Posted: May 11th, 2022

Med-surgical case study, NRSG370 Assessment

• Assignment help – Discuss with the phases of the scientific reasoning cycle
• Clearly identifies and prioritises Three related nursing points/drawback
• the case examine essay focus has been addressed and mentioned as per scientific reasoning cycle
• the case examine essay content material has clear hyperlinks to modern nursing follow of the scientific elective space and discusses the supply of moral, authorized, evidence-based, holistic person-centred care, together with the institution of practical and related objectives
• the case examine paper demonstrates a depth of understanding of the subject and important points as per situation and scientific elective space.

Case examine directions:
Utilise the Medical Reasoning Cycle (Levett-Jones, 2013) (a scientific determination making
framework) to plan and consider person-centred care:
1. Contemplating the individual’s scenario, accumulate, course of and current associated well being data;
2. Establish and prioritise at the very least three (Three) nursing issues/points based mostly on the well being evaluation knowledge that you’ve recognized for the individual on the centre of care;
Three. Set up objectives for precedence of nursing care as associated to the nursing drawback/points recognized;
four. Focus on the nursing care of the individual, hyperlink it to evaluation knowledge and historical past;
5. Consider your nursing care methods to justify the nursing care offered;
6. Replicate on the individual’s outcomes.
NRSG370 Evaluation Job Three – Case Examine Particulars:
Bianca Lane, 20, Peritonitis following ruptured appendix Medical/Surgical #1
Ms. Bianca Lane introduced to the Emergency division with a historical past of 2-Three days of extreme Proper Decrease Quadrant belly ache, lack of urge for food, nausea and fever.
She has a previous medical historical past of bronchial asthma and melancholy, along with her present prescribed and compliant drugs record which incorporates:
• Salbutamol
• Seretide
• Sertraline
Bodily examination of the stomach and an ultra-sound recognized a perforated appendix, which required emergency laparoscopic surgical procedure. 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 growing centralised belly ache, that’s worse with any motion and respiration, giving it a rating of seven/10.
Bodily examination identifies a distended inflexible stomach, with generalised belly guarding and no bowel sounds.
To research her situation additional, a FBC, electrolytes, blood cultures and an belly X-ray had been organised. Pathology outcomes reveal a raised white blood cell (WBC) depend and CRP, blood cultures are pending. Belly X-ray identifies oedematous and gaseous distention of the small and enormous bowel.
You’re the RN caring for Bianca post-operatively on the surgical ward.
References:
Levett-Jones, T. (Ed.), (2013). Medical reasoning: Studying to assume like a nurse. Sydney, Australia: Pearson Training.

Criterion Referenced Rubric: Supplimentary Evaluation, Case Examine

Standards for marking
Excessive Distinction
(95-100%)
Excessive Distinction
(85-94%)
Distinction
(75-84%)
Credit score
(65-74%)
Move
(50-64%)
Unsatisfactory
(31-49%)
Unsatisfactory
(Zero-30%)
Sequencing
5% The content material within the case examine immediately matches the define introduced within the introductory paragraph. The case examine ends with a rational conclusion. The content material within the case examine comprehensively matches the define introduced within the introductory paragraph. The case examine ends with a rational conclusion. The content material within the case examine completely matches the define introduced within the introductory paragraph and the case examine ends with a rational conclusion. The content material within the case examine matches the define introduced within the introductory paragraph. and the case examine ends with a rational conclusion. The content material within the case examine principally matches the define introduced within the introductory paragraph and the case examine ends with a conclusion. There’s a clear introduction, adopted by the physique of the case examine, with a conclusion. Nevertheless, content material inside the physique and inside paragraphs is just not at all times logically sequenced. There is no such thing as a clear introduction, physique and/or conclusion. There is no such thing as a sequencing evident.
Content material

