Aim:
The aim of this essay is for
you
to demonstrate an ability to apply theoretical knowledge to
plan effective evidence
–
based, person
–
centred
care for a client with an acute medical or
surgical condition, in line with the NMBA (2016) Registered nurses standards for practice.
Assessment description:
Consider the following client scenario:
John Grant, a 63 year old man has been diagnosed with
bilateral knee osteoarthritis. His GP
added Endone 5 mg prn but due to his worsening pain, mostly in his right knee, John was
referred for a right total knee replacement and a plan to have the left knee done also, once
he was fully recovered from the first
operation. He has a history of angina, hypertension
(HTN), hyperlipidemia, type 2 diabetes (T2DM), and depression.
John is widower and owns a café, along with his eldest daughter. He previously worked 6
days / week however due to his painful knees he has
reduced his work to light duties and
office work 2 days/week and now worries about his daughter’s workload. John lives in his
own home, which has six steps at the front, and is usually able to do all his own
Activities of
Daily Living
(ADLs) and household
work independently. His family visit
s
regularly, and
recently his son and daughter
–
in
–
law have been helping with the housework and cooking.
John has returned to your ward after having his total knee replacement surgery and you are
the nurse taking over
his post
–
operative cares.
1.
Choose
ONE
of the topics listed below
–
Post op respiratory infection
OR
Post op
deep vein thrombosis (DVT)
.
2.
Search the literature
for at least 10
recent [less than five years old] research journal
articles or systematic review p
apers related to the topic you have selected.
3.
Write an essay of 1500 words in length in response to the following essay
criteria
.
4.
Use current evidence to support your discussion on the topic.
5.
Refer to the marking criteria to see how many marks are allocate
d to each section
and to get further information on the assignment structure.
6.
Use the APA 6 Referencing style and the School’s assignment formatting guidelines
https://sites.google.com/a/griffith.edu.au/griffith
–
health
–
writing
–
and
–
referencing
–
guide/
2803NRS ACUTE NURSING PRACTICE TRIMESTER 1, 2017
2
TOPICS
: Choose
ONE
of the following post
–
operative
conditions
For your chosen post
–
operative condition address the following criteria.
A.
POST OP RESPIRATORY INFECTION
1.
Provide an overview of the patient
:
●
Briefly outline
their current condition
and include some basic pathophysiology
.
●
Discuss
other relevant me
dical history, social environmental and family situation
.
●
Identify and discuss
risk factors (in other words what might go wrong to cause a
respiratory infection and why)
.
●
Use
scholarly literature to support your discussion
.
2.
Comprehensive assessment
●
Discuss
2 areas of the systematic
assessments
relevant to the client and their
associated condition.
●
Include
in your discussion
2 risk assessments that may be relevant
for this client,
including why they were chosen
.
●
Refer also to
culture, ethnicity, family and the inter
–
professional team
.
●
Use
scholarly literature to support your discussion
.
3.
Plan nursing care based on your assessments of the patient
●
Discuss
2 specific strategies to meet the client’s needs identified in the assessm
ent
.
●
From your analysis of the literature,
propose
and justify
a plan to prevent a post
–
operative respiratory infection in this client. (i.e.,
m
ake a case for what is best
practice based on your reading, and provide supporting evidence).
●
Compare and contra
st
differing views that you found in the literature and construct
an
argument
for what you think is best practice (i.e., evidence
–
based) in this
particular scenario.
●
Use
scholarly literature to support your discussion (i.e., journal articles and
contemporary sources)
.
4.
Evaluationof care
●
Discuss
any inter
–
professional collaboration that may be required to manage the
patient whilst in hospital or at home
.
●
In your own words
, and
using
reflective
practice
,
discuss
strategies
to
evaluate
the
plan of care
.
B.
POST OP DEEP VEIN THROMBOSIS (DVT)
1.
Provide an overview of the patient
●
Briefly outline
their current condition and include some basic pathophysiology
.
●
Discuss
other relevant medical history, social environmental and family situation
.
●
Identify and discuss
risk factors (in other words what might go wrong to cause a
DVT
and why)
.
●
Use
scholarly literature to support your discussion
.
2803NRS ACUTE NURSING PRACTICE TRIMESTER 1, 2017
3
2.
Comprehensive assessment
●
Discuss
2 areas of the systematic assessments relevant to the client and their
associated condition.
●
Include in your discussion 2 risk assessments that may be relevant for this client,
including why they were chosen.
●
R
efer also to
culture, ethnicity, fami
ly and the inter
–
professional team
.
●
Use
scholarly literature to support your discussion
.
3.
Plan nursing care based on your assessments of the patient
●
Discuss
2 specific strategies to meet the client’s needs identified in the assessment
.
●
From your analysis of the literature,
discuss and justify
a plan to prevent a post
–
operative deep vein thrombosis (DVT) in this client. (i.e.,
m
ake a case for what is best
practice based on your reading, and provide supporting evidence to back it up).
●
Comp
are and contrast
differing views that you found in the literature and construct
an
argument
for what you think is best practice (i.e., evidence
–
based) in this
particular scenario.
●
Use
scholarly literature to support your discussion (i.e., journal articles
and
contemporary sources)
.
4.
Evaluation and of care
●
Discuss
any inter
–
professional collaboration that may be required to manage the
patient whilst in hospital or at home.
●
In your own words
, and
using
reflective
practice
discuss
strategies
to evaluate
the
plan of care.
2803NRS ACUTE NURSING PRACTICE TRIMESTER 1, 2017
4
WRITTEN ESSAY MARKING CRITERIA
CRITERIA
POSSIBLE
MARKS
Overview of the Client
●
Provides a brief outline the clients current condition including some basic
pathophysiology
●
Discusses other relevant medical
history, social environmental and family
situation
●
Identifies and discusses risk factors (in other words what might go wrong
to cause a respiratory infection and why)
/ 20
Comprehensive assessment
●
Discuss
es
2 areas of the systematic assessments relevant to the client
and their associated condition.
●
Include
s
in their
discussion 2 risk assessments that may be relevant for
this client, including why they were chosen.
●
Refers also to
culture, ethnicity, family a
nd the inter
–
professional team
/ 25
Plan nursing care based on assessments of the client
●
Discusses 2 specific strategies to meet the client’s needs identified in the
assessment
●
From the analysis of the literature reviewed, discusses and justifies a
plan to prevent chosen condition in this client. (i.e.,
m
ake a case for what
is best practice based on your reading, and provide supporting evidence
to back it up).
●
Compares and contra
sts differing views found in the literature and
constructs an argument for what is best practice (i.e., evidence
–
based) in
this particular scenario.
/ 30
Evaluation of care
●
Discusses inter
–
professional collaboration that may be required to
manage the
patient whilst in hospital or at home
●
In
their
own words used reflective practice to discuss strategies in
evaluating a plan of care
/ 10
Presentation and Structure
Introduction and Conclusion
●
Provides an introductory paragraph that clearly explains the
purpose and
structure of the essay
●
Provides a concluding paragraph that summarises the main points and
ideas of the essay, with no new material introduced
/ 5
Presentation
●
Complies with academic standards
–
spacing, cover sheet, title page, and
word
count
●
Appropriate sentence and paragraph structure, overall logical flow,
appropriate grammar and spelling
/ 5
Referencing
●
Supports all key points with current
scholarly literature (at least 10
)
●
Complies with APA 6th format in
–
text and in reference
list
/ 5
TOTAL MARKS
/ 100
