Assignment:
Students are required to complete and submit the assignment as per academic and referencing requirements for the course.
Consideration will also be given to the following to ensure quality of work submitted address academic standards for writing and appropriate referencing. Marks for variety of sources, references and writing are included in marks given for each answer where applicable.
Marks for Answers will be provided as per the marking guide below:
General description
• Correctly interprets question/task
• Comprehensive and thorough discussion of all requirements
• Demonstrates understanding of important requirements
Reading & research
Identify, analyse and evaluate information from a variety of sources
Referencing
• As per Referencing Guide (Harvard system)
Writing
Clearly conveys concepts. Spelling grammar, punctuation and logical structure.
PLEASE ANSWER ALL QUESTIONS
SECTION 1
Case Study 1. Rhonda Green
Mrs. Rhonda Green is a 50 year old female who had a total knee arthroplasty 3 days ago. She is on 6 hourly observations. The most recent recorded observations were: Temp 36.5 ?C, RR 22, HR 110, BP 170/86mmHg and SpO2 98% on room air. She is complaining of ‘awful pain' in her knee and her elevated BP and pulse reflect that.
She has been unable to do her routine ROM exercises due to the pain in her knee. Mrs. Green received opioid analgesia for the first two days post operatively and has reported that she has not opened her bowels since the operation. She requires assistance to perform ADLs and has expressed embarrassment at being assisted in the shower.
She stated in confidence that she is menopausal, has gained weight over the past 2 years, suffers anxiety and has a very poor self-image, finding it difficult to adjust to her body now she is no longer fertile. She feels embarrassed at undressing in front of nursing staff and even in front of her own husband.
Socioeconomic status: Mrs. Green lives with a husband and has three grown up children.
1. Write a nursing care plan for Rhonda: Provide two (2) actual and two potential nursing diagnoses, include interventions and expected outcomes for each. Use the template provided.
Nursing diagnosis
(patient need) Planning
(Nursing intervention Required) Expected Outcome
2a. Rhonda Green has confided that she has trouble adjusting to her body image in middle age, now she is no longer fertile. How does Rhonda's case relate to the sexual development stage experienced in middle age?
2b What could you do to reduce Rhonda's embarrassment about attending ADL's with a nurse assisting her?
3. Describe two (2) priority needs to be considered in planning for Mrs. Green's discharge.
4. Which stage of human developmental is Mrs Green in?
5. Briefly explain the developmental stage specifically as it relates to Mrs Green.
Case Study 2 George Grandin
Read the case study below and answer the following questions
On 12/6/14 at 1000 you are assigned to admit a new client to your ward.
George Grandin is an 87 year old man admitted to your ward this morning following a fall at home. He sustained significant bruising and swelling to his right hip and shoulder with a large skin tear to his right forearm. He did not sustain any fractures. He is admitted for pain relief and dressings to his forearm as well as physiotherapy review. George is very thin with a BMI of 18, he has bony prominences on his hips and pelvis and is at risk of developing pressure areas on these bony prominences. Cognitively George is alert and orientated, he had been ambulating independently prior to the fall but is to be assessed by a physiotherapist for balance and gait and the need for a walking stick or frame. Medically George is healthy for his age and takes multivitamin and fish oil supplements but no other medications. Socially he lives with his 82 year old wife in an attached flat in their daughters home and is well supported.
George's observations on admission are Temp 36.1,BP 105/68,Resp 18, Pulse 64.
1. Write a nursing care plan for George: Provide two (2) actual and two potential nursing diagnoses include interventions and expected outcomes for each. Use the template provided.
Nursing diagnosis
(patient need) Planning
(Nursing intervention Required) Expected Outcome
2. Write nursing admission notes for George. Use the Progress Notes template provided.
PROGRESS NOTES
3. Describe the appropriate method to collect health related data as a part of the admission process for George.
4. Considering George's injuries and his low BMI, what regular nursing assessments/charts will George need?
5. Provide four (4) risk factors for older people in hospital.
SECTION 2
Short answer questions
1. Describe two (2) physical changes that occur in older adults.
2. Identify two (2) specific health needs for older adults due to the physical changes identified in Question 1.
3. Describe two (2) socioeconomic activities usually associated with early and middle adulthood.
4. Describe two (2) growth and development changes seen in adolescence.
5. Discuss two (2) common issues associated with adolescents during growth and development.
6. Hospitalisation of children impacts on the child and family significantly. Discuss two (2) possible impacts of hospitalisation on the child and family.
7. Describe two (2) methods or techniques that nurses can specifically use when working with families to increase the family's involvement in their child's care during hospitalisation.
8. Describe two (2) factors that influence human growth and development.
9. What are two (2) religious or cultural dietary needs to be considered for a Muslim client in the healthcare environment?
10. Provide an example of how nurses must protect the patient's confidentiality and privacy in the health care environment.