NUR241 Demonstrate Assessment Of Individual Experiencing Health Alterations Assessment 3 Answer

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Question :

Assessment Task 3  Case Study (50%)

Assessment name:Assessment Task 3 Case study
Marking Criteria measured:Utilisation of appropriate assessment frameworks to identify the pathophysiology of the condition in the case study.
Application of evidence to explain the actions the registered nurse / registered midwife take to implement and evaluate two (2) interventions to care for the patient in the case study.
Critical appraisal of evidence supporting nursing / midwifery practice applicable to the patient in the case study.
Application of the ICN or ICM codes of ethics to the actions of the registered nurse / registered midwife in patient discharge.
Encouragement of access to, and participation in healthcare using the Social Justice Framework to underpin the actions of the registered nurse / registered midwife in patient discharge.
Academic writing evidences academic integrity in the application of the APA7 referencing style.
Length:1800 words
Estimated time to complete task:25 hours
Weighting:50 %
Individual/ Group:Individual
The case study assignment is an Individual Assessment Item. You may work collaboratively with other students to understand concepts in this course, but your answers must be your individual research, interpretation and application of the materials.
Formative/ Summative:Summative
How will I be assessed:5-point grading scale using a rubric
Submission details:Safe Assign in NUR241 Blackboard
Presentation requirements:This assessment task must:
  • Times New Roman Size 12 Justified 1.5 line spacing
  • Use APA7 referencing for citing academic literature
  • be submitted in electronic format as a word.doc document via SafeAssign.
  • Please use a heading to indicate which case study you are providing a response to.
  • Do not copy the actual questions into your assignment document

  • No Introduction or Conclusion is required as this is not an essay.
Task goal:The goal of this case study is for you to identify the role of the registered nurse / registered midwife in evidence-based assessment and care of individuals experiencing health alterations when access to healthcare is suboptimal or compromised. You also articulate the role of the nurse in encouraging access to, and participation in healthcare.
Task description:Present a response to a clinical scenario demonstrating appropriate assessment, management and discharge of an individual experiencing health alterations.
What you need to do:In this task you will conduct a case study. There are three clinical scenarios, you will study only one. Please follow the steps below:
Step 1: Identify your allocated clinical scenario
  • Students in Group A (starting in February, 2021) will select Clinical scenario 1.
  • Students in Group B (starting March, 2021) will select Clinical Scenario 2.
  • Midwifery students will select Clinical scenario 3
Step 2: Secondary assessment of the patient
Detail the secondary assessment and investigations appropriate for this patient (400 words).
Step 3: Explain the pathophysiology of the health alteration Explain the pathophysiology that explains the patient assessment findings and underpins the interventions (300 words).
Step 4. Implementation and evaluation
Select, justify and describe two (2) essential interventions and describe the nursing / midwifery actions required to implement and evaluate it (800 words).
Step 5. Plan the patient discharge
Select and describe nursing / midwifery actions to prepare the patient for discharge utilising the social justice framework to address the social determinants of health (SDH) that impede the access to, and participation in healthcare (300 words).
Additional notes
Select interventions that corrects the pathophysiological change within the patient. Patient monitoring actions (completing vital signs and fluid balance charts) is considered as assessment or evaluation, it is not an intervention.

Clinical Scenario 1 (for Group A nursing students)


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Answer :

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IdentificationMrs Sadie Mangle, 82 year old, retiree.
SituationMrs Mangle found in collapsed in the front yard by neighbours Scott & Charlene at 8:30am. She had weakness in the right arm and leg, facial droop and was “talking nonsense”. The patient is admitted to the Medical Ward with an ischaemic CVA.
BackgroundAllergies: penicillin
Medication: Metformin, actrapid, atorvastatin, ACE inhibitors Past illnesses: T2DM, hypercholesterolaemia, hypertension Last meal: Dinner the previous night.
Events leading up to presentation: recent episodes of abnormal sensation that resolved within the hour.
AssessmentRR: 22
SpO2: 95% RA (room air)
HR: 95, strong pulse
BP: 200/110
T: 35
GCS: 14 (confused to time, place, person)
BGL: 10 mmol/L
Cap. Refill Time: 2 seconds, flushed face
CT: ischaemic stroke
Other information
When Mrs Mangle was found she was in her pyjamas without her dressing gown. This is unusual as normally she is up and dressed, walking with Alby at 6am. Alby was inside the house calling out to Sadie. It is suspected that Mrs Mangle collapsed during the night while letting her dog, Bouncer, go to the toilet.
Mrs Mangle is now bed bound due to weakness in the right side (failed on bed mobility test). Mrs Mangle is unable to change positions in bed. The physiotherapy review is pending.
Mrs Mangle requires a modified diet due to delayed swallow (assessed by a speech pathologist