Unit Code / Name |
HLTEN505C Contribute to the complex nursing care of clients |
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Program Code / Name | HLT51612 – Diploma of Nursing (Enrolled / Division 2 Nursing) | |||||||||||||
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Due Date | First Submission Date | |||||||||||||
Assessment No | AS | Resubmission Date | ||||||||||||
Assessment Method | Practical Demonstration Oral Questions Presentation Role Play
Assignments Case Study Portfolio Research Project Written Questions Workplace Project Exams Written Tasks |
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Brief Description of Task | Review the case study describing the care of Mr Barber and answer the questions related to his care. This assessment will evaluate your knowledge of:
· Anatomy, physiology and pathophysiology. · Interpretation of vital signs · Health policy · Communication · Documentation · Pharmacology · Role of the health care team
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Did the student meet the following criteria:
Note: Ensure that the marking criteria aligns with the Elements and Performance Criteria identified for this assessment in the Unit Assessment Plan FM-342 Please add rows as required |
Result
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Result
2nd submission
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Question One | ||||||||||||||
Identifies anti-emetic medication prescribed during management of nausea and vomiting | ☐ S
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Implements patient health assessment relevant to the case history | ☐ S
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Applies the correct infection control policy during care of Mr Barber: eg standard, contact, droplet and/or airborne precautions. | ☐ S
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Dons correct PPE | ☐ S
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Question Two | ||||||||||||||
Documents patient identity information on the top of the ECG using the information in the case study | ☐ S
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Notes the relevant patient signs and symptoms at the time of recording | ☐ S
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Question Three | ||||||||||||||
Accurately documents in the progress notes using SBAR format. | ☐ S
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Phrases questions appropriately to evaluate Mrs Barbers safety. Taking into consideration empathy, cultural or spiritual elements. | ☐ S
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Question Five | ||||||||||||||
Outlines requirements for patient consent prior to divulging personal information. | ☐ S
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Demonstrates understanding of privacy policy | ☐ S
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Gives an example of information that is appropriate to provide to the neighbour during the telephone call. | ☐ S
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Question Six | ||||||||||||||
Identifies type of consent required during the care of Mr Barber (eg implied, verbal, written) | ☐ S
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Identifies abnormal vital signs prior to transfer to X-Ray | ☐ S
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Interprets vital signs and evaluates requirements for transfer to X-Ray including:
o A list of vital signs that should be reviewed prior to departure o Identifies appropriate escort based on acuity and manual handling |
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Implements safe manual handling techniques | ☐ S
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Demonstrates knowledge of scope of practice. | ☐ S
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Question Seven | ||||||||||||||
Dons correct PPE during care of Mr Barber | ☐ S
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Applies the DRABCD process to the case scenario | ☐ S
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Describes the relationship between patient assessment and evaluation of blood loss | ☐ S
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Question Eight | ||||||||||||||
Discusses pathophysiology of emphysema and relates this to the actions of seretide | ☐ S
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Identifies the correct type of seretide inhaler | ☐ S
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Uses patient education techniques to instruct Mr Barber on the correct use of his Seretide inhaler | ☐ S
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Question Nine | ||||||||||||||
Discusses the actions of at least three medications prescribed for osteoarthritis | ☐ S
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Question Ten | ||||||||||||||
Structures questions to evaluate the impact of osteoarthritis on activities of daily living. | ☐ S
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Question Eleven | ||||||||||||||
Describes nursing responsibilities after identifying the presence of the wound on Mr Barber’s lower leg. | ☐ S
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Question Twelve | ||||||||||||||
Identifies medicolegal process to apply when Mr Barber refuses consent | ☐ S
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Demonstrates knowledge of scope of practice. | ☐ S
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Interacts with the health care team to provide optimal multidisciplinary treatment. | ☐ S
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Question Thirteen | ||||||||||||||
Identifies the role of various members of the health care team | ☐ S
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Interacts with the health care team to provide optimal multidisciplinary treatment. | ☐ S
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Additional assessment guidelines: | ||||||||||||||
· Presents in-depth information from relevant sources representing various points.
