Assignment Objectives
1.Demonstrate the use of research evidence for nursing practice applied to the care of a surgical patient
2.Augment skills in clinical decision making and reasoning through synthesising and analysing information required to care for a surgical patient
3.Apply appropriate assessment, problem solving, planning, prioritising of interventions to care for the selected client scenario chosen
4.Demonstrate the nurse’s role in monitoring and implementing prioritised nursing interventions in response to identified patient needs
5. Demonstrate the ability to communicate specific patient care issues succinctly according to scholarly writing and referencing conventions
Analyse the case to identify potential clinical issues and relevant nursing care
This section will focus on the first 24 hours of post-surgical care and involves prioritising nursing care for Wendy. Consider Wendy’s co-morbidities including obstructive sleep apnoea (OSA), previous MI, asthma, hypertension, and hypercholesterolemia in the context of having a general anaesthetic (GA) and in identifying your clinical issues.
1.Identify THREE (3) PRIORITY clinical issues for Wendy e.g. at risk of severe pain
2.Identify NURSING INTERVENTIONS for each of the three clinical issues e.g. Encourage deep breathing exercises hourly
3.Provide RATIONALES for each nursing intervention. Rationales justify your interventions and are referenced. Suggestion: Intervention: Encourage deep breathing exercises including use of the spirometry, hourly; Rationale: Smith (2019) surmises that this promotes normal lung expansion increases oxygen levels, and is useful in preventing pneumonia and atelectasis