This assessment requires you to respond to a series of questions within given clinical scenarios and support all your answers with contemporary literary evidence. Consider the relevant contextual factors within the given scenario when developing your responses to the questions.
This assessment requires you to respond to a series of questions within given clinical scenarios and support all your answers with contemporary literary evidence. Consider the relevant contextual factors within the given scenario when developing your responses to the questions. Check the required style and examples in Black board before you start. You will submit this assessment online via Turn it in. Look for the Turn it in tip sheets and links that are in the assessment pages of this unit for further information.
Required Style: Your responses to questions in the learning activities must be typed. Responses may be in academic prose sentences and/or point form at your discretion. All sources used in developing your answer should be appropriately acknowledged and referenced using an APA approach consistent with QUT citewrite. Include a reference list of resources used in your assessment at the end. This is additional to the word limit. Number your answers clearly. Do not re-type or include the scenarios or assessment questions in the file you submit as this will create a high percentage of matching text in the academic dishonesty function in Turn It In.
Marking: Each mark is awarded for a key point in your response that is correct responds closely to the focus on the question and is supported with a valid academic resource / reference. Partial marks are used. Please check the examples provided on blackboard to further clarify expectations before you begin this assessment.
Assessment Example on Black Board
An Assessment Example is located in the assessment tab of the unit blackboard site. It includes sample questions and graded responses to introduce you to assessment expectations in this task.
Use of Turn It In in this assessment: You are required to load your assignment into the Turn It In program.
Turn it in is a text matching and citation checking tool accessed through black board. It allows you to check your assignments contain your original work determine possible incidents of paraphrasing mistakes that may constitute plagiarism and amend any identified issues prior to submission of your assignment for marking. To do this you need to load your draft assessment to Turn it in [via blackboard] and review the Turn it in report generated by the program. Once you are happy with your final assessment then load a final version into Turn it in.
Jamie is a 29 year old male admitted to hospital 6 hours ago with severe asthma. Jamie recently started a new job in the coal mines in central Queensland (3 weeks on 1 week off) and two days ago started his days off at home in Brisbane. Last night he was out partying with mates in the Valley and became very breathless and had an acute exacerbation of asthma symptoms. He was brought in by ambulance. Apart from having asthma since childhood Jamie reports he has good health and an active lifestyle. He usually takes an inhaled preventative medication daily and a reliever (salbutamol) when he experiences asthma symptoms. He hasnt taken his preventer medication recently as he forgot to take it with him when he went on shift at the mine.
Currently he is lying on his side flat in bed and has oxygen 6 litres a minute delivered via nasal a face mask. He looks pale and has pink lips. Peripheral capillary refill time is 3 seconds. Respirations are deep through the mouth slightly laboured and chest expansion is equal left and right. He had an inspiratory wheeze audible with a stethoscope. He has a frequent cough. Jamies skin is warm with no evidence of central or peripheral cyanosis. Vital signs / observations are BP 130/85 mmhg pulse 96 b/min respiratory rate 32 r/min temperature 36.8C and oxygen saturations 92%. On arrival in the ward for a morning clinical practice shift you are allocated to look after Jamie supervised by your buddy nurse.
Answer the following questions referring to the above scenario of Jamie [16 marks] Questions.
1. Consider the person and contextual information in the scenario and select two points of information that could be relevant to Jamies current acute asthma diagnosis and oxygenation problem. Briefly explain why you think these could be relevant. [2 marks] 2. Jamie currently has an oxygenation problem. Select three pieces of patient data related to this problem and for each briefly explain your understanding of the underlying pathophysiology of how each piece of data indicates an oxygenation deficit. [3 marks] 3. Briefly explain two advantages of delivering oxygen via a face mask as compared to the use of nasal prongs? [2 marks] 4. Briefly explain what changes in Jamies physical assessment data (excluding vital signs) would justify the nurse changing current oxygen therapy from a non-rebreather oxygen mask to nasal prongs? [2 marks] 5. Identify changes in vital signs that would indicate substantial deterioration in Jamies condition [1 mark] 6. Identify three questions you will ask Jamie about his symptoms to elicit data relevant to his current oxygenation and condition [3 marks] 7. Identify three changes Jamie would report to you that may indicate substantial deterioration in his condition. [3 marks] Scenario
Mrs Adams is an 84 year old lady transferred from the acute surgical unit to the rehabilitation unit for intensive physiotherapy and occupational therapy to assist her in regaining her mobility in preparation for discharge in 5 days. Mrs Adams is a slight lady who is approximately 150cm tall and says she weighed 48kg before coming to hospital. She had a right total hip replacement 5 days ago following a fall in the bathroom of her home when she fractured the neck of her femur. Her surgical wound is clean and dry with staples intact under a dry dressing. She also has an area of redness on her right heel. She is taking paracetamol and codeine tablets 6th hourly for pain. She is also ordered heparin 5000 units subcutaneously. She is wearing compression stockings on both legs (with the right heel protected). Mrs Adams is able to weight bear on her right leg was transferred to the rehabilitation unit on a trolley and was assisted to walk a few steps from the trolley to the bed by a nurse supporting her elbows on either side. Mrs Adams has been transferring from the chair to the bed under supervision with 1 nurse assisting today and has walked to the bathroom using a walking frame and had a shower sitting on a chair. The physio has also taken her for a short walk using the walking frame and she will need to mobilise twice more today with nursing staff. The physio notes in the chart say that Mrs Adams was hesitant but completed her walk satisfactorily.
Prior to this hospitalisation she was generally well mobile and didnt use any mobility aids. She has a history of being a smoker and has osteoporosis and osteoarthritis. She lives with her husband Mr Adams who is 90 years old.
You are working the afternoon shift with a buddy registered nurse. Mrs Adams current pain is 2 on a scale of 1 (no pain) -10 (worst pain). Mrs Adams is refusing to get out of bed for a walk with you and the buddy RN saying Ive done it once today that is enough. The buddy nurse has a short discussion with Mrs Adams and determines she is afraid of falling again.
(case adapted from Crisp and Taylor 2011)
Walking frame Compression stockings