· Information is taken from sources with sound interpretation/evaluation of each procedure and related illness. · Information is presented in the students own words, accurately summarising relevant points from their chosen sources. · Use A.P.A. 6th edition referencing style – including in-text referencing plus a separate reference list · Spelling, grammar and syntax is consistent with health documentation standards |
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1st Submission
Feedback to candidate (Including additional requirements for reassessment if applicable) |
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The Students overall result was: | Satisfactory ☐ | Unsatisfactory ☐ | Resit Required ☐ | |||||||||||
This signature confirms that the student has participated in the assessment item and received feedback on the result
https://cheapestassignment.com/statistics-assignment-solution/ |
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Assessor Signature | Date | |||||||||||||
Resubmission (if applicable) Resubmissions will only be granted if the teacher considers that you have made a genuine attempt at the first assessment. NOTE: Teachers are required to retain the original marked assessment and return a copy to the student.
Feedback to candidate (Including additional requirements for reassessment if applicable) |
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The Students overall result was: | Satisfactory ☐ Unsatisfactory ☐ | |||
This signature confirms that the student has participated in the assessment item and received feedback on the result | ||||
Assessor Signature | Date | |||
Instructions: Read the following case study and then answer the following questions. Please note: Other than where word limits are specifically identified, you should answer clearly and concisely, and use an adequate number of words to answer the question and meet the marking criteria requirements.
Case Study
You are working as an Enrolled Nurse in the Emergency Department (ED) when 82 year old Mr Barber (of Greek heritage – and Greek Orthodox religion) is brought in by ambulance at 8pm on the 6/3/2013. Handover from the paramedics is as follows:
· 6 hour history haematemasis and epigastric pain · Vomited x 4 bright blood · Mr Barber called the ambulance because he felt dizzy, sat down on the floor and was unable to get up · Ambulance noted approx 150ml haematemasis in a bucket on arrival Past History: · Diverticulitis · Emphysema · Ischaemic heart disease · Osteoarthritis · Morbid obesity: BMI 42 Social History; · Mr Barber is the sole carer for his 80 year old wife who has dementia. Mrs Barber has been left in the care of a neighbour. You note that Mr Barbers clothes are blood stained on arrival. He states that he is feeling nauseous. |
Please answer each of the following questions:
MRN: 0598371
Family Name: Barber Given Name: Frederick Date of Birth: 2/3/1931 |
PROGRESS NOTES | |||
Date/Time
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The doctor orders a chest X-ray, Mr Barber is to be transferred to the radiology department at 20:40 |
After returning from radiology, Mr Barber pushes the buzzer 20:55. When you respond, you note that he is vomiting blood. |
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D |
Mr Barber is given analgesia and IV fluids. His pain settles and the bleeding ceases |
Mr Barber tells you that he usually uses a purple Seretide inhaler for his emphysema. His GP changed his inhaler to a different type and he doesn’t really understand how it works although it seems to help him. He is due for a dose and asks you to assist. |
While documenting his complex medical history, you find out that Mr Barber has osteoarthritis. |
Mr Barber is observed in Emergency overnight. He has no further episodes of vomiting. The surgical registrar (Dr Owen) reviews his care at 8am. The plan involves:
o changing his osteoarthritis medication o admission to surgical ward o gastroscopy scheduled later in the day Registered Nurse, Rosalyn Marshal notes the following entry in Mr Barber’s medical record. |
MRN: 0598371
Family Name: Barber Given Name: Frederick Date of Birth: 2/3/1931 |
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Date/Time
7/3/2013 08:00
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S |
Nursing: Seen by Dr Owen at 08:00. Dr Owen noted that his vomiting has settled overnight. |
PROGRESS NOTES | |
B | Mr Barber is anxious to go home as he is concerned about his wife. | |||
A | Vital signs within normal limits. Nil nausea or episodes of vomiting overnight | |||
R | For admission to surgical ward- Mr Barber informed by Dr Owen Naprosyn ceased, to continue taking paracetamol osteo. for arthritic pain. Scheduled for gastroscopy this afternoon, informed consent completed by Dr Owen and consent form has been signed by Mr Barber……R Marshal, RN | |||
When you go to see Mr Barber he states that he doesn’t think he will stay for the gastroscopy because he has no one to care for his wife during the day. He doesn’t think the procedure is necessary given that the vomiting has stopped and he feels better. This means that he is now refusing consent for the gastroscopy procedure. |
Mr Barber agrees to admission once arrangements for his wife are provided. Gastric ulceration is identified on gastroscopy, this resolves with pharmacological treatment and changing osteoarthritis medication. |
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