Assessment 3: Clinical Reasoning Assignment Case Study Task Overview
|Course||NUR2204 Acute Care Across the Lifespan B|
|Assessment name||Clinical Reasoning Case Study|
|Brief task description||Critically analyse the case study of a patient presenting with chest pain, to plan nursing assessments and interventions.|
|Length||Word count of 1200 words ± 10% (including in-text referencing and excluding reference list)|
|Weighting and marks||Marks out of 50 (Weighted at 25%)|
|Course Objectives||CO1 CO2 CO3 CO4|
|Task detail||Your responses will be assessed on the provision of relevant clinical content, evidence of critical thinking, adequate standard of academic writing, referencing formatting and quality of sources used.|
Marks for academic writing and referencing will be awarded as per marking criteria (attached). Each question on the case study has been allocated with individual marks— please refer to questions in case study
|Writing style||Responses to this assessment task must:|
|Referencing requirements||A minimum of ten (10) academic sources should be used. Your textbooks may be used as references BUT you also need to use relevant, contemporary, peer reviewed journal articles no older than seven (7) years (published from 2014 onward) as supporting evidence.|
Blogs such as Medical News Today, sponsored websites such as Better Health Channel, Premier Health, Harvard Medical Health, Nurse Labs, Aus Med, WebMD, healthdirect, rnpedia and lecture/ course materials are NOT acceptable sources. You will be graded on the quality of the sources.
In addition, you could use:
Any responses (answers) that are not referenced to academic sources will receive a mark of zero (0).
|What you need to submit:||You must submit ONE document. Please note:|
URN: USQ431561251 | PATIENT: HOVEY, DONNA
DOB: 28 Jun 1961 | GENDER: FEMALE
|SITUATION||Mrs Donna Hovey is a 60-year-old female who was admitted to the ward two (2) days ago for pneumonia. She is now complaining of mild pressure in her chest (rated 4/10) that started 10 minutes ago while she was lying on the bed. Mrs Hovey states she also has a slight ache in the underside of her upper left arm.|
She is diaphoretic and feeling a little nauseated. Mrs Hovey has developed slight shortness of breath. Her peripheries are a little cool to touch
|BACKGROUND||Mrs Hovey has a history of Ischaemic Heart Disease (IHD), hypertension and beginning Peripheral Vascular Disease (PVD). She had Coronary Artery Bypass Graft (CABG) surgery six (6) years ago with Saphenous Vein grafts to her Left Anterior Descending (LAD) coronary artery and diagonal branch. Mrs Hovey also had a Percutaneous Transluminal Coronary Angioplasty (PTCA) with stenting to her Right Coronary Artery (RCA) and Posterior Descending Artery (PDA).|
|ASSESSMENT||Her observations at 0700 hours were as follows: Temperature: 37.3ᵒC|
Pulse: 74bpm, regular, volume strong Respiratory rate: 14/min, regular, normal depth BP: 165/90mmHg (normal for her)
SpO2: 98% on room air
Her observations NOW:
Pulse: 116 bpm, regular, volume not as strong as previously Respiratory rate: 26bpm, regular, a little shallower
BP: 105/70 mmHg SpO2: 92% on room air
|RECOMMENDATION||You have informed the Team Leader of Mrs Hovey’s complaints and vital signs and the Team Leader will be contacting the treating team. You continue to stay with Mrs Hovey while waiting for the treating team to arrive.|
Caring for a patient with chest pain
Setting the scene
Donna Hovey’s holistic assessment by the Doctor indicates:
Past medical history:
Past surgical history:
Mrs Hovey says she no longer smokes. She used to smoke 2 packs per day, starting at the age of 19 and ceasing at 49 years old when she was first diagnosed with Coronary Artery Disease (CAD). Mrs Hovey lives alone in a rented flat and has recently retired on a superannuation pension as her only source of income. Her only son lives in Melbourne and due to the pandemic and border closures, has not seen him for nearly a year which is making her depressed. Mrs Hovey is also worried about going home as her chest pain has occurred several times recently when she was doing the housework. Mrs Hovey states that she hates asking anyone to help.
Use the Clinical Reasoning Cycle on the following pages to review the nursing priorities in relation to the care of Mrs Donna Hovey.
Gain an initial impression of your patient
Mrs Hovey’s BMI puts her at the ‘Obese’ category. Discuss the impact of obesity on the cardiovascular diseases in relation to Mrs Hovey’s presentation. Ensure ALL your statements are supported with&am Show More
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