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NUR250 Medical Surgical Nursing

tag 0 Download 7 Pages / 1,555 Words tag 08-12-2020
  • Course Code: NUR250
  • University: Charles Darwin University
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  • Country: Australia

Question:

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.
For each assessment you have identified explain:
? How specifically you will conduct the assessment
? Why the assessment is specifically relevant to David’s care during your shift.
 
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 Notes for Task 2 only
? Read beyond the set texts to prepare the nursing care plan. JBI and Nursing Reference Centre may be used for the care plan (but not the other tasks) along with appropriate journal articles.
? Online nursing care plans are NOT acceptable and will not be accepted as references.
? Dot points may be used in the care plan template
? Rationales must be appropriately referenced 
 
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:
o Frusemide orally 40mg twice daily
o Digoxin orally 62.5 mcg daily
o Ramipril orally 5mg twice daily
AND
? Identify and explain
o The specific nursing responsibilities associated with administering each medication
o How you will monitor David for expected, side and adverse effects of each medication.
 
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:
o Physical activity guidelines
o Smoking cessation
o Stress minimisation
o 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.
AND
? Explain
o Why the topic is an important aspect of David’s care
o How you will ensure that David knows and understands why it is important and knows 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.Your handover must:
? Adhere to the legal and professional nursing standards for documentation
? Demonstrate person-centred care
? Be in appropriate professional language
? Contain NO abbreviations or nursing jargon
Students may use information from the week 5 case study for background information.
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My Assignment Help. (2020). Medical Surgical Nursing. Retrieved from https://myassignmenthelp.com/free-samples/nur250-medical-surgical-nursing/low-blood-pressure.html.

My Assignment Help (2020) Medical Surgical Nursing [Online]. Available from: https://myassignmenthelp.com/free-samples/nur250-medical-surgical-nursing/low-blood-pressure.html
[Accessed 19 August 2022].

My Assignment Help. 'Medical Surgical Nursing' (My Assignment Help, 2020) <https://myassignmenthelp.com/free-samples/nur250-medical-surgical-nursing/low-blood-pressure.html> accessed 19 August 2022.

My Assignment Help. Medical Surgical Nursing [Internet]. My Assignment Help. 2020 [cited 19 August 2022]. Available from: https://myassignmenthelp.com/free-samples/nur250-medical-surgical-nursing/low-blood-pressure.html.


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