Essay GCNNK2 – Mrs. Grace Case Study – Nursing Assignment Help

Assignment Task:

Unit Learning Outcomes 

After satisfactorily completing this unit students will have gained the ability to: 

• Identify nursing interventions related to common laboratory and diagnostic tests used in the diagnosis and management of acute to chronic conditions; (1), (4), (5) 

• Identify appropriate nursing assessments and interventions related to medications and treatments for medical-surgical disorders; (4), (5) 

• Distinguish various illnesses or surgeries occurring in the lifespan; (2), (5) 

• Devise an individualized nursing care plan for the patient with acute, chronic, aged and community issues or problems; (4), (5), (6) 

• Promote the team concept in meeting patients’ specific needs in the acute, surgical, chronic or rehabilitation phases of illness and/or disability; (3)(6) 

• Increase and enhance awareness of the importance of the family unit in acute, chronic, aged and community nursing practice; (7) 

• Increase the awareness of providing accuracy and quality of nursing decisions and (4) 

• Develop expertise, competence, and excellence in medical-surgical nursing practice. 

Overview of content 

Section One: Pharmacology 

• Pharmacology in the professional context – Sociocultural aspects, legal and ethical issues. 

• Professional responsibilities – clinical decision making in drug therapy, medication errors and management of adverse drug reactions, Poison and Controlled Substances Act and drug calculation. 

• Principles of drug therapy in terms of pharmacokinetic factors, risks and benefits and to develop 

a working knowledge of normative pharmacological applications such as for example within 

Australia. 

• Changes in response to medication across the lifespan. 

• Polypharmacy, drug interaction, and clinical overdose. 

• Revision of drugs affecting the systems. 

• Nutritional and natural therapies 

Section Two: Lifespan Care of the Individuals 

• Build on students’ knowledge and understanding of critical events across the lifespan and their effects on individuals and families. 

• Principles of nursing management of acute/chronic, rehabilitation and aged care nursing –link to pathophysiological processes of the conditions. 

• Using simulated scenarios to facilitate appropriate interventions in the management of patients experiencing acute illnesses requiring medical or surgical interventions. 

• Principles of community-based nursing – community settings, general practitioner, rural and 

remote nursing 

• Principles of mental health nursing – meeting the needs of people with altered mental health status in institutional and community settings. 

• Using culturally appropriate care to individuals from various cultural groups including 

Aboriginal and Torres Strait Islanders 

Scenario: 

Mrs. Grace is an 80-year-old woman who was admitted to ED in 1730 with a 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/min – Irregular, RR – 24/min Spo2 – 99% RA, 

temp- 37.2C 

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. Grace had blood taken. She had done a chest x-ray, 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: 

1. What data deviate from normal findings, suggesting the need for further investigation? 

2. What additional information should the nurse ask or question? 

3. Describe the patient’s presenting problem focusing on the pathophysiological issues. 

4. 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. 

5. Explain the pharmacokinetics of the prescribed medications in the ED and their indications. 

6. 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. 

7. 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. Grace.