NUR250 Medical Surgical Nursing SIT763 Assessment Task 4 ICT303 Professional Ethics in Computing HI5020 Corporate Accounting

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NUR250 Medical Surgical Nursing 1
SS 2020
NUR250 Medical Surgical Nursing 1: Assessment 2 Topic and Tasks SS 2020
Before you begin NUR250 Assessment 2
It is strongly recommended that students revisit and ensure they understand the University and
Unit policies and guidelines related to academic integrity, plagiarism, submission, extension, and
late submission.
The Unit Coordinator cannot be held responsible for information about Assessment 1 that
students’ access outside of the NUR250 Learnline site.
This includes information students may access from other students, whether enrolled in the unit or
not, using social media tools such as Facebook and/or friends and/or colleagues they may discuss
their assignment with.
The Unit Coordinator is the person to contact if you have any questions or queries about
Assessment 2
NUR250 Assessment 2
Topic: Nursing care of a patient with a medical condition
Due date: Week 10 Monday 25th January 2021 23:59 hrs ACST
Length:
2000 words ± 10%. Markers will stop reading at the maximum allowable word
count. This word count includes the text in the template provided to you.
Contribution to overall grade: 40%
Assessment purpose
Learning objectives
Assessment 2 is the only written academic assignment in NUR250 for
students to demonstrate they:
• Are developing the ability to locate, interpret, integrate,
synthesize and apply nursing knowledge from NUR250 to a
relevant nursing practice scenario in medical surgical settings
• Are developing appropriate critical thinking, clinical reasoning
and sound clinical decision making processes and strategies
essential for safe, evidence-based and competent nursing
practice in medical surgical settings
• Are able to focus their attention to the needs of the individual
patient as the key concern of nursing practice in medical
surgical settings
• Are able to explain and justify or defend their nursing care
decisions
• Have a developing understanding of the role and scope of
practice of the registered nurse in the Australian health care
context
• Are progressing towards the level of professional written
communication required for nursing practice in Australia
• Are demonstrating ethical and professional practice by adhering
to the University’s academic integrity standards and plagiarism
policy
This assessment addresses
the unit learning outcomes;
1, 2, 3, 4 and 5
NUR250 Medical Surgical Nursing 1: Assessment 2 Topic and Tasks SS 2020 2
Preparation
• Timely completion of study materials including weeks 1-6 with participation or review
of online collaborate sessions, pre-recorded lectures or internal classes.
Presentation Guidelines
• On the Assessment 1 template located in the Assessment 1 folder on NUR250 Learnline
• As a computer generated document in Word format.
• 1.5 spaced using Arial or Calibri font in size 11 or 12
• In clear, coherent Australian English that demonstrates progression towards the
standard for written communication for professional nursing practice in Australia.
• Written in third person narrative.
• Using appropriate professional terminology
• Contents page, title page, introduction and conclusion are NOT required
• Unless otherwise indicated, no acronyms, abbreviations and/or nursing jargon
• Unless otherwise indicated, grammatically correct sentences and topic paragraphs are
required. Dot points only accepted in the nursing care plan.
• No more than 10% over or under the stated word count. Marking will cease at the 10%
over mark.
o Note: Headings, any task information copied in and in-text citations are
included in the word count. 100 words have been excluded from the word count
to account for the headings within the nursing care plan template
• Use of trade names is not acceptable. Only generic terms or names are to be used when
referring to specific medications or other prescribed treatments or resources that may
be used in nursing practice
Referencing
Students are reminded of their academic responsibilities and professional nursing practice
requirements when using the work of others in assignments.
Reminder marks are allocated for academic integrity. See the marking criteria for Assessment 1
for full details. Breaches of academic integrity will be lodged on the University system and may
have serious consequences for students.
• All information is to be interpreted and restated in your own original words
demonstrating your ability to interpret, understand and paraphrase material from your
sources
• CDU APA 7th referencing style is to be used for both in-text citations and end of
assessment reference list.
• All resources for NUR250 assignments should be from quality, reliable and reputable
journals relevant to nursing practice and the Australian healthcare industry. Please DO
NOT use patient information leaflets.
• All resources must be dated between 2010 and 2020
• There must be at least 10 peer-reviewed journal articles and/or evidence based
practice guidelines cited in your assignment.
