You met David Parker last month when he was admitted to the medical ward you are working on following a myocardial infarction. David initially recovered and was discharged with referrals to an outpatient cardiac rehabilitation program. David did not attend the rehabilitation program as he had too much work on the farm and driving into town takes up too much of his time
David now experiences breathlessness which is no longer relieved by rest and gets worse when he lies down. He has also developed a cough and is becoming increasingly fatigued. David has continued to smoke 10 cigarettes per day as he states this assists him to cope with the stress. He also states he still has the occasional alcoholic drink but admitted he has “a few drinks with the boys at the local pub” every Friday night. David’s wife, Sophie, now provides David with low fat, low salt meals but he often refuses to eat them. He states his appetite has decreased over the past few weeks and he often feels nauseous however he has put on 6 kilograms during the past month.
David visited the cardiologist clinic today for his regular follow up cardiac appointment. The cardiologist has diagnosed David with Chronic Heart Failure (CHF) and has admitted David to hospital for further investigation of his cardiac function and symptom management.
Task 1: Patient assessment
On admission to the ward, the nurse focuses on collecting specific cues and information relevant to the person’s condition at the time. This second step in the Clinical Reasoning Cycle assists the nurse to recognise patient deterioration and assists the nurse in planning care and to facilitate mutually established goals. The nurse will continually assess and re-assess the patient throughout the continuity of care
In grammatically correct sentences and topic paragraphs and using current, reliable evidence for practice
Identify 3 specific nursing assessments that you would conduct as a priority on David’s admission to your ward to assist with planning his nursing care and identify potential problems and further deterioration of his cardiac function.
Task 2: Care planning
Based solely on the handover you have received and using the template provided, develop a care plan for three (3)
nursing problems identified and included in the template. These nursing problems cannot be changed and a care
plan needs to be developed for each.
Your task is to identify for each of the 3 nursing problems:
The underlying cause or what the nursing problem is related to
Goal of care
Specific bedside nursing interventions you will do
The rationales for your nursing interventions and actions
Indicators that your plan is working
Task 3: Medication management
Three important aspects of medication management by registered nurses is for the nurse to understand why a
patient has been prescribed specific medications, understanding the nursing responsibilities and how to monitor the
patient to ensure they are responding to prescribed medications as they should.
In grammatically correct sentences and topic paragraphs and using current, reliable evidence for practice,
Briefly explain why David has been prescribed:
a.Frusemide orally 40mg twice daily
b.Digoxin orally 62.5 mcg daily
c.Ramipril orally 5mg twice daily
Task 4: Patient education
Patient education starts on admission and continues throughout care. Patient education should be aimed at; improving or increasing the patient’s knowledge; influencing their attitude to alter their behaviours or attitudes; and/or to prepare the patient for discharge. Health education should be focused on the individual patient and individual strategies to improve the patient’s health and wellbeing
When caring for David you recognise David may need further education on the following topics in relation to
maintaining his cardiac output:
a.Physical activity guidelines
d.Reducing excess fluid volume
Select one (1) of the topics above and, in grammatically correct sentences and topic paragraphs,
Identify the specific information you will explain to David about the topic including recommendations on what he needs to do.
Task 5: ISBAR handover
An important legal requirement of nursing practice is to effectively and succinctly communicate relevant information, actions and outcomes related to patient care and provide an accurate reflection of the health status of the patient, their responses to care and the patient’s perspective.
Using the ISBAR format and information from the handover:
Provide a written handover that clearly and succinctly outlines the important information that staff need to know about David for continuation of nursing care
To export a reference to this article please select a referencing stye below:
My Assignment Help. (2021). Medical Surgical Nursing 1. Retrieved from https://myassignmenthelp.com/free-samples/nur250-medical-surgical-nursing-1/patient-assessment.html.
"Medical Surgical Nursing 1." My Assignment Help, 2021, https://myassignmenthelp.com/free-samples/nur250-medical-surgical-nursing-1/patient-assessment.html.
