Comprehensive Assessment

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POST OP DEEP VEIN THROMBOSIS (DVT)- 500 words – APA 6th edition referencing style

2. Comprehensive assessment

● Discuss 2 areas of the systematic assessments relevant to the client and their associated condition.

● Include in your discussion 2 risk assessments that may be relevant for this client, including why they were chosen.

● Refer also to culture, ethnicity, family and the inter-professional team.

● Use scholarly literature to support your discussion. 3. Plan nursing care based on your assessments of the patient

● Discuss 2 specific strategies to meet the client’s needs identified in

·       what is meant by systemic assessments relevant to john’s condition in section 2? Head to toe assessment e.g.

CNS, cardiovascular, respiratory, endocrine, renal, integumentary, musculoskeletal, GIT, reproductive, immune, psychosocial.

It should be relevant to the patient i.e either his current situation so, immobile due to post ob knee surgery- musculoskeletal assessment ROM.  He has a cardiac or diabetic history so you might discuss this part of the assessment and why it would be relevant to this patient.

·

What is risk assessment? – falls risk, waterlow pressure assessment etc..

·       Do we choose 2 areas of systematic assessments relevant to osteoarthritis or DVT?? Or all of his medical history? You can choose it relevant to the patients osteoarthritis, post op- so musculoskeletal, his cardiac history so cardiac assessment, endocrine as he is a diabetic.  You will need to however justify why you have chosen to discuss a particular system relevant to your patient.

·

section 3. Do you 2 specific strategies for previous assessment identified in section 2 or 2 specific strategies to prevent post op conditions or both? This qs was quite unclear but here goes.. you need to look at your chosen assesments e.g say musculoskeletal and discuss 2 strategies to meet the clients needs.  So for this patient he has just had knee surgery so some strategies might be early mobilisation, adequate pain management (from a nursing scope) to allow him to mobilise sooner.

