Identify Problems/issues ? Given the facts that you have available and comparing those to whatyou think the changes could indicate/identify one potential patient problem/issue..
Identify Problems/issues ? Given the facts that you have available and comparing those to what
you think the changes could indicate/identify one potential patient problem/issue.
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Must follow marking guide
APA reference style Not old then 5 years
see picture for more understanding and must follow
Assessment Task 2: Case Study
Students will complete a case study which discusses the provision and coordination of person-centred care through the theoretical examination of a particular nursing specialty case study (LEO folder below), using the clinical reasoning cycle framework and the evidence. For presentation instructions consult the ACU academic study guide (link)
Case study instructions Utilise the Clinical Reasoning Cycle (Levett-Jones, 2013) (a clinical decision making framework) to plan and evaluate person-centred care: ? Considering the person?s situation, collect, process and present related health information ? Identify and prioritise at least three (3) nursing problems/issues based on the health assessment data that you have identified for the person at the centre of care. ? Establish goals for priority of nursing care as related to the nursing problem/issues identified ? Discuss the nursing care of the person; link it to assessment data and history. ? Evaluate your nursing care strategies to justify the nursing care provided ? Reflect on the person?s outcomes
Peri-operative: Candace Evans 42 years old Caesarean Section
Candace is a 42 year woman admitted to the maternity ward, for an elective caesarean section for the birth of her second child the following day. Candace has a past history of gestational diabetes with her first pregnancy, 5 years ago, which resolved following the birth with no recurrence in this pregnancy. Candace also has a past history of depression and anxiety and was treated for post-natal depression following the birth of her first child. She is first on the list for an elective caesarean section under spinal anaesthesia. You are working in the PACU on a morning shift and will receive Candace following her caesarean section. Candace arrives in the PACU, following the uneventful birth of a male infant via LUSCS with APGARS of 8 at 1minute and 10 at 5 minutes following birth. She has a dressing insitu which is dry and intact, IDC insitu with minimal drainage and IVT of CSL at 84mls/hour via an IV pump. She is still experiencing the effects of the spinal anaesthesia under which she had the LUSCS. Candace had a total blood loss of 150 mls during the procedure. She is alert and her vital signs are T 36.6oC, HR 88, BP 104/76, O2 sats 97% RA.
Consider the patient situation ? What current information do you have on this pt? ? What new information have you gathered?
Collect Cues/Information ? What further cues and information would be useful? Why?
Process Information ? What changes do you notice in the cues and information provided? ? Which changes are significant for this patient and why? ? What do you think these changes could indicate and why? ? What could be the outcome of these changes?
Identify Problems/issues ? Given the facts that you have available and comparing those to what
you think the changes could indicate/identify one potential patient problem/issue.
Establish Goals ? Describe what you want to happen. ? Who do you want involved and what do you want them to do? ? In what timeframe?
Take Action ? What nursing actions will you take? ? What will be your nursing priorities?
Evaluate Outcomes ? What do you expect to achieve from the actions have taken?
Reflect on Process and new learning ? What have you learnt from this exercise?
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