Before you begin NUR251 Assessment 1
\nIt is strongly recommended that students revisit and ensure they understand the University and Unit policies and guidelines related to academic integrity, plagiarism, submission, extension, late submission and resubmission.
\nThe Unit Coordinator cannot be held responsible for information about Assessment 1 that students\u2019 access outside of the NUR251 Learnline site.
\nThis includes information students may access from other students, whether enrolled in the unit or not, using social media tools such as Facebook and\/or friends and\/or colleagues they may discuss their assignment with.
\nThe Unit Coordinator is the person to contact if you have any questions or queries about Assessment 1
\nNUR251 Assessment 1
\nTopic:
\nNursing care of a patient with a medical condition
\nDue date:
\nWeek 10 Monday 10th May, 2021, 09:30 (ACST)
\nLength: 2000 words \u00b1 10% + 100 words to account for the headings in the template.
\nMarkers will stop reading at the maximum allowable word count. This word count includes the text in the template provided to you.
\nContribution to overall grade: 40%
\nAssessment purpose Learning objectives
\nAssessment 1 is the only written academic assignment in NUR251 for students to demonstrate they:
\n\u2022 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
\n\u2022 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
\n\u2022 Are able to focus their attention to the needs of the individual patient as the key concern of nursing practice in medical surgical settings
\n\u2022 Are able to explain and justify or defend their nursing care decisions
\n\u2022 Have a developing understanding of the role and scope of practice of the registered nurse in the Australian health care context
\n\u2022 Are progressing towards the level of professional written communication required for nursing practice in Australia
\n\u2022 Are demonstrating ethical and professional practice by adhering to the University\u2019s academic integrity standards and plagiarism policy This assessment addresses the unit learning outcomes;
\n1, 2, 3, 4 and 5
\nPreparation
\n\u2022 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
\n\u2022 On the Assessment 1 template located in the Assessment 1 folder on NUR251 Learnline
\n\u2022 As a computer-generated document in Word format.
\n\u2022 1.5 spaced using Arial or Calibri font in size 11 or 12
\n\u2022 In clear, coherent Australian English that demonstrates progression towards the standard for written communication for professional nursing practice in Australia
\n\u2022 Using appropriate professional terminology
\n\u2022 Contents page, title page, introduction and conclusion are NOT required
\n\u2022 Unless otherwise indicated, no acronyms, abbreviations and\/or nursing jargon
\n\u2022 Unless otherwise indicated, grammatically correct sentences and topic (sample nursing essay examples by the best nursing assignment writing service) paragraphs are required. Dot points only accepted in the nursing care plan.
\n\u2022 No more than 10% over or under the stated word count. Marking will cease at the 10% over mark.
\n\u2022 Note: Headings, any task information copied in and in-text citations are included in the word count. 100 words have been included in the word count to account for the headings within the nursing care plan template.
\n\u2022 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
\nReferencing
\nStudents are reminded of their academic responsibilities and professional nursing practice requirements when using the work of others in assignments.
\nReminder 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.
\n\u2022 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
\n\u2022 CDU APA 7th referencing style is to be used for both in-text citations and end of assessment reference list.
\n\u2022 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 or websites.
\n\u2022 All resources must be dated between 2011 and 2021
\n\u2022 There must be at least 10 peer-reviewed journal articles and\/or evidence-based practice guidelines cited in your assignment.
\n\u2022 Do not use any health facility or local health service policies or procedures
\n\u2022 Only 1 current Australian medication textbook and 1 current Australian medical surgical nursing textbook to be referenced.
\nPlease complete the assessment task on the next page.
\nAssessment 1: Case scenario one
\nShift handover:
\nIdentify: Mr William Blue, HRN: 123456, DOB: 26\/01\/1953
\nSituation: William (known as Bill) is a 68-year-old Indigenous man from a remote community in the NT. He has been admitted to the CDU medical ward with Acute Kidney Injury (AKI) secondary to dehydration. He has a 3\/7 history of confusion, fatigue, decreased urine output, and decreased skin turgor. He has now been transferred to the CDU Medical ward for continuing care.
\nBackground:
\nBill lives with his wife, his 2 adult children and 6 grandchildren in a single storey home. His wife is supportive and the family help where possible. He is usually independent with his ADL\u2019s.
\nHe has an extensive past medical history including:
\nT2DM (on insulin), HTN, Hyperlipidaemia, chronic kidney disease stage 3 (Baseline eGFR 40 ml\/min\/1.73m2), previous toe amputations due to diabetes and has a history of falls. No known drug allergies (NKDA).
\nHe is obese (BMI 30) he drinks 3 bottles of beer every night.
\nAssessment:
\nAirway: Own, patent
\nBreathing: RR 23, O2 Sats 93% on RA.
\nCirculation: HR 62bpm, BP 95\/65 mmHg.
\nDisability: GCS 14\/15, he is drowsy and \u2018wants to be left alone to sleep\u2019.
