assignment

Order Description Referencin" rel="nofollow">ing will be APA, QUT style. Also about the referencin" rel="nofollow">ing boundary its written in" rel="nofollow">in case study. NSB0 2 4 NU R SING P R A C TI CE I N C O N T EXT 4 A S S ES SM E N T 1 – Written Assignment Le n g t h : 2 , 2 00 w o r d s (  1 0%) W e i g h t i n g : 50 % Lea rnin" rel="nofollow">in g O u t c o me s As sessed: 1 , 2, 3 & 5 Case Scenario Mr George Jensen , a 65 - year old male, was brought in" rel="nofollow">into Emergency Department with an open fracture of his right tibia and fibula after fallin" rel="nofollow">ing from his roof while clearin" rel="nofollow">ing the gutters. The follow in" rel="nofollow">ing data were obtain" rel="nofollow">ined on his admission: Objective Data Past Med ical Admission History Social History  Weight 12 2 kgs  Height 190 cms  BMI 33  Dimin" rel="nofollow">inished peripheral pulses  eGFR 78 mls/min" rel="nofollow">in/1.73m  Hb 11.3gms/dl  BP 155/100  HR 110  Diagnosed with type 2 diabetes mellitus 2 years ago – on oral hypoglycaemics  Hypertension Current Medications :  Glibenclamide, 5mgs , Mane  Captopril, 50mgs , BD  Simvastatin" rel="nofollow">in 40mgs, Nocte ,  Rantidin" rel="nofollow">ine 150mgs, BD  Aspirin" rel="nofollow">in 75mgs, Mane  Has 3 children and an ex - wife who live out of state ;  Has been workin" rel="nofollow">ing as a real estate agent 20hrs/wk.  Consumes 15units of alcohol/day  Smokes 20 roll - up cigarettes per day for last 10 years . He was taken to theatre as an emergency case where he had an open reduction and external fixation of his fractures . He has returned to your ward at 5.30am post - operatively. You have arrived on the mornin" rel="nofollow">ing shift to fin" rel="nofollow">ind : ASSESSMENT DATA  His r ight leg is cool to touch;  Pain" rel="nofollow">in Score is 7 on a scale of 1 - 10;  Fracture site and pin" rel="nofollow">in sites have serous ooze with notable swellin" rel="nofollow">ing of his right leg;  Blood glucose level of 17 mmols/ltr ;  His post - operative vital signs are currently , HR 107BPM, BP 104/55mmHg, temp 37.9°C Axilla, SaO 2 95%, FiO 2 6 ltir es via Hudson mask, Resp rate 24 BPM ;  Hartmans solution runnin" rel="nofollow">ing at 125mls/hr via triple lumen central lin" rel="nofollow">ine situated in" rel="nofollow">in the right in" rel="nofollow">internal jugular.  Insulin" rel="nofollow">in and dextr ose in" rel="nofollow">infusion runnin" rel="nofollow">ing at 2mls/hr (2 units/hr) ;  Urin" rel="nofollow">ine output via a Foley IDC is >1ml/kg/hr and dilute. Applyin" rel="nofollow">ing your knowledge and understandin" rel="nofollow">ing of Type 2 Diabetes, fractures and hypertension, you are asked to write an academic essay applyin" rel="nofollow">ing the followin" rel="nofollow">ing prin" rel="nofollow">inciples throughout your discussion: 1. Explain" rel="nofollow">in , the pathophysiology of Mr J ensen ’ s post - operative hypovolemia and how some of his post - operative assessment data might have contributed to this . In addition explain" rel="nofollow">in how the body might compensate for this physiologically ( a p p r o x i m a t e l y 8 0 0 words) . 2. Identify Mr Jensen’s actual PRIORITY problems . Justify each problem based on the data collected from Mr Jensen’s assessment data (approximately 4 00 words) . 3. For each problem identified, describe one (1) nursin" rel="nofollow">ing goal for his care (approximate ly 200 words) . 4. Choose two (2) of the identified goals, and justify, with a synthesis and an analysis of the evidence - based literature, nursin" rel="nofollow">ing in" rel="nofollow">interventions with rationales to assist in" rel="nofollow">in ac hievin" rel="nofollow">ing the id entified goals. (approximately 8 00 words) . ASSIGNMENT TIPS The most important thin" rel="nofollow">ing you must consider for this assignment is that it is sequential. This means you cannot answer the questions out of sequence, the assignment won't make sense to the marker if you attempt to do this. For exa mple to answer Q3 you should have answered Q2 first and so on. Q1: Is askin" rel="nofollow">ing you to consider how the stress of the operation might affect his blood pressure . Q 2 : I s a s k i ng yo u to consider the most important problems - remember ABCDE. Q3 : Is askin" rel="nofollow">ing you to identify patient centred nursin" rel="nofollow">ing goals for the prob lems you have identified from Q2 - I would strongly urge you to review the PowerPoin" rel="nofollow">int on Goal Settin" rel="nofollow">ing as to how to write a c oncise patient centred nursin" rel="nofollow">ing goal. Q4 : Is askin" rel="nofollow">ing you to only pick 2 of those nursin" rel="nofollow">ing goals (any 2 the choice is yours) and usin" rel="nofollow">ing the literature provide an evidenced - based rationale as to why these in" rel="nofollow">interventions are appropriate in" rel="nofollow">in this case.  Min" rel="nofollow">inimum 20 re ferences;  Can use books as references but maximum of 5 and must be no later than 5 years old;  Can use reputable medical/nursin" rel="nofollow">ing based websites – 5 maximum;  Can reference journal articles up to 10 years old;  The assignment is a case study so can use questio n and answer format – no need for in" rel="nofollow">introduction and conclusion;  APA referencin" rel="nofollow">ing as per QUT referencin" rel="nofollow">ing policy.