50% Extensively defines and discusses the supply of moral, authorized, evidence-based, holistic person-centred care, together with the institution of practical and related objectives.
Consists of related dialogue on the gathering, processing and presentation of consumer/affected person data.
Clearly identifies and prioritises Three related nursing points/ issues.
Sturdy proof of use and understanding of the scientific reasoning cycle. Comprehensively defines and discusses the supply of moral, authorized, evidence-based, holistic person-centred care, together with the institution of practical and related objectives.
Consists of related dialogue on the gathering, processing and presentation of consumer/affected person data.
Clearly identifies and prioritises Three related nursing points/ issues.
Clear proof of use and understanding of the scientific reasoning cycle. Totally defines and discusses the supply of moral, authorized, evidence-based, holistic person-centred care, together with the institution of practical and related objectives
Consists of dialogue of the gathering, processing and presentation of consumer/affected person data.
Clearly identifies and prioritises Three related nursing points/ issues.
Proof of use and understanding of the scientific reasoning cycle. Defines and describes the supply of moral, authorized, evidence-based, holistic person-centred care, together with the institution of related objectives
Consists of the gathering, processing and presentation of consumer/affected person data.
Identifies and prioritises 2-Three related nursing points/ issues.
Some proof of use and understanding of the scientific reasoning cycle. Describes the supply of moral, authorized, evidence-based, holistic person-centred care, however doesn’t present clear rationale for selections or the institution of related objectives
Assignment help – Discusses the gathering, processing and presentation of consumer/affected person data.
Points/issues recognized are unclear or not related to the case examine. Minimal proof of use and understanding of the scientific reasoning cycle. Restricted proof of the consideration or provision of moral, authorized, evidence-based, holistic person-centred care,
points/issues recognized usually are not related to the case examine or poorly prioritised or key points/issues have been omitted.
No proof of use and understanding of the scientific reasoning cycle No proof of the consideration or provision of moral, authorized, evidence-based, holistic individual centred care,
No points/issues recognized.
No proof of use and understanding of the scientific reasoning cycle

Crucial considering, reasoning and analysis of proof

30% There may be proof of complete depth and breadth of studying. A concise and nicely supported evaluation associated to nursing care and points/issues is introduced, and is supported by sufficient and acceptable proof. There may be proof of detailed depth and breadth of studying. A concise and nicely supported evaluation associated to nursing care and points/issues is introduced, and is supported by sufficient and acceptable proof. There may be proof of each depth and breadth of studying. An evaluation is introduced associated to nursing care and points/issues, and is supported by acceptable proof. An evaluation is introduced associated to nursing care and points/issues supported by proof. There may be proof of supportive studying An evaluation is introduced associated to nursing care and points/issues with minimal supportive proof Minimal evaluation is introduced associated to nursing care and points and/or evaluation introduced lacks relevance to the subject. Little to no evaluation is introduced associated to nursing care and points
Paragraph, construction / intelligibility

5% Flawless presentation of concepts. The writing is organised into paragraphs which might be structured nicely, and the data is organised appropriately inside the paragraph. Every paragraph pertains to a discrete concept. There are clear linking sentences that hyperlink every paragraph to the subsequent constantly. The writing is organised into paragraphs, and the data is organised constantly and appropriately inside the paragraph. Every paragraph pertains to a discrete concept. There are clear linking sentences that hyperlink most paragraphs to the subsequent. The writing is organised into paragraphs, and the data is organised appropriately inside the paragraph. Most paragraphs pertains to a discrete concept. There are clear linking sentences that hyperlink most paragraphs to the subsequent. The writing is organised into paragraphs, and the data is generally organised appropriately inside the paragraph. Most paragraphs pertains to a discrete concept. The paragraphs principally hyperlink to at least one one other. There may be proof of paragraphs, nonetheless paragraph construction is disorganised, with no clear concepts, and no hyperlinks. Some proof of paragraphs, nonetheless paragraph construction is disorganised, with no clear concepts, and no hyperlinks.
Sources & Referencing

10% Credible and related references are used. Correct use of Help write my thesis – APA referencing type in all situations. A broad vary of in-text citations has been used.
Credible and related references are used. Correct use of Help write my thesis – APA referencing type in all situations. A variety of in-text citations has been used.
Credible and related references are used. Help write my thesis – APA referencing type is nearly at all times correct. A variety of in-text citations has been used. Credible and related references are used. Help write my thesis – APA referencing type is correct on most events. There may be restricted use of a spread of in-text quotation codecs. Credible and related references are used. Help write my thesis – APA referencing type is demonstrated inconsistently. There is no such thing as a variation of in-text quotation format. Not all references are credible and/or related. There are inaccuracies with the Help write my thesis – APA referencing type. There could also be an overuse of direct quotations. Not all references are credible and/or related. There are a number of inaccuracies with the Help write my thesis – APA referencing type. There could also be an overuse of direct quotations.

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