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Posted: May 11th, 2022
Med-surgical case study, NRSG370 Assessment
• Talk about with the phases of the scientific reasoning cycle
• Clearly identifies and prioritises Three associated nursing factors/downside
• the case study essay focus has been addressed and talked about as per scientific reasoning cycle
• the case study essay content material materials has clear hyperlinks to fashionable nursing comply with of the scientific elective area and discusses the availability of ethical, licensed, evidence-based, holistic person-centred care, along with the establishment of sensible and associated goals
• the case study paper demonstrates a depth of understanding of the topic and vital factors as per state of affairs and scientific elective area.
Case study instructions:
Utilise the Medical Reasoning Cycle (Levett-Jones, 2013) (a scientific dedication making
framework) to plan and think about person-centred care:
1. Considering the person’s state of affairs, accumulate, course of and present related properly being knowledge;
2. Set up and prioritise on the very least three (Three) nursing points/factors primarily based totally on the properly being analysis data that you’ve got acknowledged for the person on the centre of care;
Three. Arrange goals for priority of nursing care as related to the nursing downside/factors acknowledged;
4. Concentrate on the nursing care of the person, hyperlink it to analysis data and historic previous;
5. Think about your nursing care strategies to justify the nursing care provided;
6. Replicate on the person’s outcomes.
NRSG370 Analysis Job Three – Case Look at Particulars:
Bianca Lane, 20, Peritonitis following ruptured appendix Medical/Surgical #1
Ms. Bianca Lane launched to the Emergency division with a historic previous of 2-Three days of utmost Correct Lower Quadrant stomach ache, lack of urge for meals, nausea and fever.
She has a earlier medical historic previous of bronchial bronchial asthma and melancholy, alongside along with her current prescribed and compliant medication file which contains:
• Salbutamol
• Seretide
• Sertraline
Bodily examination of the abdomen and an ultra-sound acknowledged a perforated appendix, which required emergency laparoscopic surgical process. Bianca is now 36 hours post-operative and her observations are as follows:
• BP 94/45mmHg
• HR 136
• Temp 38.5°Celcius
• RR 24/min and shallow
• SpO2 95% on room air
She has been complaining of accelerating nausea, feeling ‘bloated’ and rising centralised stomach ache, that is worse with any movement and respiration, giving it a ranking of seven/10.
Bodily examination identifies a distended rigid abdomen, with generalised stomach guarding and no bowel sounds.
To analysis her state of affairs extra, a FBC, electrolytes, blood cultures and an stomach X-ray had been organised. Pathology outcomes reveal a raised white blood cell (WBC) rely and CRP, blood cultures are pending. Stomach X-ray identifies oedematous and gaseous distention of the small and massive bowel.
You are the RN caring for Bianca post-operatively on the surgical ward.
References:
Levett-Jones, T. (Ed.), (2013). Medical reasoning: Finding out to imagine like a nurse. Sydney, Australia: Pearson Coaching.
Criterion Referenced Rubric: Supplimentary Analysis, Case Look at
Requirements for marking
Extreme Distinction
(95-100%)
Extreme Distinction
(85-94%)
Distinction
(75-84%)
Credit score rating
(65-74%)
Transfer
(50-64%)
Unsatisfactory
(31-49%)
Unsatisfactory
(Zero-30%)
Sequencing
5% The content material materials inside the case study instantly matches the outline launched inside the introductory paragraph. The case study ends with a rational conclusion. The content material materials inside the case study comprehensively matches the outline launched inside the introductory paragraph. The case study ends with a rational conclusion. The content material materials inside the case study fully matches the outline launched inside the introductory paragraph and the case study ends with a rational conclusion. The content material materials inside the case study matches the outline launched inside the introductory paragraph. and the case study ends with a rational conclusion. The content material materials inside the case study principally matches the outline launched inside the introductory paragraph and the case study ends with a conclusion. There is a clear introduction, adopted by the physique of the case study, with a conclusion. Nonetheless, content material materials contained in the physique and inside paragraphs is simply not always logically sequenced. There isn’t a such factor as a transparent introduction, physique and/or conclusion. There isn’t a such factor as a sequencing evident.
Content material materials
50% Extensively defines and discusses the availability of ethical, licensed, evidence-based, holistic person-centred care, along with the establishment of sensible and associated goals.
Consists of associated dialogue on the gathering, processing and presentation of client/affected particular person knowledge.
Clearly identifies and prioritises Three associated nursing factors/ points.