• Do not use any health facility or local health service policies or procedures
• Only 1 current Australian medication textbook and 2 current Australian medical surgical
nursing textbooks to be referenced.
NUR250 Medical Surgical Nursing 1: Assessment 2 Topic and Tasks SS 2020 3
Please complete the assessment task on the next page.
Assessment 1: Case scenario one
Shift handover:
Identify:
Mr James Blue, HRN: 123456, DOB: 26/03/1958
Situation:
James is a 61 year old Indigenous man from a remote community.
He has been admitted to the CDU medical ward with chest pain. He
has a 6/24 history of central crushing chest pain. His ECG shows
that he has suffered from and inferior NSTEACS (NSTEMI).
Background:
James lives in a single story home with his wife, 4 children and 2
grandchildren. He is independent with his cares.
He has an extensive past medical history including:
T2DM, smoker (10 per day), HTN, hyperlipidaemia, rheumatic
heart disease and mitral valve regurgitation.
No known declared allergies (NKDA).
Assessment:
Airway: Own, patent
Breathing: RR 22, Sats 94% on RA.
Circulation: HR 96 bpm, BP 160/95 mmHg.
Disability: GCS 15/15, 4/10 central chest pain, feels tired and a bit
worried.
Exposure: Temp 37.0 oC
Recommendations/Read
back:
Medical orders
• Repeat ECG
• Pain management
• TED stockings and DVT prophylaxis
Medication orders
New medications:
• GTN sublingual spray 400mcg PRN
• Paracetamol 1g PO QID
• Aspirin 300mg PO STAT
• Clopidogrel 300mg PO STAT
Usual medications:
• Metformin XR 1gm BD
• Ramipril 10mg OD
• Simvastatin 20mg OD
NUR250 Medical Surgical Nursing 1: Assessment 2 Topic and Tasks SS 2020 4
Assessment 1: Case scenario two
Shift handover:
Identify:
Mrs Amity Purple, HRN: 123678, DOB: 19/02/1962
Situation:
Amity is a 57 year old Caucasian lady from Darwin. She has been
admitted to the CDU medical ward with exacerbation of COPD. She
has a 2/7 history of dyspnoea, productive cough and a fever.
Background:
Amity lives in a two story home with her husband. She is
independent with her cares.
She has a past medical history of:
T2DM, smoker (20 per day), HTN, hyperlipidaemia and obesity.
No known declared allergies (NKDA).
She is obese (BMI 30) and drinks 1 bottle of wine every night.
Assessment:
Airway: Own, patent
Breathing: RR 26, Sats 89% on RA.
Circulation: HR 89 bpm, BP 160/95 mmHg.
Disability: GCS 15/15, 2/10 sharp chest pain on inspiration
Exposure: Temp 38.6 oC
Recommendations/Read
back:
Medical orders
• Chest X-ray ordered
• Administer medications as charted
• Pain management
• TED stockings and DVT prophylaxis
Medication orders
New medications:
• Paracetamol 1g PO QID
• Ceftriaxone 1g IV BD
• Amoxycillin 1g PO TDS
Usual medications:
• Metformin XR 1gm BD
• Simvastatin 20mg OD
• Salbutamol MDI 100 mcg PRN
• Seretide MDI 1 puff BD
NUR250 Medical Surgical Nursing 1: Assessment 2 Topic and Tasks SS 2020 5
Assessment 2 Tasks:
Choose from one of the patients handed over to you. Using the template provided in the
Assessment 1 folder and, based on the handover you received at the beginning of your shift
today, other information included below and current reliable evidence for practice, address the
following tasks.
Task 1: Consider the patient
Based on the case scenario and in academically sound sentences/paragraphs:
• Define the patient’s presenting disease (NSTEMI or exacerbation of COPD)
• Discuss the pathophysiology of the disease.
• How does the condition link with the patient’s past medical history?
(Approximately 500 words)
Task 2: Care plan
Based solely on the handover you have received and using the template provided, complete a
nursing care plan for your chosen patient. Your plan must address the physical, functional and
psychosocial aspects of care.
Three (3) nursing problems have been provided for you. For each nursing problem on your
care plan you need to complete the following sections:
• What it is related to?
• Goal of care
• Interventions
• Rationales for interventions
• Evaluation
Notes for Task 2 only
• Dot points and single line spacing may be used in the care plan template.
