nursing management

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Students are required to submit a critical discussion paper related to the nursing management of Mrs. Jane Smith case study below, with  the support of literature.
Scenario:
Mrs. Jane Smith is an 80 year old woman who was admitted to ED at 1730 with the history of unwitnessed fall. She was found on the floor by her son. She was unable to stand up.  In ED she was found to be in excruciating pain. Her right Leg appeared to be shortened and internally rotated. It was noted she had multiple bruising over her right arm and face and a 4 cm laceration to her right lower arm. She was administered intranasal Fentanyl 100 Mcg by the Ambulance crew.
Her Vital Signs: Bp – 147/77 mmHg, HR 112/mt – Irregular, RR – 24/min Spo2 – 99% RA, temp; 37.2
GCS – E3 V4M6 = 13/15.
Regular Medication
Medications Administered in Ed

Rivaroxaban 15 mg
Bupivacaine + fentanyl femoral block

Thyroxine 50 mcg
Panadol 1 g

Amiodarone 100mg
Neurofen 400 mg

Metoprolol 25 mg
Morphine 5 mg
Mrs. Jane Smith had blood taken. She a chest x-rays, which was NAD, and Right hip XRay which revealed # neck of femur.
She CT scan of her head has been ordered, which is yet to be done
A – Allergies – Penicillin
M – as mentioned above
P – Hypothyroidism, HTN, AF, IHD multiple falls
L – Last ate around noon
E – Events – Does not remember events leading to the fall
The critical discussion paper should address the following issues:
What data deviate from normal findings, suggesting the needs for further investigation?
What additional information should the nurse ask or question for?
Describe the patient’s presenting problem focusing on the pathophysiological issues.
Identify 2 nursing diagnosis that needs immediate interventions and discuss the nursing management appropriate for the patient and evaluations of the nursing management plans presented in the literature.
Explain the pharmacokinetics of the prescribed medications in ED and their indications.
Discuss nursing management of the prescribed medication in ED, the adverse effects of the medications, contraindication, and side effects, with the age of the patient in mind, using evidence-based literature.
Describe in detail the information you would share with the patient and how you will educate the patient about the interactions and long-term effects of the regular medications of Mrs. Jane Smith.
Rubric
NK2 Assignment 1
NK2 Assignment 1
Criteria
Ratings
Pts
This criterion is linked to a Learning OutcomeDemonstrated an understanding of the topic and addressing the topic 1. Nursing Management
a. A presentation of abnormal data suggesting the need for further investigation, additional information should the nurse ask or question for and the pathophysiology of the presenting problem with
supporting literature
b. Identify 2 nursing diagnosis that needs immediate interventions, discuss the nursing management appropriate for the patient and evaluations of the nursing management plans presented in the literature (peer review/evidence-based practice sources)
2. Application of pharmacology
to practice
a. Explain the pharmacokinetics of the prescribed medications in the ED and their indications with supporting literature.
b. Discuss nursing management of the prescribed medication in ED, the adverse effects of the medications, contraindication, and side effects, with the age of the patient in mind, using evidence-based peer-reviewed literature.
c. Describe in detail the information you would share with the patient and how you will educate the patient about the interactions and long-term effects of the regular medications (with supporting peer-reviewed literature) of Mrs. Jane Smith
20 to >17.0 pts Higher Distinction An excellent level of analysis of the patient’s condition(s) addressing all elements. 17 to >13.0 pts Distinction A very good analysis of the patient’s condition(s) addressing all elements. 13 to >11.0 pts Credit A good analysis of the patient’s condition(s) addressing most of the elements. 11 to >10.0 pts Pass A brief and reasonable analysis of the patient’s condition(s) addressing a few of the elements. 10 to >5.0 pts High fail A poor analysis of the patient’s condition(s) addressing a few of the elements. 5 to >0 pts Fail Very poor analysis of the patient’s condition(s) addressing very few/no elements.
20 pts
This criterion is linked to a Learning OutcomeCritical analysis and synthesis supported by relevant and credible literature 1. Critical analysis of the issues
2. Evidence of original ideas
3. Relevant and credible literature were integrated into the arguments.
10 to >9.0 pts High Distinction The assignment incorporated an excellent critical analysis in reference to 10 or more literature, with evidence of original ideas. 9 to >7.0 pts Distinction The assignment incorporated a very good critical analysis in reference to 10 or more literature, with evidence of original ideas. 7 to >6.0 pts Credit The assignment incorporated some evidence of critical analysis including some logical and coherent approaches in reference to 10 or more literature, with evidence of original ideas. 6 to >5.0 pts Pass The assignment incorporated limited evidence of critical analysis including little logical and coherent approach in reference to 10/less than 10 literature, with little evidence of original ideas. Many ideas were expressed at a descriptive level. 5 to >2.0 pts High Fail The assignment incorporated very little evidence of critical analysis without a logical and coherent approach in reference to 10/less than 10 literature, with very limited evidence of original ideas. Most of the ideas were expressed at a descriptive level. 2 to >0 pts Fail The assignment incorporated no evidence of critical analysis without a logical and coherent approach in reference to 10/less than 10 literature, with no evidence of original ideas. All ideas were expressed at a descriptive level.
10 pts
This criterion is linked to a Learning OutcomeSequencing and Structure 1. A logical flow of ideas
2. Correct grammar, spelling and punctuation
3. An appropriate essay structure
5 to >4.0 pts High Distinction A high level of skill was demonstrated in developing the assignment topic in an integrated, logical and coherent presentation with no/ minimal grammar and spelling and punctuation errors; the assignment structure included an introduction, body and conclusion. 4 to >3.0 pts Distinction A very good level of skill was demonstrated in developing the assignment topic in a logical and coherent presentation with a few errors in grammar, spelling and punctuation; the assignment structure included an introduction, body and conclusion. 3 pts Credit A good level of skill was demonstrated in developing the assignment topic in a logical and coherent presentation with some grammar, spelling and punctuation errors; the assignment structure included an introduction, body and conclusion 3 to >2.5 pts Pass A reasonable level of skill was demonstrated in developing the assignment topic with multiple grammar, spelling and punctuation errors but the meaning is discernible; the assignment structure included an introduction, body and conclusion. 2.5 to >1.0 pts High Fail A limited skill was demonstrated in developing the assignment topic with substantial grammar, spelling and punctuation errors and the meaning is not discernible; the assignment structure has a poor structure. 1 to >0 pts Fail A very limited or no skill was demonstrated in developing the assignment topic with substantial grammar, spelling and punctuation errors and the meaning is not discernible; the assignment has a very poor structure.
5 pts
This criterion is linked to a Learning OutcomeSource and Referencing 1. Accurate APA referencing style
2. Relevant and updated literature
5 to >4.0 pts High Distinction Proper and extensive referencing. Accurate use of APA referencing style in all instances. Most important and most recent resources were used. 4 to >3.0 pts Distinction Referencing done in a proper manner. APA referencing adheres to acceptable conventions with minimal errors. Important and recent resources were used 3 to >2.5 pts Credit APA referencing largely in-line with acceptable conventions with some errors. Relevant resources were used. 2.5 to >2.0 pts Pass APA referencing done in a poor manner and did not always adhere to acceptable conventions with few irrelevant and outdated resources. 2 to >1.0 pts High Fail Referencing done in a poor manner and did not adhere to acceptable conventions with some irrelevant and outdated resources. 1 to >0 pts Fail A very poor concept in APA referencing. Substantial errors in APA citation methods. Most of the resources included were irrelevant and outdated.
5 pts
Total P

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