Sturdy proof of use and understanding of the scientific reasoning cycle. Comprehensively defines and discusses the availability of ethical, licensed, evidence-based, holistic person-centred care, along with the establishment of sensible and associated goals.
Consists of associated dialogue on the gathering, processing and presentation of client/affected particular person knowledge.
Clearly identifies and prioritises Three associated nursing factors/ points.
Clear proof of use and understanding of the scientific reasoning cycle. Completely defines and discusses the availability of ethical, licensed, evidence-based, holistic person-centred care, along with the establishment of sensible and associated goals
Consists of dialogue of the gathering, processing and presentation of client/affected particular person knowledge.
Clearly identifies and prioritises Three associated nursing factors/ points.
Proof of use and understanding of the scientific reasoning cycle. Defines and describes the availability of ethical, licensed, evidence-based, holistic person-centred care, along with the establishment of associated goals
Consists of the gathering, processing and presentation of client/affected particular person knowledge.
Identifies and prioritises 2-Three associated nursing factors/ points.
Some proof of use and understanding of the scientific reasoning cycle. Describes the availability of ethical, licensed, evidence-based, holistic person-centred care, nevertheless does not current clear rationale for picks or the establishment of associated goals
Discusses the gathering, processing and presentation of client/affected particular person knowledge.
Factors/points acknowledged are unclear or not associated to the case study. Minimal proof of use and understanding of the scientific reasoning cycle. Restricted proof of the consideration or provision of ethical, licensed, evidence-based, holistic person-centred care,
factors/points acknowledged often will not be associated to the case study or poorly prioritised or key factors/points have been omitted.
No proof of use and understanding of the scientific reasoning cycle No proof of the consideration or provision of ethical, licensed, evidence-based, holistic particular person centred care,
No factors/points acknowledged.
No proof of use and understanding of the scientific reasoning cycle
Essential contemplating, reasoning and Assessment of proof
30% There could also be proof of full depth and breadth of finding out. A concise and properly supported analysis related to nursing care and factors/points is launched, and is supported by adequate and acceptable proof. There could also be proof of detailed depth and breadth of finding out. A concise and properly supported analysis related to nursing care and factors/points is launched, and is supported by adequate and acceptable proof. There could also be proof of every depth and breadth of finding out. An analysis is launched related to nursing care and factors/points, and is supported by acceptable proof. An analysis is launched related to nursing care and factors/points supported by proof. There could also be proof of supportive finding out An analysis is launched related to nursing care and factors/points with minimal supportive proof Minimal analysis is launched related to nursing care and factors and/or analysis launched lacks relevance to the topic. Little to no analysis is launched related to nursing care and factors
Paragraph, building / intelligibility
5% Flawless presentation of ideas. The writing is organised into paragraphs which could be structured properly, and the info is organised appropriately contained in the paragraph. Each paragraph pertains to a discrete idea. There are clear linking sentences that hyperlink each paragraph to the following consistently. The writing is organised into paragraphs, and the info is organised consistently and appropriately contained in the paragraph. Each paragraph pertains to a discrete idea. There are clear linking sentences that hyperlink most paragraphs to the following. The writing is organised into paragraphs, and the info is organised appropriately contained in the paragraph. Most paragraphs pertains to a discrete idea. There are clear linking sentences that hyperlink most paragraphs to the following. The writing is organised into paragraphs, and the info is usually organised appropriately contained in the paragraph. Most paragraphs pertains to a discrete idea. The paragraphs principally hyperlink to at the very least one one different. There could also be proof of paragraphs, nonetheless paragraph building is disorganised, with no clear ideas, and no hyperlinks. Some proof of paragraphs, nonetheless paragraph building is disorganised, with no clear ideas, and no hyperlinks.
Sources & Referencing
10% Credible and associated references are used. Appropriate use of APA referencing sort in all conditions. A broad range of in-text citations has been used.
Credible and associated references are used. Appropriate use of APA referencing sort in all conditions. A wide range of in-text citations has been used.
Credible and associated references are used. APA referencing sort is almost always right. A wide range of in-text citations has been used. Credible and associated references are used. APA referencing sort is right on most occasions. There could also be restricted use of a variety of in-text citation codecs. Credible and associated references are used. APA referencing sort is demonstrated inconsistently. There isn’t a such factor as a variation of in-text citation format. Not all references are credible and/or associated. There are inaccuracies with the APA referencing sort. There is also an overuse of direct quotations. Not all references are credible and/or associated. There are a selection of inaccuracies with the APA referencing sort. There is also an overuse of direct quotations.
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