University | La Trobe University (LTU) |
Subject | NSG2TBN: Transition To Bachelor of Nursing |
Instructions:
This assignment is based on a fictional patient, Mrs. Wang.
You are the nurse allocated to provide nursing care for Mrs. Wang. She is admitted to your ward following a fall at home earlier this morning where she fractured her L) Neck of Femur and she has been transferred to the theater.
As a nurse, you are required to understand and manage the problems that patients are at high risk of experiencing following a fall at home and post-surgery. You must be able to anticipate any other serious issues that may occur and plan for how you would manage these problems.
You are required to apply a person-centered care approach using the CLINICAL REASONING CYCLE (see Appendix Two) to prioritize care for the next eight hours, that is post-operatively.
The patient data required for the assignment may be found at the end of this document in the appendix.
Please use the Marking Rubric on LMS as a further guide for this assessment to aid you in completing this task.
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Assignment guidelines & structure:
Using the principles of patient-centered care and the CLINICAL REASONING CYCLE, develop a nursing management plan for the eight hours following Mrs. Wang’s return to the ward from the theater.
Detailed instructions
1. Using the clinical reasoning cycle, list at least three (3) actual or potential nursing problem statements in order of priority.
Each of these nursing problem statements must be supported by the cues and data from the scenario and justified (referenced) using current nursing literature. Nursing problem statements should be 3- part statements e.g. Problem related to etiology (cause) as evidenced by signs & symptoms. Nursing problem statements are not one-word statements like “Pain”
2. Select the highest priority statement (Choose only one (1)). For the Nursing Problem Statement, you must:
1. Explain why it is of high priority making use of evidence from the literature.
2. Formulate patient-centered goals for your care. Remember that nursing care goals must be specific, measurable, achievable, and realistic and have a timeframe (SMART criteria).
3. Identify three (3) relevant nursing interventions that you would implement to meet the patient-centered goal listed above. Discuss each intervention and rationale using evidence from the current peer-reviewed nursing literature.
List the evidence-based assessment criteria that you would use to evaluate Mrs. Wang’s response to your care.
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