HNN227 Careplan Assignment :
For solution: +610482078788
HNN227 Acute Illness & Supportive Care Assessment Task Number 1: Care plan Equivalent 1500 words – 20% weighting
Purpose of assessment task:
This task will enable you to demonstrate application of the nursing process: assessment, problem identification, planning, implementation, and evaluation (ULO1) to develop a nursing care plan for a patient experiencing acute episodic care. This task will also enable you to explain the underlying pathophysiology of the acute illness/es experienced by the patient in the provided scenario to inform evidence-based nursing care (ULO2).
Due date: Wednesday 31st August 2022
Location: Assignment Dropbox on HNN227 CloudDeakin unit site
Format: HNN227 Care Plan Template
Identify: You are a registered nurse working on the acute gastrointestinal ward caring for Ms. Lakshmi Patel who has just returned to the ward post-operatively.
Situation: Ms. Patel was scheduled to undergo an elective laparoscopic cholecystectomy to remove her gallbladder. However, due to intraoperative surgical complications (bleeding), an open cholecystectomy was performed.
Background: Ms. Patel is a 68-year-old female from a non-English speaking background (NESB) and has a medical history of gallstones, cholecystitis, hypercholesterolemia, obesity (BMI- 31.2), type 2 diabetes mellitus (diet controlled). Ms. Patel lives independently with her husband and has three adult children who live interstate and overseas.
Assessment: On arrival to the ward Ms. Patel’s vital signs are:
|BP||98/51 mmHg||HR||95 bpm regular|
|SpO2||96% 2L/min 02 via nasal prongs||Pain||5/10 (Numerical)|
|BGL||6.3 mmol/L||GCS||14 (E=3, V=5, M=6)|
Ms. Patel also has the following:
- Intravenous Therapy (IVT): Compound Sodium Lactate (CSL) 1000 mL 6hourly rate.
- Patient Controlled Analgesia (PCA): 1mg/mL Morphine IV lockout 5 minutely.
- Four small laparoscopic incision sites with transparent dressings.
- A large abdominal wound with an absorbent primary dressing and a transparent secondary dressing.
- A surgical drain tube (150mls haemoserous drainage)
A falls risk assessment was completed on arrival to the ward and Ms. Patel was assessed as being a low falls risk.
Recommendation: Provide quality and safe post-operative patient care to Ms. Lakshmi Patel.
Body Systems Assessment:
|Body Systems Assessment||Assessment data|
|Neurological (CNS)||GCS-14 Temp-36.5°C Pain 5/10 (Numerical) PCA|
|Cardiovascular (CVS)||BP-98/51 mmHg HR-95 bpm, regular IVT-CSL 1000mls (6/24)|
|Respiratory||RR-22 bpm SpO2-96% 2L/min 02 via nasal prongs|
|Integument||x4 laparoscopic incision sites Large abdominal wound Surgical drain tube|
|Psychosocial/other||Married Lives with husband Independent with ADLs 3 adult children|
Based on the case scenario and the body system HNN227 Careplan Assignment data, apply the nursing process to develop a comprehensive nursing care plan for Ms Patel:
- Problem identification
- Identify five (5) actual and five (5) potential patient problems.
- From your list of identified patient problems select and prioritise the order of five (5) patient problems.
- Develop an appropriate plan of care for the five (5) patient problems you have prioritised.
- Identify three (3) nursing interventions for each of the five (5) patient problems you have chosen.
- Provide a rationale for each of the identified nursing interventions, including an explanation of the underlining physiology and/or pathophysiology.
- Describe how you will evaluate the effectiveness of the nursing interventions you have identified.
Instructions for this assessment task:
- The nursing care plan is to be presented on the HNN227 care plan template located in the CloudDeakin site.
- You are required to present the information in your own words.
- Writing in dot point/s will be accepted.
- References are not required for this assessment.
- This is assessment task is an individual piece of work.
As per care plan template
This HNN227 Careplan Assignment will be assessed according to the Marking Rubric which is presented below. This Marking Rubric provides you with a breakdown of each criterion that will be assessed. It is essential to utilise this rubric to help you clearly identify detailed components that are important to you achieving success with this assessment task. Use the descriptors of each criterion to direct and develop your assessment task.
|Exceeds Expected Standard||Expected Standard||Below Expected Standard|
|Criterion mode: Points||Starting %||80||Starting %||50||Starting %||0|
|Criterion 1 Identify Patient Problems||Correctly identifies the most appropriate and relevant actual and potential patient problems in relation to the case scenario. All actual patient problems are correctly constructed and include ‘related factors’ and ‘defining characteristics’. All potential patient problems are correctly constructed and include related ‘risk factors’.||Correctly identifies actual and potential patient problems in relation to the case scenario. The majority of actual patient problems are correctly constructed and include associated related factors and defining characteristics. The majority of potential patient problems are correctly constructed and include related risk factors.||Actual and potential patient problems identified are incorrect and/or not the most appropriate in relation to the case scenario. AND/OR Actual patient problems are not correctly constructed and do not include associated related factors and defining characteristics. AND/OR Potential patient problems are not correctly constructed and do not include related risk factors.|
|Criterion 2 Plan and Prioritise patient problems||All patient problems selected are the most urgent and are correctly prioritised in accordance to a Primary Survey approach. Accurately describes the most appropriate goals of care for each identified patient problem. Goals of care include correct and relevant measurable data.||The majority of patient problems selected are the most urgent and correctly prioritised in accordance to a Primary Survey approach. Describes appropriate goals of care for each identified patient problem.||Patient problems selected are not the most urgent and are not correctly prioritised in accordance to a Primary Survey approach. AND/OR Goals of care for each patient problem is incorrect &/or not appropriate and does not include detailed measurable data.|
|Criterion 3 Identify and justify evidence- based nursing interventions||Identifies 15 correct nursing interventions. All nursing interventions are supported by a rationale thoroughly explaining the||Identifies some correct nursing interventions.||Identified nursing interventions are incorrect, inaccurate &/or are not nursing interventions.|
|underlining physiology and/or pathophysiology.||Nursing interventions are supported by an appropriate rationale, explaining the underlining physiology and/or pathophysiology is correct.||Nursing interventions are not supported with a correct rationale &/or rationale provided does not include the underlining pathophysiology.|
|Criterion 4 Describe an evaluation plan||Describes an accurate method to evaluate the effectiveness of each nursing intervention. Evaluation method includes correct objective measurable criteria.||Describes a appropriate method to evaluate the effectiveness of each nursing intervention.||Evaluation method is incorrect, incomplete &/or does not include correct measurable criteria.|
|Criterion 5 Presentation in accordance with assessment instructions||Expected Standard Accurately follows presentation requirements including the use of the care plan template. Content is fluently written. Minimum errors in spelling/word choice/grammar. Use of correct terminology (medical)||Below Expected Standard Presentation requirements are not followed &/or contain significant errors. Care plan template was not used. Content is not logically structured. Significant errors in spelling/word choice/grammar &/or does not use appropriate terminology (medical).|
|Total Points||90||(This total must be manually calculated)|
For solution: +610482078788