Contexts Of Nursing Marking Rubric Assignment

Contexts Of Nursing Marking Rubric Assignment

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Contexts Of Nursing Marking Rubric Assignment

Questions:

Assignment 1

  1. Using current evidence, discuss communication within health care. Please focus on;

– the role of the Registered Nurse

– the impact of poor communication and patient safety

– the value of Team STEPPS and ISBAR in communication

Assignment 2.

Now you have worked through the content of this topic, provide some evidence that you have met some of these objectives. Draw on the resources you have in this topic Write an ejournal entry that addresses the following questions;

  • What are some of the complexities in identifying a deteriorating patient?
  • Identify, describe and reference an assessment tool that you could use in on your placement to identify deterioration in a patient under your care. You must justify your choice.

Scenario 1 – Complicated Gastroenteritis

Veronica, a 7 year old girl, has presented with vomiting and diarrhoea. She is dehydrated and is refusing to drink because she feels sick. Her mother, Sharon, is with her and she states that she has been unable to keep any fluids down since yesterday at 1300hrs. It is now 1000hrs.

Veronica is also complaining of a sore tummy. She has had four episodes of diarrhoea overnight, the last episode being at 0300hrs. Sharon describes Veronica’s bowel action as foul smelling, runny and brown.

The medical staff reviewed Veronica, diagnosed her with complicated gastroenteritis. They have ordered a trial of fluids in the emergency department. 10-20mls/kg of oral fluid per hour is the current order. Veronica is refusing to drink. Sharon is getting very frustrated with her daughter as she continually says no.

Observations on arrival

  • HR – 125 bpm, strong and regular
  • RR – 28 bpm
  • Pale, decreased skin turgor
  • Her hands are cool, her lips are dry, but not cracked
  • She is quietly sitting on her mum’s lap
  • Weight – 25 kg
  • Medical history: asthma and bee sting allergy

Scenario 2 – Adolescent

Mitchell is a 16 year old boy who has been brought into the Emergency Department at 2330 via ambulance. He was found semiconscious, outside one of the city nightclubs. He has vomit on his clothes and smells of alcohol. Ambulance officers state that he is able to be roused but only with painful stimulation. His response to this stimulation is verbal bad language. The ambulance officers also state that he has been verbally abusive to them and resistant to their attempts to help him.

Mitchell has a mobile phone on his person and a wallet. His parents Ray and Tania, have been contacted and arrive in the unit shortly after Mitchell. They are embarrassed about his drinking, but are clearly concerned about their son. They are left to visit with their son while the staff retrieve his notes from medical records.

Mitchell responds to his mother’s touch with verbal abuse and shouts at her uncontrollably. She is clearly upset and steps back in tears. Ray intercedes and asks his son to stop this behaviour. His response to his father is calmer and he stops yelling. He rolls over in the bed and screams out to everyone to leave him alone.

Assignment 3

Use current evidence to discuss the management of the difficult situation outlined in either of this week’s scenario.  Please outline the key resources that you might use to prepare a plan to support the patient and their family.

Scenario 1 – Complicated Gastroenteritis

Veronica, a 7 year old girl, has presented with vomiting and diarrhoea. She is dehydrated and is refusing to drink because she feels sick. Her mother, Sharon, is with her and she states that she has been unable to keep any fluids down since yesterday at 1300hrs. It is now 1000hrs.

Veronica is also complaining of a sore tummy. She has had four episodes of diarrhoea overnight, the last episode being at 0300hrs. Sharon describes Veronica’s bowel action as foul smelling, runny and brown.

The medical staff reviewed Veronica, diagnosed her with complicated gastroenteritis. They have ordered a trial of fluids in the emergency department. 10-20mls/kg of oral fluid per hour is the current order. Veronica is refusing to drink. Sharon is getting very frustrated with her daughter as she continually says no.

Observations on arrival

  • HR – 125 bpm, strong and regular
  • RR – 28 bpm
  • Pale, decreased skin turgor
  • Her hands are cool, her lips are dry, but not cracked
  • She is quietly sitting on her mum’s lap
  • Weight – 25 kg
  • Medical history: asthma and bee sting allergy

Scenario 2 – Adolescent

Mitchell is a 16 year old boy who has been brought into the Emergency Department at 2330 via ambulance. He was found semiconscious, outside one of the city nightclubs. He has vomit on his clothes and smells of alcohol. Ambulance officers state that he is able to be roused but only with painful stimulation. His response to this stimulation is verbal bad language. The ambulance officers also state that he has been verbally abusive to them and resistant to their attempts to help him.

Mitchell has a mobile phone on his person and a wallet. His parents Ray and Tania, have been contacted and arrive in the unit shortly after Mitchell. They are embarrassed about his drinking, but are clearly concerned about their son. They are left to visit with their son while the staff retrieve his notes from medical records.

Mitchell responds to his mother’s touch with verbal abuse and shouts at her uncontrollably. She is clearly upset and steps back in tears. Ray intercedes and asks his son to stop this behaviour. His response to his father is calmer and he stops yelling. He rolls over in the bed and screams out to everyone to leave him alone.

Assignment 4

In your eJournal, cite and summarise a journal article which takes into account the role of the Australian Registered Nurse in the discharge planning process. Briefly outline how this discharge planning in the paediatric setting may maximise health and minimise costs.

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