Country : Australia
Assignment Task :

Relevant SILOs: 

1. Apply the Australian Nursing and Midwifery Board [ANMB] Standards of Practice for a Registered Nurse when caring for individuals and their families, with Cardiovascular, Respiratory and Endocrine disorders 

2. Describe the impact of hospitalisation on individuals and their families. 

3. Provide person-centred care, using the Clinical Reasoning Cycle to individuals experiencing Cardiovascular, Respiratory and Endocrine disorders. Rationale: 

The purpose of this assessment task is to assess the student nurses ability to think critically and apply the clinical reasoning cycle to plan patient care. 

As a Registered Nurse, you will be required to make judgments and prioritise your patients care multiple times per shift. This assessment task is designed to develop the sophisticated thinking abilities that are essential to prioritising, planning and providing safe and effective patient centred, nursing care. 

 

Task: 

Nursing Problem Statements [ensure that you are aware of the correct problem statement for your cohort -see table in Assessment block on LMS] 

In this Clinical Case Study, you have been allocated, depending on your cohort, one (1) of the nursing problems provided below. You are to discuss its relevance, then plan and evaluate patient centred, nursing care. The nursing problems all relate to Darren Roberts’ care in the first 4 hours following his discharge from PARU and return to the ward following his surgery. 

1. Potential for hypovolemia related to fluid deficit and blood loss from surgical procedure and would be evidenced by pale, cold and clammy skin, decreased urine output, BP <90/60 and respiratory rate > 20Rpm. 

2. Potential for respiratory depression related to anaesthesia and opioid medications and would be evidenced by respiratory rate <10Rpm, SpO2<95%on RA and shallow breathing. 

3. Potential for pain related to surgical incision as evidenced by grimacing and a subjective pain score of >3/10 using the Numeric Pain Rating Scale. 

 

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  • Uploaded By : Grace
  • Posted on : May 22nd, 2019
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