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Nursing Case Study Help Sample Assignment
Task description: For this essay, select EITHER Case Option 1 (adolescent case) or Case Option 2 (adult case). Review your chosen case. Using the clinical reasoning cycle you are required to assess, plan, implement, and evaluate your care for the patient. After identifying the relevant assessment data you must identify two (2) current or potential problems for your patient. For each problem identified, list two (2) nursing interventions (collaborative/independent) linking to your research of the literature. One intervention must be nursing initiated. In collaborative interventions, you must focus on the role of the nurse. Include a one to two-line rationale for each intervention. Evaluation of the effectiveness of your interventions is essential.
Chosen 2 (adult case).
URN: QUT158| PATIENT: George Williamson DOB: 31/10/1948 | Clinic: OPD
George Williamson is a 72-year-old man who is a lifelong smoker. 10 years ago, George was diagnosed with COPD however he has continued to smoke with this diagnosis. George has been prescribed Salbutamol; a short-acting bronchodilator (SAB) to use on a PRN basis as well as an inhaled steroid which he is supposed to use twice a day.
Today you are seeing George and his granddaughter (who is his primary carer) in the respiratory outpatient clinic. George’s granddaughter reports that she doesn’t think that George is using his SAB inhaler correctly and often forgets to take his steroid inhaler. She says that he is too stubborn to listen to any advice on the matter. She also comments that his exercise tolerance is decreasing, and he now spends almost all of his time lying in a reclining chair at home. She is worried that his sedentary lifestyle and lack of movement may cause other health issues.
On examination, George’s wheeze is audible without the use of a stethoscope. His Spo2 is 93% on room air. He is pursed-lip breathing and leans forward in his chair. His spirometry results show and FEV1 of 36%. In the clinic 6 months ago, his FEV1 was 42% and his Spo2 remains stable since his last clinic visit. His blood pressure is 125/60 with a pulse rate of 84. He states that his bowels feel “blocked up” and he can’t be bothered going out or doing jobs around the house anymore. He wants to know “when will this all go away and I’ll be better?”
What you need to do:
The 2200 word essay should cover the points below:
- Introduction (150 words approximately): State an overview of the patient’s condition and identify TWO actual or potential nursing problems.
- For each of your identified problems (Approximately 950 words for each problem): Briefly explain how it relates to the patient’s assessment data. You must demonstrate your understanding of the relevant pathophysiology to explain the link between the problem and the patient’s signs and symptoms. Identify TWO interventions to address each problem. Justify the interventions you will implement (explain what is involved in implementing the intervention, why it is suitable, any relevant special considerations relevant to the patient or situation) and support/justify the use of these interventions with reference to current evidence-based literature (a minimum of 5 current articles for each intervention). Outline the expected evaluation criteria/data that would indicate that each intervention is improving or resolving the identified problem.
- Conclusion (150 words approximately): Briefly restate the overall clinical scenario and how your interventions can benefit the patient’s health.
- You need to discuss at least one independent nursing intervention in your essay. This intervention must be nurse initiated and driven.
- For any collaborative interventions, you must discuss the nursing responsibilities and actions in relation to this collaborative intervention. Referral to another health discipline alone does not constitute an intervention
- Medications cannot be both of your chosen collaborative interventions for a problem. If a medication is one of your collaborative interventions, you must identify an appropriate drug that is likely to be prescribed by the doctor. You must consider and NSB231 Integrated Nursing Practice 2 On-Campus NSB 231 - Assessment 2 Page 3 of 10 discuss the nursing responsibilities associated with the medication (action, dose, side effects, prevention, and management of same, administration requirements and evaluation).
- Be written in CiteWrite APA style and prepared as follows:
- Journal articles. Blogs and general healthcare websites are to be avoided and are not considered suitable for academic writing. Remember to watch the video under the assessment task tab on how to search for evidence. References can be no more than 7 years old, i.e. prior to 2013 unless they are considered landmark papers in the field. You need a minimum of 20 references for this essay.