University : University of Southern Queensland UniLearnO is not sponsored or endorsed by this college or university.
Subject Code : NUR1299
Country : Australia
NUR1299 - Laboratory Attendance And Clinical Skills - Mrs. Denise Palmer Case Study - Nursing Assessment Answer
Assessment Task:

Case Study

1. Mrs. Denise Palmer 16/07/71
Mrs. Denise Palmer is a 47-year-old Caucasian women.

She is a single mother and full-time carer for five children. Three of her children, two boys aged 15 and 17, and a girl aged 13 attend the local high school. The two younger children, a boy 8 and a girl 10, have special needs and attend a special needs primary school. She has a sister who lives nearby and helps out when she can. She is also supported by her local Catholic church.

On admission, Mrs Palmer has a BMI of 30 and has a disheveled appearance. She wears glasses. She has a family history of cardiovascular disease and suffers from hyperlipidaemia and hypertension.

She was admitted to USQ Hospital three days ago following a fall at home. She is suffering from lower back pain and requires strict bed rest. She has a skin tear from the fall on her lower leg which requires a daily dressing.

She has some abdominal pain and is being sent for an abdominal ultrasound later on this morning.

She has difficulty sleeping the last few nights due to noise within the ward.

Last observation: BP 136/92 mmHg, hr 90BPM, Resp 18 rpm, Temp 37 degrees and Sp02 97% on room air.

2. Ms Grace Perkins 04/05/41

Ms Perkins is an Indigenous Elder from the Giabal people at Cecil Plains. She is 76 years old and lives in an extended family situation. Ms Perkins has multiple health issues, including obesity, CVD, asthma, visual impairment, fungal skin infections, a chronic urinary tract infection and deteriorating mobility. Ms Perkins has been admitted for observation, assessment of decreased mobility and medication management.

She has pressure are on her coccyx (stage 2).

She has been assessed as needing to mobilise using a wheelie walker with the assistance of one nurse. She keeps forgetting to use her walker and has had a couple of falls. She has false teeth and wears glasses.

She has had trouble sleeping at home due to her grandchild’s new baby.

She has been ordered a fasting lipid profile (cholesterol etc.) this morning.

Last observations: BP 140/90 mmHg, HR 80bpm, Resp 16 rpm, Temp 37.5 degrees and Sp02 97% on room air.

3. Mr Brett Howard 29/09/84

Mr Howard is a 32-year-old single adult. He was admitted with possible salmonella poisoning four days ago. Brett has been experiencing high temperatures, vomiting, diarrhoea and abdominal cramps for 26 hours. Brett has a history of Type 1 diabetes which was diagnosed as the age of 29. He has had IV fluids and his hydration has improved however, he remains lethargic. He continues to have IV fluids and close monitoring of fluid balance, electrolytes and BGL’s. Pathology on his stools has returned and he has been diagnosed with C difficile. Today he is allowed to shower for the first time since his admission. He has been changed from IV to oral Flagyl.

Last observations: BP 100/50mmHG, HR 100 bpm, Resp 20 rpm, Temp 37.6 degrees and Sp02 97 % on room air. BGL is 12mmol.

4. Mr Aaqib Abbas 01/03/46

Mr Abbas (Muslim/Hindu) was admitted two weeks ago. He is a 71-year-old man originally from Pakistan. His first language is Urdu, he understands Arabic and his English is very poor. He has been living in Australia for 15 years but speaks Urdu with his wife and family at home. He is retired and is not very active at home. Mr Abbas was found by his neighbour lying in the back yard. He was conscious and was admitted via the ambulance with a possible Trans Ischaemic Attack (TIA). He is uncommunicative, withdrawn and depressed. His wife have returned to Pakistan and the staff have not been able to get in contact with her. His two adult children are professionals living and working in Sydney. On the third day of his admission, he had a Cerebrovascular Accident (CVA). He now has garbled speech and right-sided hemiplegia. He has had a PEG inserted one week ago due to dysphagia.

Last observation: BP 170/90 mmHg, HR 95bpm, Resp 22rpm, Temp 36 degrees and Sp02 on room air.