Comprehensive Assessment
2803NRS ACUTE NURSING PRACTICE TRIMESTER 1, 2017 1 Written Assignment: Essay Word Count: 1500 Words Weighting : 30% Due Date : Tuesday, 2nd May, 2017 at 1700 hrs Aim: The aim of this essay is for you to demonstrate an ability to apply theoretical knowledge to plan effective evidence -based, person -centred care for a client with an acute medical or surgical condition, in line with the NMBA (2016) Registered nurses standards for practice. Assessment description: Consider the following client scenario: John Grant, a 63 year old man has been diagnosed with bilateral knee osteoarthritis. His GP added Endone 5 mg prn but due to his worsening pain, mostly in his right knee, John was referred for a right total knee replacement and a plan to have the left knee done also, once he was fully recovered from the first operation. He has a history of angina, hypertension (HTN), hyperlipidemia, type 2 diabetes (T2DM), and depression. John is widower and owns a café, along with his eldest daughter. He previously worked 6 days / week however due to his painful knees he has reduced his work to light duties and office work 2 days/week and now worries about his daughter’s workload. John lives in his own home, which has six steps at the front, and is usually able to do all his own Activities of Daily Living (ADLs) and household work independently. His family visit s regularly, and recently his son and daughter -in-law have been helping with the housework and cooking. John has returned to your ward after having his total knee replacement surgery and you are the nurse taking over his post -operative cares. 1. Choose ONE of the topics listed below – Post op respiratory infection OR Post op deep vein thrombosis (DVT) . 2. Search the literature for at least 10 recent [less than five years old] research journal articles or systematic review p apers related to the topic you have selected. 3. Write an essay of 1500 words in length in response to the following essay criteria . 4. Use current evidence to support your discussion on the topic. 5. Refer to the marking criteria to see how many marks are allocate d to each section and to get further information on the assignment structure. 6. Use the APA 6 Referencing style and the School’s assignment formatting guidelines https://sites.google.com/a/griffith.edu.au/griffith -health -writing -and -referencing -guide/ 2803NRS ACUTE NURSING PRACTICE TRIMESTER 1, 2017 2 TOPICS : Choose ONE of the following post -operative conditions For your chosen post -operative condition address the following criteria. A. POST OP RESPIRATORY INFECTION 1. Provide an overview of the patient : ● Briefly outline their current condition and include some basic pathophysiology . ● Discuss other relevant me dical history, social environmental and family situation . ● Identify and discuss risk factors (in other words what might go wrong to cause a respiratory infection and why) . ● Use scholarly literature to support your discussion . 2. Comprehensive assessment ● Discuss 2 areas of the systematic assessments relevant to the client and their associated condition. ● Include in your discussion 2 risk assessments that may be relevant for this client, including why they were chosen . ● Refer also to culture, ethnicity, family and the inter -professional team . ● Use scholarly literature to support your discussion . 3. Plan nursing care based on your assessments of the patient ● Discuss 2 specific strategies to meet the client’s needs identified in the assessm ent . ● From your analysis of the literature, propose and justify a plan to prevent a post – operative respiratory infection in this client. (i.e., make a case for what is best practice based on your reading, and provide supporting evidence). ● Compare and contra st differing views that you found in the literature and construct an argument for what you think is best practice (i.e., evidence -based) in this particular scenario. ● Use scholarly literature to support your discussion (i.e., journal articles and contemporary sources) . 4. Evaluationof care ● Discuss any inter -professional collaboration that may be required to manage the patient whilst in hospital or at home . ● In your own words , and using reflective practice , discuss strategies to evaluate the plan of care . B. POST OP DEEP VEIN THROMBOSIS (DVT) 1. Provide an overview of the patient ● Briefly outline their current condition and include some basic pathophysiology . ● Discuss other relevant medical history, social environmental and family situation . ● Identify and discuss risk factors (in other words what might go wrong to cause a DVT and why) . ● Use scholarly literature to support your discussion . 2803NRS ACUTE NURSING PRACTICE TRIMESTER 1, 2017 3 2. Comprehensive assessment ● Discuss 2 areas of the systematic assessments relevant to the client and their associated condition. ● Include in your discussion 2 risk assessments that may be relevant for this client, including why they were chosen. ● Refer also to culture, ethnicity, fami ly and the inter -professional team . ● Use scholarly literature to support your discussion . 3. Plan nursing care based on your assessments of the patient ● Discuss 2 specific strategies to meet the client’s needs identified in the assessment . ● From your analysis of the literature, discuss and justify a plan to prevent a post – operative deep vein thrombosis (DVT) in this client. (i.e., make a case for what is best practice based on your reading, and provide supporting evidence to back it up). ● Comp are and contrast differing views that you found in the literature and construct an argument for what you think is best practice (i.e., evidence -based) in this particular scenario. ● Use scholarly literature to support your discussion (i.e., journal articles and contemporary sources) . 4. Evaluation and of care ● Discuss any inter -professional collaboration that may be required to manage the patient whilst in hospital or at home. ● In your own words , and using reflective practice discuss strategies to evaluate the plan of care. 2803NRS ACUTE NURSING PRACTICE TRIMESTER 1, 2017 4 WRITTEN ESSAY MARKING CRITERIA CRITERIA POSSIBLE MARKS Overview of the Client ● Provides a brief outline the clients current condition including some basic pathophysiology ● Discusses other relevant medical history, social environmental and family situation ● Identifies and discusses risk factors (in other words what might go wrong to cause a respiratory infection and why) / 20 Comprehensive assessment ● Discuss es 2 areas of the systematic assessments relevant to the client and their associated condition. ● Include s in their discussion 2 risk assessments that may be relevant for this client, including why they were chosen. ● Refers also to culture, ethnicity, family a nd the inter -professional team / 25 Plan nursing care based on assessments of the client ● Discusses 2 specific strategies to meet the client’s needs identified in the assessment ● From the analysis of the literature reviewed, discusses and justifies a plan to prevent chosen condition in this client. (i.e., make a case for what is best practice based on your reading, and provide supporting evidence to back it up). ● Compares and contra sts differing views found in the literature and constructs an argument for what is best practice (i.e., evidence -based) in this particular scenario. / 30 Evaluation of care ● Discusses inter -professional collaboration that may be required to manage the patient whilst in hospital or at home ● In their own words used reflective practice to discuss strategies in evaluating a plan of care / 10 Presentation and Structure Introduction and Conclusion ● Provides an introductory paragraph that clearly explains the purpose and structure of the essay ● Provides a concluding paragraph that summarises the main points and ideas of the essay, with no new material introduced / 5 Presentation ● Complies with academic standards – spacing, cover sheet, title page, and word count ● Appropriate sentence and paragraph structure, overall logical flow, appropriate grammar and spelling / 5 Referencing ● Supports all key points with current scholarly literature (at least 10 ) ● Complies with APA 6th format in -text and in reference list / 5 TOTAL MARKS / 100 2803NRS ACUTE NURSING PRACTICE TRIMESTER 1, 2017 5

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