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Critical Thinking

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The overall aim of this assessment task is to help you develop critical thinking skills in the provision of safe, appropriate nursing care of an older adult assigned to your care. Scenario You are a registered nurse working on an Orthopaedic ward. Mr Dwight Simons, 67 years, is being transferred to you from the Emergency Department via operating theatres. You need to assess, plan, prioritise and provide care for Mr Simons who has just undergone a total hip replacement to treat a fractured neck of femur of his right leg. Mr Simons waited in the Emergency Department 12 hours for surgery. Prior to this he was laying where he fell, on the floor at home, for 18 hours before help arrived. Mr Simons is a semi-retired pharmacist and has been working 3 days per week. His wife died earlier this year and he now lives alone. On arrival to your ward, Mr Simons is confused but otherwise in a stable condition. He has an IV cannula in situ right lower arm, with IV Normal Saline running at 40mls/hr and a Fentanyl PCA. There is approximately 200mls left in the IV bag. His GCS is 14 and his pupils are equal & reactive. His blood pressure is 137/78 mmHg, his pulse is 87 bpm and he is afebrile at 36.6 degrees. The surgical incision is dressed with minimal strikethrough. There are 2 Belovac drains that are patent and draining from the incision site- a total of 500mls emptied in operating theatres. His integument is otherwise intact but you notice a large bruise and swelling on his (R) temple – the theatre nurse explains that his head was bumped during the transfer from the operating table to his bed. His IDC is patent and draining a strong yellow coloured fluid. Mr Simons is awake but appears confused. He is able to remember his date of birth but cannot recall why he is in hospital or what day it is. He keeps trying to sit up even though he has been frequently reminded not to. He keeps dropping his PCA button and asking staff to call his wife to come and pick him up. Task: Your task is to write an essay of 2000 words in which you explain the decisions you would make in assessing, planning and prioritising the care of Mr Simons. You are to assume you are the Registered Nurse assigned to care for him for the duration of an 8 hour shift. In the essay you need to: 1) Identify & prioritise the nursing care of Mr Simons 2) Describe, prioritise and provide a rationale for the nursing assessments you will undertake 3) Describe, prioritise, and provide a rationale for the planned care of Mr Simons that demonstrates client centred care ï‚· Ensure that you use relevant academic literature to support the decisions you would make in order to provide an evidenced-based approach to the nursing assessment and nursing care. ï‚· References: Minimum of 15 scholarly articles

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More Critical Thinking: Questions & Answers

Q

a)What is a literature review? b)What makes a good literature review and why? What ethical considerations will you have to make before conducting your research?  Think about issues of consent, anonymity and personal safety. Define what constitutes ‘evidence’ for the purposes of r ...

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Required:a. Prepare Budgeted Income Statements for the two alternatives –using casual sales agents assuming they will be paid 20% commission as against having full time employees and assuming that the sales value remains unchanged from the Budgeted figures.b.Recommend which of the two alternat ...

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Smart mobile (anti-)forensics. For example, what are the forensic challenges associated with smart mobile devices (e.g. iPads, Android devices and BlackBerry devices)? ----------------------------------------------------------------------------------------- This is an academic paper (more like an ...

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HOW DO THE SPECIFIC CHARACTERISTICS OF YOUR SCHOOL ASSIGNMENT DIRECTLY RELATE TO THE CONCEPT OF MANAGING SCARCITY? HOW DID THESE CHARACTERISTICS ALLOW OR INHIBIT YOUR PRODUCTIVITY? HOW MUCH DID YOUR OWN SITUATION CONTRIBUTE TO THE PROBLEMS OF SCARCITY? hOW MIGHT THIS EXPERIENCE HAVE BEEN MORE PRODUC ...

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