5. Master Ryan Tuqiri (Paediatric Patient) 24/12/12

Ryan Tuqiri, a five-year-old boy, was admitted yesterday after falling off his tricycle and landing face down on the driveway at his parents’ home. He was not wearing a helmet at the time. His mum, Mrs Tuqiri stated Ryan was unresponsive for about 30 seconds. He has lacerations to his chin. He has had neurological observations overnight and will be allowed to go home this afternoon since he has no deficits. Mrs Tuqiri was very anxious overnight and had little sleep. Ryan has also not slept well. He has two older siblings who are staying at their grandparents until tonight. Mr Tuqirti will pick them up on his way home from work this afternoon.

Ryan has been crying because he is worried that he will get teased for having stitches in his chin when he goes to kindergarten.

Last observations: BP110/80 mmHg, HR 110bpm, Resp 18rpm, Temp 36 degrees and Sp02 97% on room air.

Task

Part 1. Clinical skill self-reflection 
For this part of the assessment, you are required to all three skills from the list below to practice during your clinical laboratory or residential school. Ask a fellow student to perform a peer appraisal using the appropriate appraisal form from the textbook (templates attached to Study Desk) and capture a minimum of 4 photos taken during the procedure to assist in the self-reflection.

You do not need to perfect the skills however you are expected to analyze the appraisal forms and the photos of your skill and based on your current knowledge write a  self-reflection of what you did, what you may have forgotten, and how you could improve your practice. Submit the 3 Clinical Skills appraisal forms as 1 PDF document. The photos do not need to be submitted. No introduction or conclusion is required.

Students should select 3 skills from the following list (do not select 3 medication skills):

  • Basic dressing technique
  • Staple/suture/clip removal
  • Oral Medication administration

Part 2. Clinical Care plan 

For this part of the assessment, you are required to demonstrate your understanding of fundamental nursing cares learned in NUR1299 – Foundations of Nursing Practice. The topics include:

  • mobility and falls
  • hygiene
  •  pressure area and wound care
  • nutrition and elimination
  • sleep
  • psychosocial aspects

You are required to develop a care plan incorporating all of the topics above for one of the simulated patients introduced during the clinical laboratory or residential school,
(Please see the assignment resources attached to Study Desk, for the case studies and background for the simulated patients). As the patients are from different age and cultural groups, you need to plan the care using a patient-centered approach, based on the patient’s care needs. You will need to incorporate clinical interventions necessary to manage the care of the client within the specified context. We encourage you to take a multidisciplinary approach and identify other health care providers (e.g. Physiotherapist) that may assist in providing comprehensive care. Make sure you include patient education aspects in your care plan (e.g., a client with diabetes may require education about diet and medications).

Although a range of topics is discussed, many will overlap. The best example of this is the psychosocial aspects, which may be contributing to the patient’s illness.
Clinically, there are many different examples of care plans and/or clinical pathways. For this assignment, we have chosen a very simple one and have provided the template for you to use. (see Assignment resources)

An example care plan (using the nursing process) for Mrs. Palmer is provided on Study Desk.

  • Assessment/Cues: These can be based on weekly topics, such as mobility and falls.
  • Problem: Issues identified
  • Planning/Implementation: The interventions you propose to address the problems/issues.
  • Evaluation: How will you measure the success of these interventions, describe a successful outcome/desired patient outcome.

This Nursing Assessment has been solved by our Nursing Assessment Experts at UniLearnO. Our Assignment Writing Experts are efficient to provide a fresh solution to this question. We are serving more than 10000+ Students in Australia, UK & US by helping them to score HD in their academics. Our experts are well trained to follow all marking rubrics & referencing style.

Be it a used or new solution, the quality of the work submitted by our assignment experts remains unhampered. You may continue to expect the same or even better quality with the used and new assignment solution files respectively. There’s one thing to be noticed that you could choose one between the two and acquire an HD either way. You could choose a new assignment solution file to get yourself an exclusive, plagiarism (with free Turnitin file), expert quality assignment or order an old solution file that was considered worthy of the highest distinction.

 

  • Uploaded By : Mitchell Lee
  • Posted on : October 21st, 2018
  • Downloads : 285

Whatsapp Tap to ChatGet instant assistance