or procedures
  • Only 1 current Australian medication textbook and 1 current Australian medical surgical nursing textbook to be referenced.

Identify: Mr. David

Situation: David is a 72 year old caucasian man from Darwin. He has been admitted to the CDU medical ward with Acute Kidney Injury (AKI) secondary to Pyelonephritis. He has a 1/52 history of fever, fatigue, decreased urine output, increased urgency and R) flank pain. He has now been transferred to the CDU Medical ward for continuing care.

Background: David is a widower and lives in Darwin. He lives alone in a single story home but his daughter lives close by and helps out when needed. He is independent with his cares. He has an extensive past medical history including: T2DM, Ex-smoker (quit 5 years ago), HTN, Hyper lipidaemia, chronic kidney disease stage 3 (Baseline eGFR 40 ml/min/1.73m2), chronic venous leg ulcer to L) leg, anxiety. No known declared allergies (NKDA). He is obese (BMI 30) and drinks 1 bottle of wine every night.

Assessment: Airway: Own, patent
Breathing: RR 22, Sats 94% on RA.
Circulation: HR 96 bpm, BP 160/95 mmHg, Bilateral pitting oedema to his calves. Disability: GCS 15/15, 2/10 pain to R) flank, feels tired and a bit worried. Exposure: Temp 38.4 oC David looks unwell. He is restless and has a flushed appearance. His urine is dark in colour and offensive smelling. He has urinated 100 ml into a urine bottle since admission to hospital 4 hours ago. David had 2 x IVC’s inserted to both ACF’s and is tolerating a diabetic diet. He last opened his bowels this morning.

Recommendations/Read back:Medical orders

  • Routine ward assessment and observations
  • Strict fluid monitoring
  • MSU for MC & S
  • Diabetic diet and fluids as tolerated
  • Pain management
  • TED stockings and DVT prophylaxis

Medication orders

  • Intravenous sodium chloride 1000mls over 8 hours
  • Intravenous frusemide 80mg STAT
  • Oral paracetamol 1g QID, S/C morphine 2.5mg, 4 hourly PRN
  • Usual medications: Metformin XR 1gm BD, Ramipril 10mg OD, Simvastatin 20mg OD

Nursing orders

  • Devise a plan of care for your patient

Assessment 1 Tasks:

Using the template provided in the Assessment 1 folder and, based on the handover you received at the beginning of your shift today, other information included below and current reliable evidence for practice, address the following tasks.Do not make up or assume information in relation to or about David. Only use what you know from the information you received today.

Task 1: Assessment

Based on the case scenario and in grammatically correct sentences identify:

  • Three (3) priority nursing assessments you would conduct at the commencement of your shift

For each assessment you have identified explain:

  • Why it is necessary for David’s condition and nursing care?
  • What consequences can occur if this assessment is not completed accurately?
  • What chart or document could you use to assist with/record your assessments?

Task 2:

Based solely on the handover you have received and using the template provided, complete a nursing care plan for David. Your plan must address the physical, functional and psychosocial aspects of care.Five (5) nursing problems have been provided for you. For each nursing problem on your care plan you need to identify;

NUR251 Medical Surgical Nursing 2 Assignment-Charles Darwin University Australia.

  • What it is related to?
  • Goal of care
  • Interventions
  • Rationales for interventions
  • Evaluation

Notes for Task 2 only

  • Dot points may be used in the care plan template
  • Appropriate professional language must be used – legally recognised abbreviations may be used in this task (care plan) but a KEY with full terminology must be provided after the assignment references – key will be excluded from word count tally
  • Rationales must be appropriately referenced

Task 3: Patient education Discharge planning

An important aspect of nursing practice is to effectively and succinctly communicate relevant information related to ongoing disease management or prevention of reinfection or deterioration on discharge.

Patient education and discharge planning starts on admission and you need to provide David with education during your shift in preparation for discharge home.

NUR251 Medical Surgical Nursing 2 Assignment-Charles Darwin University Australia.

NUR251 Medical Surgical Nursing2 Assignment-Charles Darwin University Australia.
  • Explain two (2) important points/topics you will need to include in David’s preparation for discharge to aid healing and prevent further illness.

For each education point identified provide:

  • One (1) strategy to assist David to implement the education into his daily routine.

Task 4: Documentation

An important legal requirement of nursing practice is to effectively and succinctly document relevant information, actions and outcomes related to patient care and provide an accurate reflection of the health status of the patient, their responses to care and the patient’s perspective.

  • Make an entry into David’s patient progress notes documenting the successful implementation of your nursing care plan.

You can choose any progress note format but your documentation must:
 Demonstrate person-centred care
 Adhere to the legal and professional standards for documentation
 Appropriate professional language must be used – legally recognised abbreviations may be used in this task but a KEY with full terminology must be provided after the assignment references – key will be excluded from word count tally

Your assignment must include a reference list after the completion of the tasks and a key if you have used abbreviations in task 2 or 4.

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