My Assignment Help (2021) Medical Surgical Nursing 1 [Online]. Available from: https://myassignmenthelp.com/free-samples/nur250-medical-surgical-nursing-1/patient-assessment.html
[Accessed 21 April 2021].
My Assignment Help. 'Medical Surgical Nursing 1' (My Assignment Help, 2021) <https://myassignmenthelp.com/free-samples/nur250-medical-surgical-nursing-1/patient-assessment.html> accessed 21 April 2021.
My Assignment Help. Medical Surgical Nursing 1 [Internet]. My Assignment Help. 2021 [cited 21 April 2021]. Available from: https://myassignmenthelp.com/free-samples/nur250-medical-surgical-nursing-1/patient-assessment.html.
Are you currently writing an economics assignment? If you are finding it hard to unearth the vital oligopoly characteristics in your assignment, come to us. Our expert ghostwriters are here to offer you insightful assistance. Tackling topics like macroeconomics and microeconomics is not an easy task. On top of that, the characteristics of oligopoly are sure to confuse you. Thus, availing our assistance is the wisest decision to impress your teachers. Apart from economics homework help, our experts provide comprehensive business reports to help you earn good grades in the assignment too.
Answers: 1. The person described in the experience is an aggressive patient with addiction to alcohol. The personality trait of the patient is depressed with problems associated with alcohol. According to a key aspect of the philosophy of nursing, nurses need to work in an ethical mode so as to cater care to their patients through lifelong learning and accountability for their practice with interdisciplinary activities. The patient's characte...Read More
Answer: Introduction In this review, we will focus on a quantitative paper done by Zhu, Wong, and Wu in 2018. The title of the paper was, ‘Development and evaluation of a nurse-led hypertension management model: a randomized controlled trial’ and it was published by Elsevier in the International Journal of Nursing Studies. The keywords in the article are hypertension, model, management, nurse and randomized controlled trial. This ...Read More
Answer: Introduction Ethics in Nursing and Healthcare, imply the presence of certain guidelines of conduct or expectations from nurses, concerning the performance of duties which are morally correct or incorrect (Kangasniemi, Pakkanen and Korhonen 2015). The ethical principles highlighted in this report will be based on the ethical dilemmas which arose, based on the previous case incident of physician assisted suicide. The case study accordi...Read More
Answer: Introduction Nursing is an important priority sector in the healthcare system; this is because nurses are involved with the primary care of the patients spending the most time with their patients. This is important because they should be involved in the policy-making and leadership of the healthcare institutions(Finkelman,2012). This paper will focus on leadership and management in nursing and various theories that cover these topics....Read More
Answer 1. Most of the elderly people are nowadays suffering from Asthma. It is one the most common chronic diseases that needs extensive care of the patient, especially during asthma attacks. While I was pursuing my nursing career, I used to visit my grandmother’s house during the vacations. My grandmother is herself an asthma patient, who has experienced several asthma attacks in the last few months. This was my opportunity use my nursi...Read More
Just share requirement and get customized Solution.
Our writers make sure that all orders are submitted, prior to the deadline.
Using reliable plagiarism detection software, Turnitin.com.We only provide customized 100 percent original papers.
Feel free to contact our assignment writing services any time via phone, email or live chat. If you are unable to calculate word count online, ask our customer executives.
Our writers can provide you professional writing assistance on any subject at any level.
Our best price guarantee ensures that the features we offer cannot be matched by any of the competitors.
Get all your documents checked for plagiarism or duplicacy with us.
Get different kinds of essays typed in minutes with clicks.
Calculate your semester grades and cumulative GPa with our GPA Calculator.
Balance any chemical equation in minutes just by entering the formula.
Calculate the number of words and number of pages of all your academic documents.
Our Mission Client Satisfaction
Amazing support and great work from the expert! Again thank you guys so much for all the help!
well prepared project. got some minor editing and got the full marks. will use it again .
good job and consider the need the of the assignment .good job and consider the need the of the assignment .good job and consider the need the of the assignment .good job and consider the need the of the assignment .good job and consider the need the...
received 72 marks this is first assignment which i have received above 70 i have given so many assignment after this i received a good marks. but expected is 75 above as i had paid too much money.