Order ID:89JHGSJE83839 | Style:APA/MLA/Harvard/Chicago | Pages:5-10 |
Instructions:
critical adult nursing care Assessment
Paper details:
Assessment Please, Do not use :’I’, use the author or the writer of this paper, etc. In this paper ( please mention) the tasks will be observed by the student nurse or will be done by the student nurse under supervision. The case study will present (acute illness) the first 24-48 hours of the patient in the hospital. Many thanks 5000 word written assignment to critically appraise the evidence-based principles underpinning short term, acute and critical adult nursing care Assessment: Care Study of 5000 Words You should choose one of the patients whose care you have been following in this unit. The case study will be a written paper of 5,000 words in which you will be expected to demonstrate your understanding and critically analyse the role of the nurse in the assessment , planning , provision and evaluation of person centred care of the patient with acute, short term and critical care needs. This will be done within the context of the multidisciplinary / multi -agency team. You will choose one patient with an acute, short term condition from your secondary care placement and critically evaluate the pathophysiological changes which occur within the chosen condition. This case study will include the safe use and action of medications administered for the chosen presenting acute condition. The case study: 74 years male with Acute Kidney Injury – -presentation of an acute illness – -Will be considered the first patients 24 hours – Role of the nurse in A -E assessment – Pathology – Multiagency involvement – investigations – Given drugs and why Mr Z, a 74 year old man with hypertension, chronic kidney disease (CKD) and type two diabetes complicated by peripheral neuropathy. He had a BMI of 28. Mr Z lived with his wife and was under regular review. His blood pressure was stable and satisfactory at 134/80. An HbA1c was 64 mmol/mol, serum creatinine 144 umol/L with no microalbuminuria. His medications included Ramipril 5mg OD, Furosemide, Mixtard-30, Simvastatin, Paracetamol; Ibuprofen 400mg TDS PRN and Gabapentin. A GP home visit was requested by his wife as Mr Z had been vomiting for 24 hours and was experiencing hypos, disorientated, agitated and unwell but afebrile. His blood pressure was 75/45. Urgent admission was arranged. Admission: On admission he was found to be in hypovolaemic shock with oliguria. His admission serum creatinine was 480 umol/L with accompanying serum potassium of 7.1 mmol/L. He was resuscitated with IV fluids. Ramipril, Furosemide, ibubrufen and Gabapentin therapy were temporarily suspended. Final Diagnosis: Acute Kidney Injury following hypovolaemia. What would your immediate assessment priorities be for M? How would these priorities help you plan care? Discuss the rationale, implications and nursing interventions of the care? What is the NEWS 2 Score? 1 With rationale what are the pathophysiological mechanisms for the vital signs recorded so far? Demonstrate how you would escalate your concerns? Who would you escalate to? How would you help to reassure patient and patients partner? 2 With rationale explain how pts acute condition would be monitored and evaluated? Discuss who would be involved in pts person centred care (Multi-disciplinary Team, Inter professional working)? With Rational discuss how you would prepare pt. for further investigations including preparation for possible surgery? 3. With rationale discuss the indications for the use of medications that could be administered to the pt. during this time? With rationale discuss the safe administration of medications including the route, dose, contraindications & assessment? 4. Pt. requires fluid management. Discuss the rationale, implications and nursing interventions when administering IV Fluids including the use of Colloid or Crystalloids?
critical adult nursing care Assessment
RUBRIC |
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Excellent Quality 95-100%
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Introduction
45-41 points The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned. |
Literature Support 91-84 points The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned. |
Methodology 58-53 points Content is well-organized with headings for each slide and bulleted lists to group related material as needed. Use of font, color, graphics, effects, etc. to enhance readability and presentation content is excellent. Length requirements of 10 slides/pages or less is met. |
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Average Score 50-85% |
40-38 points More depth/detail for the background and significance is needed, or the research detail is not clear. No search history information is provided. |
83-76 points Review of relevant theoretical literature is evident, but there is little integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are included. Summary of information presented is included. Conclusion may not contain a biblical integration. |
52-49 points Content is somewhat organized, but no structure is apparent. The use of font, color, graphics, effects, etc. is occasionally detracting to the presentation content. Length requirements may not be met. |
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Poor Quality 0-45% |
37-1 points The background and/or significance are missing. No search history information is provided. |
75-1 points Review of relevant theoretical literature is evident, but there is no integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are not included in the summary of information presented. Conclusion does not contain a biblical integration. |
48-1 points There is no clear or logical organizational structure. No logical sequence is apparent. The use of font, color, graphics, effects etc. is often detracting to the presentation content. Length requirements may not be met |
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critical adult nursing care Assessment