17 Jun WHAT IS THE CURRENT EVIDENCE SAYING WHAT IS THE BEST PRACTICE IN THIS INTERVENTION?
Nursing assessment and care of the Patient with Pneuomina
You are working as a student nurse in a metropolitan hospital. Steven Smith is a 32 year old man admitted to the medical ward with bacterial pneumonia. Steven appears to be asleep on his side when you enter the room and his face seems pale. You can?t see the rest of him as the bedclothes are pulled up to his neck. You can however see his chest rising and falling under the bedclothes. You check the documentation and his vital signs 2 hours ago were BP 135/80mmHg and pulse 96b/min. His respiratory rate is recorded as 28 respirations/min and the comments column on the observation chart reads: moderate recession/working hard decreased air entry in both lung bases scattered coarse crackles and wheezes upon auscultation and oxygen saturations 92% in room air. The sputum cup next to his bed contains yellowy-green sputum. His temperature is recorded as 38.1oC He has intravenous (IV) therapy ordered & running N/Saline 0.9% 1000ml/12 hours and is ordered IV antibiotics. Other information in the chart gives the following details: 2 week history of flu? like illness with productive cough presented to hospital following GP referral for chest X-ray experiencing intermittent chest pain worsened by coughing and deep breathing smoker 30/day works in the building & construction industry as a labourer and divorced 5 years ago. After Steven finishes his rest you need to perform certain nursing-based interventions to aid his recovery.
The 1800- word essay should cover the points below:
Introduction (100 words): State an overview of the patients condition and identify TWO priority nursing problems. Give a brief plan for the essay topics.
For the first problem (800 words): Briefly explain how it relates to the patients assessment data. Identify TWO priority nursing interventions to address the problem. Discuss briefly the nursing interventions you will implement (explain what is involved in implementing the intervention why it is suitable any relevant positive or negative aspects/considerations) and support/justify the use of these interventions with reference to current evidence-based literature. Outline the evaluation criteria/data that would indicate that each intervention is improving or resolving the identified problem.
For the second problem (800 words): Briefly explain how it relates to the patients assessment data. Identify TWO priority nursing interventions to address the problem. Discuss briefly the nursing interventions you will implement (explain what is involved in implementing the intervention why it is suitable any relevant positive or negative aspects/considerations) and support/justify the use of these interventions with reference to current evidence-based literature. Outline the evaluation criteria/data that would indicate that each intervention is improving or resolving the identified problem.
Conclusion (100 words): Briefly restate the patients condition and problems and how the nursing interventions can benefit the patients health.
Refer to current academic peer-reviewed journal articles to justify your ideas.
Format of Assessment 2
A fully completed with CORRECT information and signed assignment cover sheet must be attached.
All questions should be attempted and written in essay format
Margins: 2cm on 4 sides; & line spacing: at least 1.5; Font size: 12
Adherence to the stated word limit is required
QUT APA referencing style
A full reference list is required at the end of the assignment. For further information on referencing at QUT refer to QUT Cite/Write via http://www.citewrite.qut.edu.au
It is expected that students will familiarise themselves with the required essay format as outlined in the academic writing advice located at http://www.issupport.qut.edu.au/language/advice/academic.jsp This provides valuable information to assist you to write a high quality academic paper.
Using current peered reviewed journal articles that are evidenced based and no older than 2007 to fulfil the following questions.
1. What is the current evidence saying what is the best practice in this intervention?
2. How is it intervention implemented?
3.What is the outcomes wanting to be achieved from this intervention?. ie how it address the problem/priority.
References from databases such as Cinahl Joanna Briggs Institue Crochrane Nanda. Can also use. Queensland Health Hospital Policy procedures and guidelines. Relevant to Nursing Queensland.
Keeping all resources relevant and link it to the scenario.
Matching the case scenario assessment data to priority problem. (only write about the existing data that is supplied.)
Criteria-referenced Assessment (CRA): Assessment 2 Student Name: Student Number:
Clinical Knowledge Skills & Decision Making
Pass Fail
7 6 5 4 3 2 1
Demonstrates an understanding and application of nursing assessment and prioritisation of problems In your case study you have:
provided a comprehensive explanation of all the significant signs/symptoms which link to the identified priority problems
analysed comprehensively patient assessment data and applied clinical knowledge to synthesize/identify correctly 2 priority problems
applied clinical knowledge to synthesize comprehensive evaluation criteria to measure the success of all priority nursing interventions In your case study you have:
provided a comprehensive explanation of nearly all of the significant signs/symptoms which link to the identified priority problems
analysed patient assessment data and applied clinical knowledge to synthesize/identify correctly 2 priority problems
applied clinical knowledge to synthesize/ identify appropriate evaluation criteria to measure the success of all priority nursing interventions
one significant concept in was missing and/or not described in sufficient detail
In your case study you have:
provided a detailed explanation of some of the significant signs/symptoms which link to the identified priority problems
analysed most patient assessment data and applied some clinical knowledge to synthesize/identify correctly 2 priority problems but
applied clinical knowledge to synthesize/identifiy evaluation criteria to measure the success of all priority nursing interventions but
some significant concepts were missing and/or not described in sufficient detail
some significant evaluation data missing and/or not described in sufficient detail
In your case study you have:
provided an explanation of some of the significant signs/symptoms which link to the identified priority problems
analysed some patient assessment data and applied some clinical knowledge to synthesize/identify correctly 2 priority problems but
applied some clinical knowledge to synthesize/identify evaluation criteria to measure the success of all/two priority nursing intervention(s) with superficial and/or incorrect detail
quite a few concepts were missing and/or not described in sufficient detail In your case study you have:
attempted to provide an explanation of significant signs/ symptoms and to analyse patient data to identify 2 priority problems but:
there was little/no coverage of the essential pathophysiological concepts linking your identified problems to the patient data in your explanation and/or
one or more of the priority problems were incorrectly identified
evaluation data was inadequate/inappropriate/not present
Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Ask A Question and we will direct you to our Order Page at WriteDemy. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.
Fill in all the assignment paper details that are required in the order form with the standard information being the page count, deadline, academic level and type of paper. It is advisable to have this information at hand so that you can quickly fill in the necessary information needed in the form for the essay writer to be immediately assigned to your writing project. Make payment for the custom essay order to enable us to assign a suitable writer to your order. Payments are made through Paypal on a secured billing page. Finally, sit back and relax.
About Writedemy
We are a professional paper writing website. If you have searched a question and bumped into our website just know you are in the right place to get help in your coursework. We offer HIGH QUALITY & PLAGIARISM FREE Papers.
How It Works
To make an Order you only need to click on “Order Now” and we will direct you to our Order Page. Fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.
Are there Discounts?
All new clients are eligible for 20% off in their first Order. Our payment method is safe and secure.