You need to prepare a report outlining your response to the handover.
In preparing your student response, please ensure that you address the following:
Primary Assessment (approximately 250 words +/- 10%)
During this stage the nurse begins to collect relevant information by asking relevant questions and performing a health assessment.
What are the components of a comprehensive primary assessment that are clinically appropriate for Mr George? Your answers may be in dot point form for this section only.
Focussed Assessment (approximately 550 words +/- 10%)
Choose three (3) priority systems to assess and provide rationale for why you have prioritised these systems. Look for clues in the case information/handover/notes to ensure your choice is relevant to the case.
Identifying Nursing Problems (approximately 550 words +/- 10%)
In this stage, the nurse synthesises all the information that has been collected and identifies the most urgent patient problems.
Discuss the health assessment findings that may alert you to physiological deterioration and explain why the findings are concerning.
Identify and prioritise two (2) actual patient problems and provide rationale for your prioritising of each patient problem.
Identify and prioritise two (2) potential problems of concern for this patient, and provide a rationale for each of your choices. These problems must be of significance and relevance to the patient in this case.
Planning and Implementing Care (approximately 700 words +/- 10%)
During this phase the nurse selects the most appropriate course of action, identifying and prioritising interventions to provide quality, patient-centred care for Mr George.
Discuss five (5) key evidence-based nursing interventions, including brief rationales for each intervention.
Interventions may relate to Mr George’s presentation at 0730 or be based on the ‘bigger picture’ of his needs during admission.
Interventions must be prioritised.
Interventions need to be nursing interventions, not medical.
Interventions must not be generic (i.e. vital signs, medication rounds are relevant to all patients; you should focus on interventions specific to Mr George’s needs.)
Evaluation (approximately 150 words +/- 10%)
This stage requires the nurse to evaluate each of the proposed interventions and determine whether the patient’s condition has improved. This is how you will determine if the interventions you proposed have been successful.
What health assessment findings would indicate that the 5 nursing interventions you have suggested, have been effective or not? For each intervention you have identified, indicate using rationale, at least one (1) way you can evaluate if the intervention has worked or not.
You may include your evaluation as part of your planning and implementing section.
You do not need to repeat the case study details.
Your discussion must be supported by a wide range of current evidence from reputable academic sources. Reference should be no older than 7 years.
An academic style of writing and appropriate terminology should be used throughout the assessment.
Links must be drawn between the theoretical concepts and the actual case study throughout the assignment.
Please adhere to the assessment formatting, submission and referencing guidelines given in the unit guide