NUR250 Assessment 1 SS 2019 Assignment templatePlease note: As indicated in Assessment 1...

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NUR250 Assessment 1 SS 2019 Assignment template
Please note: As indicated in Assessment 1 information, a cover sheet, title and contents pages are not required
Before you begin take a minute to fill in your details in the footer to ensure your document is identifiable. To access the footer, double click on the grey writing “Last name….” at the bottom of the page above. Once you have done that, double click here to come back to this page.
Information about the required line spacing and font size and type is located in the Assessment 1 task sheet in the Assessment 1 folder on NUR250 Learnline. Take a minute to check that this document meets those requirements.
To avoid or minimise problems with formatting, it is recommended you
· Use the headings provided
· Don’t copy from another document onto this template
· Don’t delete the section
eaks on the document
· Delete these instructions when finalising your assignment for submission

Task 1
1
Double click here to fill in this foote
Last name__ _student number_NUR250 SS 2019 Assessment 1
Task 2
Nursing Care Plan: (type in your patient’s name here and then delete these instructions)
    Nursing problem: Acute Pain
    Related to:
    Goal of care
    Nursing interventions
    Rationale
    Evaluation




    Nursing problem: Risk of ineffective tissue perfusion
    Related to:
    Goal of care
    Nursing interventions
    Rationale
    Evaluation




    Nursing problem: Anxiety
    Related to:
    Goal of care
    Nursing interventions
    Rationale
    Evaluation




Task 3
Task 4
References

NUR250 Medical Surgical Nursing 1
SS 2019

Before you begin NUR250 Assessment 1
It is strongly recommended that students revisit and ensure they understand the University and
Unit policies and guidelines related to academic integrity, plagiarism, submission, extension, and
late submission.
The Unit Coordinator cannot be held responsible for information about Assessment 1 that
students’ access outside of the NUR250 Learnline site.
This 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.
The Unit Coordinator is the person to contact if you have any questions or queries about
Assessment 1
NUR250 Assessment 1
Topic: Nursing care of a patient with a medical condition
Due date: Week 6 Sunday 22nd December XXXXXXXXXX:59 hrs ACST
Length: XXXXXXXXXXwords ± 10%. Markers will stop reading at the maximum allowable word
count. This word count includes the text in the template provided to you.
Contribution to overall grade: 40%
Assessment purpose Learning objectives
Assessment 1 is the only written academic assignment in NUR250 for
students to demonstrate they:
• Are developing the ability to locate, interpret, integrate,
synthesize and apply nursing knowledge from NUR250 to a
elevant nursing practice scenario in medical surgical settings
• 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
• Are able to focus their attention to the needs of the individual
patient as the key concern of nursing practice in medical surgical
settings
• Are able to explain and justify or defend their nursing care
decisions
• Have a developing understanding of the role and scope of
practice of the registered nurse in the Australian health care
context
• Are progressing towards the level of professional written
communication required for nursing practice in Australia
This assessment addresses
the unit learning outcomes;
1, 2, 3, 4 and 5
NUR250 Medical Surgical Nursing 1: Assessment 1 Topic and Tasks SS XXXXXXXXXX
Assessment purpose Learning objectives
• Are demonstrating ethical and professional practice by adhering
to the University’s academic integrity standards and plagiarism
policy

NUR250 Medical Surgical Nursing 1: Assessment 1 Topic and Tasks SS 2019
Preparation
• Timely completion of study materials including weeks 1-6 with participation or review of
online collaborate sessions, pre-recorded lectures or internal classes.
Presentation Guidelines

• On the Assessment 1 template located in the Assessment 1 folder on NUR250 Learnline
• As a computer generated document in Word format.
• 1.5 spaced using Arial or Cali
i font in size 11 or 12
• In clear, coherent Australian English that demonstrates progression towards the
standard for written communication for professional nursing practice in Australia.
• Written in third person na
ative.
• Using appropriate professional terminology
• Contents page, title page, introduction and conclusion are NOT required
• Unless otherwise indicated, no acronyms, a
eviations and/or nursing jargon
• Unless otherwise indicated, grammatically co
ect sentences and topic paragraphs are
equired. Dot points only accepted in the nursing care plan.
• No more than 10% over or under the stated word count. Marking will cease at the 10%
over mark.
NUR250 Medical Surgical Nursing 1: Assessment 1 Topic and Tasks SS XXXXXXXXXX
o Note: Headings, any task information copied in and in-text citations are included
in the word count. 100 words have been excluded from the word count to
account for the headings within the nursing care plan template
• Use of trade names is not acceptable. Only generic terms or names are to be used when
efe
ing to specific medications or other prescribed treatments or resources that may
e used in nursing practice
Referencing
Students are reminded of their academic responsibilities and professional nursing practice
equirements when using the work of others in assignments.
Reminder 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.
• 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
• CDU APA 6th referencing style is to be used for both in-text citations and end of
assessment reference list.
• All resources for NUR250 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.
• All resources must be dated between 2010 and 2019
• There must be at least 10 peer-reviewed journal articles and/or evidence based
practice guidelines cited in your assignment.
• Do not use any health facility or local health service policies or procedures
• Only 1 cu
ent Australian medication textbook and 2 cu
ent Australian medical surgical
nursing textbooks to be referenced.
Please complete the assessment task on the next page.
Assessment 1: Case scenario one

