Assignment Task:
Task:
Assignment (2000 words)
NOTE: Assignment should have atleast 15 references in APA style.
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.
This criterion is linked to a Learning Outcome Demonstrated an understanding of the topic and addressing the topic
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
This criterion is linked to a Learning OutcomeDemonstrated an understanding of the topic and addressing the topic
1. Nursing Managementa. 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 withsupporting literatureb. 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 pharmacologyto practicea. 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 issues2. Evidence of original ideas3. 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.
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