• Appropriate professional language must be used – legally recognised abbreviations may
be used in this task (care plan) but a KEY with full terminology must be provided after
the assignment references – key will be excluded from word count tally
• All rationale must be appropriately referenced
(Approximately 500 words)
NUR250 Medical Surgical Nursing 1: Assessment 2 Topic and Tasks SS 2020 6
Task 3: Patient education
Discharge planning
An important aspect of nursing practice is to effectively and succinctly communicate relevant
information related to ongoing disease management or prevention of reinfection or
deterioration on discharge.
Patient education and discharge planning starts on admission and you need to provide
your patient with education during your shift in preparation for discharge home.
• Explain two (2) important points/topics you will need to include in the patient’s
preparation for discharge to aid healing and prevent further illness.
For each education point identified provide:
• One (1) strategy to assist the patient to implement the education into their daily routine.
(Approximately 500 words)
Task 4: Medication
Choose two (2) medications that your patient has been prescribed (one (1) from their
new medications list and one (1) from their old medications list) and discuss the
following:
How does the medication work?
Why has your patient been prescribed this medication?
Are there any red flags/drug interactions that could affect the patient?
Use the clinical guidelines provided to support your claim.
(Approximately 500 words)
Your assignment must include a reference list after the completion of the tasks and a key
if you have used abbreviations in task 2.
NUR250 Medical Surgical Nursing 1: Assessment 2 Topic and Tasks SS 2020 7
NUR250 Assessment 2 Marking Rubric SS 2020
5-7.5
Excellent
3-5
Satisfactory
0-3
Needs Development
Criterion:
Task 1: Consider
the patient
Explains clearly, succinctly
and specifically the
pathophysiology of the
patient’s disease,
considering past medical
history.
Explains the pathophysiology
of the patient’s disease,
considering past medical
history with some clarity.
Explains the pathophysiology of
the patient’s disease but the
discussion is not clear and/or
does not link to the case study.
Criterion:
Task 2: Care
planning
Develops individualised,
comprehensive nursing
care plan relevant to the
case study using the
clinical reasoning cycle. All
rationale is referenced.
Demonstrates strong
critical thinking skills
Develops individualised,
comprehensive nursing care
plan relevant to the case
study using the clinical
reasoning cycle. Most
rationale is referenced.
Demonstrates emerging
critical thinking skills.
Care plan has been completed
using the clinical reasoning
cycle, but it is not individualised
or comprehensive. There is a
discourse between the sections
of the care plan. No critical
thinking skills displayed.
Criterion:
Task 3: Discharge
planning
Demonstrates a high-level
ability to provide relevant
and comprehensive patient
education. Provides
specific patient education
discussing two topics with
an implementation
strategy.
Demonstrates a satisfactory
ability to provide relevant and
comprehensive patient
education; discussing two
topics with an implementation
strategy. Discussion lacks
detail and/or is irrelevant for
the patient.
Poor interpretation of task or
Education is provided but it is
not specific to the patient. No
implementation strategy is
identified.
Criterion:
Task 4:
Medication
Provides excellent,
relevant and specific
discussion about
medications. Side effects
are discussed.
Demonstrates strong
critical thinking skills.
Provides a satisfactory
discussion about medications.
Discussion is not specific. Side
effects are discussed.
Demonstrates emerging
critical thinking skills.
Provides a limited discussion
about medications. Side effects
are not discussed and/or
Discussion is not specific to the
case study. No critical thinking
skills displayed.
Referencing
4-5
All ideas supported with in
text citations and there is a
complete and accurate
reference list.
No errors detected in CDU
APA 7th format.
Referencing guidelines
met.
2-3
Some ideas supported with in
text citations and there is a
complete reference list.
A few errors detected in CDU
APA 7th format. Referencing
guidelines met with errors.
0-1
Many references are missing
and there are many errors in
CDU APA 7TH format.
Referencing guidelines not met.
Presentation
4-5
No errors with grammar,
syntax, sentence and
paragraph structure.
Presentation guidelines
met.
2-3
A large number of errors with
grammar, syntax, sentence
and paragraph structure.
Presentation guidelines met
with errors.
0-1
Many errors with grammar,
syntax, sentence and paragraph
structure. Writing lacks
cohesion.
Presentation guidelines not
met.

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