\nExposure: Temp 37.8 oC, BGL 3.9mmol\/L
\nBill looks unwell. He is restless and confused. His urine is dark in colour and offensive smelling. He has passed approximately 30 ml of urine in 6 hours. He had 2 x IVC\u2019s inserted to both ACF\u2019s and is not tolerating any food due to nausea. He last opened his bowels this morning and says it was \u2018like liquid\u2019.
\nRecommendations\/Read back:
\nMedical orders
\n\u2022 Routine ward assessments and observations
\n\u2022 Strict fluid monitoring
\n\u2022 Administer Intravenous fluids as prescribed
\n\u2022 MSU for MC & S
\n\u2022 Diabetic diet and fluids as tolerated
\n\u2022 TED stockings and DVT prophylaxis
\nIV Fluid orders
\n\u2022 Intravenous compound sodium lactate (CSL) 500mls over 2 hours followed by:
\n\u2022 Intravenous sodium chloride 1000mls\/8 hourly.
\nMedication orders
\n\u2022 Furosemide 10mg BD (IV)
\n\u2022 Ramipril OD (PO)
\n\u2022 Insulin Glargine 30 Units OD (s\/c)
\nNursing orders
\n\u2022 Devise a plan of care for your patient
\nAssessment 1: Case scenario two
\nShift handover:
\nIdentify: Miss Grace Orange, HRN: 123567, DOB: 07\/05\/2005
\nSituation: Grace is a 16-year-old caucasian female from Darwin. She has been admitted to the CDU medical ward due to Diabetic
\nKetoacidosis. She has a 2\/7 history of feeling unwell, fatigue, and a fever. Her Mum was worried as Grace has been complaining of increased thirst and passing large amounts of urine frequently. Her Mum brought her to the emergency department (ED). She was treated for DKA in ED. She has been reviewed by the
\nEndocrinology team and has been diagnosed with Type 1 Diabetes Mellitus (T1DM) and subsequently developed DKA. She has been transferred to the CDU Medical ward for continuing care.
\nBackground:
\nGrace lives with her parents and younger brother Tommy. She is independent with her cares and plays Netball at state level 3 times a week after school.
\nShe has never been admitted to hospital before.
\nHer past medical history:
\nPreviously ankle sprain in 2020 \u2013 resolved.
\nTonsilitis.
\nShe is allergic to Penicillin.
\nAssessment:
\nAirway: Own, patent
\nBreathing: RR 26, Sats 98% on RA.
\nCirculation: HR 115 bpm, BP 90\/55 mmHg.
\nDisability: GCS 15\/15
\nExposure: Temp 37.8 oC
\nGrace feels tired and anxious.
\nGrace has 2 x IVC\u2019s inserted to both ACF\u2019s.
\nShe is refusing to eat, feels sad and tells you \u2018Leave me alone, my life is ruined, I\u2019ll never play sport again’
\nVenous Blood Gas attended shows Potassium 3mmol\/L
\nBGL 25mmol\/L
\nKetones \u2013 1mmol\/L
\nRecommendations\/Read back:
\nMedical orders
\n\u2022 Routine ward assessments and observations
\n\u2022 Strict fluid monitoring
\n\u2022 Administer Intravenous fluids as prescribed
\n\u2022 Commence Insulin sliding scale
\n\u2022 MSU for MC & S
\n\u2022 Diabetic diet and fluids as tolerated
\n\u2022 TED stockings and DVT prophylaxis
\nIV Fluid orders
\n\u2022 Intravenous compound sodium lactate (CSL) 500mls over 2 hours followed by:
\n\u2022 Intravenous Potassium Chloride 40mmols\/1000mls over 8 hours
\nMedication orders
\n\u2022 Actrapid insulin (sliding scale) S\/C
\n\u2022 Insulin Glargine 10 Units S\/C OD
\n\u2022 Tazocin 4.5g IV TDS
\nNursing orders
\n\u2022 Devise a plan of care for your patient
\nAssessment 1 Tasks:
\nUsing 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.
\nDo not make up or assume information in relation to or about your chosen patient. Only use what you know from the information you received today.
\nTask 1: Assessment
\nBased on your chosen case scenario and in grammatically correct sentences identify:
\n\u2022 Three (3) priority nursing assessments you would conduct at the commencement of your shift
\nAND
\nFor each assessment you have identified explain:
\n\u2022 Why it is necessary for the patient\u2019s condition and nursing care?
\n\u2022 What consequences can occur if this assessment is not completed accurately?
\n\u2022 What chart or document could you use to Help with\/record your assessments?
\n(Approximately 500 words)
\nTask 2:
\nBased solely on the handover you have received and using the template provided, complete a nursing care plan for your patient. Your plan must address the physical, functional and psychosocial aspects of care.
\nThree (3) nursing problems have been provided for you. For each nursing problem on your care plan you need to identify;
\n\u2022 What it is related to?