Shift handover:
Identify: Mr Peter Jones, HRN: 123456, DOB: 26/03/1958
Situation: Peter is a 61 year old Indigenous man from a remote community.
He has been admitted to the CDU medical ward with chest pain. He
has a 6/24 history of central crushing chest pain. His ECG shows
that he has suffered from and inferior NSTEACS (NSTEMI).
NUR250 Medical Surgical Nursing 1: Assessment 1 Topic and Tasks SS XXXXXXXXXX
Background:
Peter lives in a single story home with his wife, 4 children and 2
grandchildren. He is independent with his cares.
He has an extensive past medical history including:
T2DM, smoker (10 per day), HTN, hyperlipidaemia, rheumatic
heart disease and mitral valve regurgitation.
No known declared allergies (NKDA).
Assessment:
Airway: Own, patent
Breathing: RR 22, Sats 94% on RA.
Circulation: HR 96 bpm, BP 160/95 mmHg.
Disability: GCS 15/15, 4/10 central chest pain, feels tired and a bit
wo
ied.
Exposure: Temp 37.0 oC
Recommendations/Read
ack:
Medical orders
• Repeat ECG
• Pain management
• TED stockings and DVT prophylaxis
Medication orders New
medications:
• GTN sublingual spray 400mcg PRN
• Oral paracetamol 1g QID
• Aspirin 300mg STAT
• Clopidogrel 300mg STAT
Usual medications:
• Metformin XR 1gm BD
• Ramipril 10mg OD
• Simvastatin 20mg OD

Assessment 1: Case scenario two
Shift handover:
Identify: Mrs Rose Wilson, HRN: 123678, DOB: 19/02/1962
NUR250 Medical Surgical Nursing 1: Assessment 1 Topic and Tasks SS XXXXXXXXXX
Situation: Rose is a 57 year old Caucasian lady from Darwin. She has been
admitted to the CDU medical ward with exace
ation of COPD. She
has a 2/7 history of dyspnoea, productive cough and a fever.
Background:
Rose lives in a two story home with her husband. She is
independent with her cares.
She has a past medical history of:
T2DM, smoker (20 per day), HTN, hyperlipidaemia and obesity. No
known declared allergies (NKDA).
She is obese (BMI 30) and drinks 1 bottle of wine every night.
Assessment:
Airway: Own, patent
Breathing: RR 26, Sats 89% on RA.
Circulation: HR 89 bpm, BP 160/95 mmHg.
Disability: GCS 15/15, 2/10 sharp chest pain on inspiration
Exposure: Temp 38.6 oC
Recommendations/Read
ack:
Medical orders
• Chest X-ray ordered
• Administer medications as charted
• Pain management
• TED stockings and DVT prophylaxis
Medication orders New
medications:
• Oral paracetamol 1g QID
• Ceftriaxone 1g BD
• Amoxycillin 1g TDS
Usual medications:
• Metformin XR 1gm BD
• Simvastatin 20mg OD
• Salbutamol MDI 100 mcg PRN
• Seretide MDI; 1 puff BD

Assessment 1 Tasks:

Choose from one of the patients handed over to you. Using the template provided in the
Assessment 1 folder and, based on the handover you received at the beginning of your shift
NUR250 Medical Surgical Nursing 1:

nur250-assessment-1-template-bzb3jmzv.docx nur250-medical-surgical-nursing-1-assessment-task-sheet-01quxv4q.pdf

