University : Western Sydney University UniLearnO is not sponsored or endorsed by this college or university.
Country : Australia
Assignment Task:

Assumed Knowledge: 
Primary health care, foundational knowledge of human biological sciences including human body systems, basic concepts in pharmacology and pathophysiology and the National Health Priorities and the relationship to nursing practice.

Introduction:

This unit develops a student’s knowledge and skills related to the pathophysiology, pharmacology and nursing care for people who experience an acute life-threatening and/or traumatic condition that may involve multiple systems failure. National Health Priority case studies based on National Health Priority areas are used in the unit to focus on cardiovascular health, and injury prevention and control. The unit will also consider the habilitation and rehabilitation of people who have experienced acute life-threatening or traumatic complex health issues.

Policies Related to Teaching and Learning:
The University has a number of policies that relate to teaching and learning. Important policies affecting students include: 

  • Assessment Policy
  • Bullying Prevention Policy and
  • Guidelines
  • Enrolment Policy
  • Examinations Policy
  • Review of Grade Policy
  • Sexual Harassment Prevention Policy
  • Special Consideration Policy
  • Student Misconduct Rule 
  • Teaching and Learning
  • Fundamental Code
  • Student Code of Conduct

 

Unit Learning Outcomes 
The Health Variations 4 unit is part of the Bachelor of Nursing and Bachelor of Nursing ( Graduate Entry) programs. The unit provides the foundation for developing comprehensive, coherent and connected knowledge in the discipline of nursing and introduces and develops interaction skills which will be required by graduates in their work environments. 

Outcome 
1. Interpret relevant pathophysiological processes that are related to National Health Priority case studies concerning an acute life-threatening and/or traumatic condition and its implications for professional nursing practice. 
2. Analyse the results of specific diagnostic procedures that might be used to confirm specific health breakdown diagnoses associated with acute life-threatening and/or traumatic complex health conditions. 
3. Interpret the pharmacological concepts and their safe effective application in professional nursing practice related to caring for people with acute life-threatening and/or traumatic complex health conditions. 
4. Justify the selection and prioritisation of nursing strategies to provide safe effective evidence-based nursing care for individuals and their family who experience an acute life-threatening event or traumatic complex health condition. 
5. Apply the principles of habilitation and rehabilitation as they relate to individuals who experience acute life-threatening or traumatic complex health issues. 

Details 
You are to answer all questions related to the case study provided. Your answers must be directly related to the clinical manifestations that your patient presents with. You must submit your work with a minimum of six references from the past 5 years including journal articles, textbook material or other appropriate evidence-based resources. 

Aim of assessment 
The purpose of this assessment is to enable students to: 
1. Demonstrate knowledge by analysing the information provided in the case study. 
2. Apply the clinical information provided in the case study and describe this clinical information within a pathophysiological and patient-focused framework. 
3. Discuss nursing strategies and evidence-based rationales to manage a patient with an acute episode of asthma. 
4. Discuss the pharmacological interventions related to the management of a patient with an acute episode of asthma. 

Case study 
Poppy is a 9-year-old female, weight 40Kg.
 
She presented to ED with worsening respiratory symptoms over the past few hours. Her parents state she is unable to talk in full sentences or undertake a peak flow. In ED Poppy has been given 3 x 20 minutely nebulised Salbutamol with 6LPM of O2, IVF commenced, Stat dose of Prednisone administered, Chest X-ray shows hyperinflation of both lung fields. She was admitted to ICU due to her deteriorating respiratory function with a diagnosis of acute exacerbation of asthma. 

Question 1 
Explain the pathogenesis causing the clinical manifestations with which Poppy presents. 

Question 2 

1. Sit Poppy in a High Fowlers position 
How does positioning a patient with acute asthma in a High Fowlers position assist to alleviate respiratory distress? 

2. Apply and titrate oxygen 
What oxygen delivery device will you use? – Why did you choose this device? – How does providing supplemental oxygen work and, how will it assist Poppy? 

Question 3 
For each medication below explain 

The mechanism of action.

  • Why your patient is receiving this medication in relation to her symptoms and diagnosis?
  • What are the nursing considerations for this medication?
  • What clinical response did you expect?
  • What continuing clinical observations will you need to undertake? 

 


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  • Posted on : April 28th, 2019
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