Students are to choose one (1) of the case studies available (see LEO) and answer the associated questions below. The assignment is to be presented in essay format with an introduction & conclusion. The case study must be supported with quality evidence-based literature throughout. Students should follow the recommended formatting for academic papers.
https://www.acu.edu.au/__data/assets/pdf_file/0015/312144/formattingyourassignment.pdf
Students must provide in-text referencing and a reference list at the end of the case study, in
line with American Psychological Association (APA) referencing system.
Access via https://leo.acu.edu.au/mod/book/view.php?id=1888106&chapterid=116998
For more comprehensive information on this assessment task, including the case studies, case study guidance, formatting guidance and Quick Guide to APA Referencing see LEO under My Assessments: Case Study Folder. The ACU Study Skills guide will also be able to provide additional information regarding essay structure. This is located at
https://leo.acu.edu.au/course/view.php?id=12421
• Discuss the aetiology and pathophysiology of the patient’s presenting condition (LO3).
• Critically discuss the pathophysiology of the patient’s postoperative deterioration. Outline and justify appropriate nursing management and interventions in order of priority for this person. (LO1, LO2, LO3, LO5, LO6).
• Identify three (3) key member(s) of the multidisciplinary group (MDT), (not including primary medical and nursing group members), who would be involved in preparing the patient for discharge and provide justification for their involvement. (LO1, LO5, LO6)
• Read and select one (1) of the two (2) case studies provided on LEO.
• Review the essay requirements and the marking rubric before you start your assignment.
• Use credible and reliable evidence-based literature (which may include current textbooks) to support your discussion.
• Follow the recommended formatting for academic papers and use APA 6th ed. in-text citations and reference list.
• Submit the assessment (before the due date and time) into the TURNITIN folder in your campus specific block on LEO.
Cynthia Jones is a 49-year-old woman who lives on a rural property with her 13yr old son. She is now widowed following a farm accident where her husband was killed. Cynthia has two other children who both live some distance away. She has been experiencing symptoms of dysmenorrhea which has led to a diagnosis of uterine fibroids (leiomyomas). Cynthia has a history mild depression.
Cynthia was admitted to hospital for a Total Abdominal Hysterectomy via general anaesthesia. After 1 hour in the post-anaesthetic recovery room (PARU) and an uneventful recovery, she was transferred to the ward, where you have been allocated to her care.
On return to the ward Cynthia’s observations are as follows:
• Respiration rate 30 per minute
• BP 90/50mmHg
• Pulse 130bpm
• Temperature 36.5oC
• Pain 0/10
• Patient-controlled analgesia with Morphine 1 mg bolus with a 5-minute lockout.
• Indwelling urinary catheter insitu with 10mls of urine output for the last hour.
• Abdominal wound staples which are covered with a transparent dressing. moderate haemoserous ooze noted.
In relation to Cynthia Jones:
• Discuss the aetiology and pathophysiology of the patient’s presenting condition (LO3).
• Critically discuss the underlying pathophysiology of the patient’s postoperative deterioration. Prioritize, outline and justify the appropriate nursing management of the patient during this time (LO1; LO2; LO3; LO5: LO6)
• Identify three (3) members of the interdisciplinary healthcare team, apart from the primary medical and nursing team, who you would involve in the care of the patient before their discharge and provide justification for their involvement. (LO1; LO4: LO5; LO6)
Peter Harris is a 72-year-old man who was admitted to the hospital for surgery following urinary symptoms that led to a diagnosis of benign prostatic hyperplasia (BPH). He has a history of COPD and Type 2 diabetes. Peter lives alone but his adult son is with him on admission and reports that his father likes his beer and can drink up to six stubbies per night and does not eat well. Peter currently weighs 70kgs.
Peter was taken to surgery and underwent transurethral resection of the prostate (TURP) under spinal anaesthesia.
After 1 hour in the post-anaesthetic recovery room (PARU) and an uneventful recovery, he was transferred to the ward, where you have been allocated to his care.
On return to the ward, Peter’s observations are as follows:
• Respirations 30 breaths per minute
• BP 100/60mmHg
• Pulse 128bpm
• Temperature 35.0oC.
• Pain score 0/10
• He has continuous bladder irrigation via a three-lumen urethral catheter. His urine contains large blood clots.
• Peter has IV therapy via peripheral line running at an 8-hourly rate. It is planned for Peter to be discharged after two days on the ward.
• Discuss the aetiology and pathophysiology of the patient’s presenting condition (LO1; LO3).
• Critically discuss the underlying pathophysiology of the patient’s post-operative deterioration. Prioritize, outline and justify the appropriate nursing management of the patient during this time (LO1; LO2; LO3; LO5: LO6)
• Identify three (3) members of the interdisciplinary healthcare team, apart from the primary medical and nursing team, who you would involve in the care of the patient before their discharge and provide justification for their involvement. (LO1; LO4: LO5; LO6)
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