Rimsha · Accepted Answer

NUR250 Assessment 1 SS 2019 Assignment template
												
Task 1 
Patient’s Condition
	The patient is 57 years old Caucasian women from a Darwin. She has been admitted to the hospital due to exacerbation of COPD. She has dyspnoea, fever and productive cough. When vital signs are tested, although, airway of the patient is own, open and clear, but her respiratory rate is 26 which is abnormal. On the contrary, oxygen saturation rate of the patient is 89%. Despite the heart rate of the patient is 89 base per minute which is normal, but blood pressure of the patient is 160/95 mmHg, which is relatively very high. Patient complains about the chest pain on inspiration. Since patient reported fever, her temperature is 38.6 degree Celsius. 
Pathophysiology of the Disease
	Exacerbation of the COPD is a sudden worsening of the symptoms of COPD. Expiratory flow limitation (EFL) is a pathophysiological mark of the COPD. Patients suffering from this disease are said to be flow limited when the expiratory flow is generated during tidal respiration. It represents maximal flow that can generate at the volume (Capistrano, Van Reyk, Chen & Oliver, 2017). In flow-limited patients, the time for the emptying of the lungs during spontaneous breathing is not enough to allow end expiratory lung volume (EELV). It declines its natural relaxation volume, which resulted in lung over inflation. The inflow-limited patients, EELV become dynamic instead of static. It becomes a variable that fluctuates depending upon the extent of EFL and prevail ventilatory demand. Dynamic hyperinflation is an acute and variable increase in EELV from the base value (Jones, Noble, Elliot & James, 2016).
	Dynamic hyperinflation occurs during in flow-limited patients because inspired tidal volume increases and expiratory time decreases. It resulted into severe mechanical constraints on ventilation. It resulted into respiratory discomfort. There is reduction in inspiratory capacity, which led to the increase in EELV. During COPD exacerbations, airways resistance is abruptly increased and it worsens the EFL (Sohal, 2016). The time constant for lung emptying is prolonged and EELV drastically increased. In exacerbation, patients adopt rapid shallow breathing pattern, which limits the time availability for emptying of the lungs and promotes the greater dynamic hyperinflation in a vicious cycle. Acute increase in ventilation is associated with DH inflow limited patients. DH can be life threatening during severe exacerbation (Negewo, Gibson & McDonald, 2015).
Linking current condition of the patient with past medical history
	The patient has a history of smoking. He smokes 20 cigarettes per day. He has a history of type 2 diabetes, hypertension, hyperlipidaemia and obesity. He drinks one bottle of wine per day. It is important to note that smoking is a leading cause of the chronic obstructive pulmonary disease. Smoking acts as a trigger for COPD flare-ups (Liang et al., 2018). Since the patient is suffering from diabetes, obese and hypertension, which are chronic diseases and lower the quality of the life, patient is weak and thus, easily they have worsen COPD symptoms. Apart from this, smoking damages the air sacs, airways and inner lining of the lungs. This injured the lungs. Injured lungs have trouble in movement of air inside and outside of the lungs. This makes it difficult for the person to breath easily. COPD symptoms are worsened due to smoking. Patient’s history has impact on his current condition (Mahmood et al., 2016).
6
Last name__ _student number_NUR250 SS 2019 Assessment 1
Task 2
Nursing Care Plan: Mrs Rose Wilson
	Nursing problem: Acute Pain
	Related to: dyspnoea, cough and chest pain
	Goal of care
	Nursing interventions
	Rationale
	Evaluation
	
To reduce the chest pain while expiration
To control the symptoms of cough
To ease the breathing 
	· Regularly observe the intensity of the chest pain
· Administer of the pain medication to control chest pain
· Check the phlegm
· Administer the antibiotic to relieve cough
· Breathing control exercise to ease the breathing
· Monitoring of the respiratory rate and oxygen saturation
· Administer of the oxygen therapy when oxygen level lowers
	· Administer of the pain medication help in relaxing the chest pain having 2 score (Cullen et al., 2015)
· Cough occurs due to bacterial infection. Administer of the anti-bacterial medicine helps in reduction of the growth of the bacteria. It also kills the bacteria (McCallum, Plumb, Morris & Chang, 2017).
· Training of the breathing control exercises help the individual in controlling in breathing rate and relaxes the muscles to ease the breathing. Since laboured breathing cause panic in the individual, this panic worsens the breathing further (Lahham et al., 2018).
	· Pain medication reduces the chest pain and, in few hours, patient does not feel any pain
· Administering of the antibiotic medication reduces the cough and controls the phlegm. In 2-3 days, cough is completely get treated
· Use of the breathing exercise technique, patient can control the breathing and have ease in breathing
	Nursing problem: Risk of ineffective tissue perfusion
	Related to: obesity, hypertension, hyperlipidaemia, and diabetes
	Goal of care
	Nursing interventions
	Rationale
	Evaluation
	To control the obesity and come within the expected BMI index range
To control the blood pressure so that hypertension can be prevented
To control the blood sugar level so that diabetes can remain in control
	· Patient is given weight management plan which includes customised diet chart based on the lifestyle and eating habit of the patient 
· Patients are tough some exercises which are effective in weight management
· Lifestyle of the patient will be changed which include limit on the smoking and wine drinking and regular exercise
· Control of the salt, sugar and fat rich- food in diet 
· Administers of medication for hypertension,

NUR250 Assessment 1 SS 2019 Assignment template Please note: As indicated in Assessment 1 information, a cover sheet, title and contents pages are not required Before you begin take a minute to fill...

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