\n\u2022 Goal of care
\n\u2022 Interventions
\n\u2022 Rationales for interventions
\n\u2022 Assessment
\nNotes for Task 2 only
\n\u2022 Dot points may be used in the care plan template
\n\u2022 Appropriate professional language must be used \u2013 legally recognised abbreviations may be used in this task (care plan) but a KEY with full terminology must be provided after the assignment references \u2013 key will be excluded from word count tally
\n\u2022 Rationales must be appropriately referenced (Only rationales need referencing in the care plan)
\n(Approximately 500 words)
\nTask 3: Patient education
\nDischarge planning
\nAn 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.
\nPatient education and discharge planning starts on admission and you need to provide your patient with education during your shift in preparation for discharge home.
\n\u2022 Explain two (2) important points\/topic (sample nursing essay examples by the best nursing assignment writing service)s you will need to include in your patient\u2019s preparation for discharge to aid healing and prevent further illness. For each education point identified provide:
\n\u2022 One (1) strategy to Help your patient to implement the education into their daily routine.
\n(Approximately 500 words)
\nTask 4: Medication
\n\u2022 Calculate the hourly rate of the compound sodium lactate and the sodium chloride infusions. List the formula that you used.
\n\u2022 Choose two (2) medications that your patient has been prescribed (one (1) from their IV fluid order and one (1) from their medication order) and include the following in your discussion:
\n\u2022 Describe the pharmacokinetics of the fluid\/medication?
\n\u2022 Why has your patient been prescribed this fluid\/medication?
\n\u2022 Discuss any side effects that could affect the patient.
\n(Approximately 500 words)
\nYour assignment must include a reference list after the completion of the tasks and a key if you have used abbreviations in task 2.
\nNUR251 Assessment 1 Marking Rubric S1 2020
\n5-7.5
\nExcellent 3-5
\nSatisfactory 0-3
\nNeeds Development
\nCriterion:
\nTask 1:
\nAssessment
\nDemonstrates excellent
\nsafe practice knowledge for assessment. Explains clearly, succinctly and specifically how to conduct the relevant assessments and explains their relevance to the patient.
\nDemonstrates satisfactory knowledge of patient assessment. Rationales demonstrate satisfactory ability to conduct the relevant assessments and explain their relevance to the patient. Demonstrates a limited knowledge of assessment. Does not demonstrate safe practice, knowledge of the relevant assessments and\/or explain their relevance to the patient.
\nCriterion:
\nTask 2: Care planning Develops individualised, comprehensive nursing care plan relevant to the case study using the clinical reasoning cycle. All rationale is referenced.
\nDemonstrates strong critical thinking skills.
\nDevelops individualised, comprehensive nursing care plan relevant to the case study using the clinical reasoning cycle. Most rationale is referenced.
\nDemonstrates emerging critical thinking skills. Care plan has been completed using the clinical reasoning cycle, but it is not individualised or comprehensive. There is a discourse between the sections of the care plan. No critical thinking skills displayed.
\nCriterion:
\nTask 3: Discharge planning Demonstrates a highlevel ability to provide relevant and comprehensive patient education. Provides specific patient education discussing two topic (sample nursing essay examples by the best nursing assignment writing service)s with an implementation strategy.
\nDemonstrates a
\nsatisfactory ability to provide relevant and comprehensive patient education; discussing two topic (sample nursing essay examples by the best nursing assignment writing service)s with an implementation strategy. Discussion lacks detail and\/or is not person centred Poor interpretation of task or
\nEducation is provided but it is not specific to the
\npatient. No implementation strategy is identified.
\nCriterion:
\nTask 4:
\nMedication
\nProvides excellent, relevant and specific discussion about medications. Side effects are discussed. Demonstrates strong critical thinking skills. IV fluid calculations and formula are correct.
\nProvides a satisfactory discussion about medications. Discussion is not specific. Side effects are discussed.
\nDemonstrates emerging critical thinking skills. IV fluid calculations are correct and\/or some minor errors in formula.
\nProvides a limited discussion about medications. Side effects are not discussed and\/or Discussion is not specific to the case study. No critical thinking skills displayed. IV fluid calculations are missing or incorrect.
\nReferencing 4-5
\nAll ideas supported with in-text citations
\nand there is a complete and accurate reference
\nlist.
\nNo errors detected in CDU APA 7th format.
\nReferencing guidelines met. 2-3
\nSome ideas supported with in-text citations and there is a complete reference list.
\nA few errors detected in CDU APA 7th format.
\nReferencing guidelines met with errors. 0-1
\nMany references are
\nmissing and there are
\nmany errors in CDU APA
\n7TH format. Referencing guidelines not met.
\nPresentation 4-5
\nNo errors with grammar, syntax, sentence and
\nparagraph structure.
\nPresentation guidelines met. 2-3
\nA large number of errors with grammar, syntax,
\nsentence and paragraph structure.
\nPresentation guidelines met with errors. 0-1 Many errors with grammar, syntax, sentence and paragraph structure.
\nWriting lacks cohesion.
\nPresentation guidelines not met.<\/p>\n","protected":false},"excerpt":{"rendered":"
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