CASE STUDY- with short solutions
\nGoal of assessment:
\nThis assessment aims to enable students to complete the short answer on some common health
\ncircumstances utilizing evidence-based data from related literature.
\nPhrase Rely:
\nThere’s a phrase restrict of 1500 phrases. Use your laptop to complete the variety of phrases utilized in your task. Nonetheless, don’t embrace the reference listing at the finish of your task in the phrase rely. In-text citations will probably be included in the further 10%-word rely. In case you exceed the phrase restrict by greater than 10% the marker will cease marking at 1500 phrases plus 10%
\nAssessment particulars:
\nMr John Hemsley, a 56-year-old male, introduced to the Emergency Division with stomach ache, nausea and vomiting related to recurrent episodes of constipation. The onset of signs was three (three) months in the past. In the previous 4 (Four) weeks Mr Hemsley skilled unexplained episodes of fatigue. On toileting, he additionally noticed that his stools had been usually lengthy and slim with small quantities of vibrant blood on
\nthe bathroom paper. He ignored these syndromes as he was too embarrassed to discuss them. The emergency Doctor carried out a digital rectal examination to rule out haemorrhoids, colorectal most cancers or anal fissures. The primary discovering was a agency irregular non-capsulated mass in John\u2019s rectum. Mr Hemsley was subsequently admitted underneath the care of a Gastrointestinal specialist for additional investigations and administration of ache. On day two (2) as an inpatient, a colonoscopy was carried out, and a biopsy was resected from the massive sessile lesion positioned in the proximal third of the rectum and three polyps had been additionally faraway from the colon. The biopsy outcomes confirmed a stage IIA rectal adenocarcinoma. Following the above findings, Mr Hemsley was scheduled for surgical procedure.
\nBelly-perineal resection and the formation of a sigmoid colostomy was carried out. There have been no problems reported throughout his surgical process. The surgeon commenced him on analgesia of Morphine 2.5mg – 5mg PRN 2-Four hourly and I.V. 4mg-8mg Ondansetron PRN eight hourly for nausea whereas admitted in a Surgical ward.<\/p>\n
Medical\/Social background: Mr Hemsley said that his father had died from bowel most cancers at the age of 84 years previous, and his youthful brother was identified with Crohn\u2019s illness when he was 18 years previous. Mr Hemsley reported that he was bodily lively as a \u201cyounger man\u201d however over the final 10 years; nonetheless, he had lived a sedentary way of life leading to 20kgs weight acquire (present weight – 107kg). Mr Hemsley had \u201cgiven up\u201d common smoking of cigarettes for the final 5 (5) years however resorted to \u201coccasional\u201d cigarette smoking on the weekends.<\/p>\n
Answer the following three (three) Short Answer Questions:
\nMost cancers management is certainly one of the Australian Nationwide Health Precedence areas; deal with the following three
\n(three) questions on bowel most cancers based mostly on Mr Hemsley in the case examine.<\/p>\n
Question Assignment 1: Describe how the administration of Morphine alters Mr Hemsley\u2019s acutely aware notion
\nof ache (300 phrases), and focus on three (three) particular nursing obligations (with rationales)
\nrequired for the secure administration of Morphine. (400 phrases)<\/p>\n
Question Assignment 2: Determine and focus on (giving rationales) the advantages of three (three) non-pharmacological
\nnursing interventions which may be carried out when managing Mr Hemsley\u2019s post-operative ache.
\n(300 phrases)<\/p>\n
Question Assignment three: Determine and focus on two (2) potential problems and the related nursing
\ninterventions of precedence when managing Mr Hemsley\u2019s colostomy throughout the first 24- 48hrs postoperatively. (500 phrases)<\/p>\n
Submission Necessities:
\n1. Digital copy solely. Students are to submit an digital copy of the assessment.
\nStudents are NOT required to submit the authentic exhausting copy of their assessment on campus. 2. Submit your assessment electronically by means of the Turnitin hyperlink on the Topic vUWS website.
\nthree. Students are to add the assessment with the following title; Surname_Firstname_assessment title
\nFour. Your assessment should be submitted in .doc, docx format.
\n5. This assessment is marked on-line; no paper copy will probably be accepted. Marks, feedback and the marking standards will probably be launched on-line. If you don’t obtain your marked assessment when all others have been returned, it’s your
\nduty to contact the Topic Coordinator for help.
\nSources:
\n(i) A minimal of 5 references are to be used for this assessment together with the three (three) necessary references
\noffered.
\nThe three (three) necessary references for this assessment are:
\nGumus,Okay., Musuroglu, S., Ozlu, Z.Okay., & Tasci, O. (2020). Figuring out the Use of Nonpharmacologic Strategies by Surgical Nurses for Postoperative Ache Administration and the Influencing Skilled Elements: A Multicenter Examine. Journal of PeriAnesthesia
\nNursing, 35, 75-79. https:\/\/doi.org\/10.1016\/j.jopan.2019.04.011
\nTelford, A. (2020). Position of the nurse in supporting the secure use of opioids. Nursing Normal, 35(9), 77-82.
\nZelga, P., Kluska, P., Zelga, M., Piasecka-Zelga, J., & Dziki, A. (2021). Affected person-Associated Elements Related With Stoma and Peristomal Problems Following Fecal Ostomy Surgical procedure. J Wound Ostomy Continence Nursing, 48(5):415-430.<\/p>\n
ii. There are a selection of textbooks and assets out there by means of the Western Sydney College Library which will
\nhelp you. Please refer to the Topic\u2019s vUWS website for particular Topic assets.
\niii. Assessments listed as particular person assessments should be accomplished independently. Students are suggested to refer
\nagain to their notes, textbooks or applicable educational, peer-reviewed assets utilised throughout Topic supply.
\niv. Don’t use non-credible web sources for this assessment; solely use textbooks and peer-reviewed assets.<\/p>\n","protected":false},"excerpt":{"rendered":"
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