1. AssessmentTask1Written Assessment Task DetailsDue date: Monday 20th April by 23:59 Weighting: graded 50%Length and/or format: 1800 words +/- 10%.Purpose: This is a summative written assessment based on a surgical case study requiring appraisal of an individual’s holistic health care needs and subsequent interventions and management to assist with the application of theory into practiceLearning outcomes assessed: LO2, LO3, LO4, LO5, LO6How to submit: Submit to your campus LEO dropbox.Return of assignment: Feedback and marks will be returned via Turnitin. Assessment criteria: please see the marking rubric in your unit outline.**Please note that in-text citations are included in the word count whilst the reference list is not included in the word count. Words that are more than 10% over the word count will not be considered.Please see further information in the next section of this eBook titled ‘Word Count’.Word Count: Writing requires skill and being able to write within a specified word limit is an essential component of professional and academic work. Reading and writing critically are fundamental skills which demonstrate an understanding and an ability to make judgements and solve problems, hence why only 10% of a word count should be direct quotes. That is, if the word count is 1500 words only 150 of those words should be direct quotes. Word counts provide students with an indication of the amount of detail and work required for each assessment item.What is included in a word count?All text within an assessment item from the introduction through to the conclusion is counted in the word count. This includes all in-text citations, direct quotes and headings. The word count does not include the following:• Title page• Reference list• Appendices• Tables• Figures and legends
Similarity:Please note that if you submit your assignment, notice that the similarity index is high but do not have time to revise your assessment task before the due date has passed, then you are advised to:• contact the Lecturer in Charge and request that your assignment be removed.• revise the assignment, submit it within three days of the due date and incur a late submission penalty.• submit it into the regular drop box. Do not submit into the extension drop box.• Please review the Academic Integrity and Misconduct policy if you choose not to do this.2. Assessment Task 1 - Case Study Edward (Ted) WilliamsEdward (Ted) Williams is an 82year old male who is day 4 post-operative following a bowel resection and formation of a temporary colostomy. Ted had previously had a coloscopy and biopsy that confirmed a malignant mass. He has a past medical history of; heart failure, type II diabetes melilites, obesity and gout. (BMI 37.6m2; Height 175cm; weight 115kgs)Ted is a widower and lives alone. His wife died 3 years ago following a bout of pneumonia. One year ago, Ted moved into a retirement village located in a regional area two and a half hours from the city. The retirement village is near where he lived with his wife and children until they left home. Ted has 2 grown up children, a son Christopher who lives overseas with his wife and son, and a daughter Janice who lives with her husband and 3 children in the city. While Ted lives alone, he has a partner Gwen 78, who also lives in the same retirement village as Ted.Current medication:•Metformin 500mg Mane•Captopril 12.5mg mane•Frusemide 40mg mane ◦Allopurinol 100mg Daily ◦Paracetamol 1g QIDTed is now day 4 post op. He was Nil By Mouth (NBM) for the first 48 hours after surgery. Yesterday he commenced on a full fluid diet and has upgraded to a light diet yesterday evening. Today, Ted was given his regular metformin and ate breakfast. Since then Ted has vomited twice and feels nauseous. He has been given ondansetron 4mg for nausea.
Teds vital signs at 10am are as follows: T 38.1; HR 98 reg; BP 135/85; RR 26; SpO2 94% on 3L NP. He has right sided inspiratory coarse crackles and he has a moist productive cough. He has PCA morphine in situ for effective pain regulation. Ted has some abdominal pain that he says is at a scale of 4-5/10, he says the pain worsens on palpation to 7/10 and you note that his abdomen is distended. The colostomy bag is intact and the stoma can be sighted through the bag. The stoma is warm, pink, moist and slightly raised above the skin. There has been no output since his surgery. He has sluggish bowel sounds and has not passed flatus. The abdominal laparotomy has a clear occlusive dressing (opsite) and there is minimal ooze present. He has a redivac drain with 30mls of haemoserous fluid, and a urinary catheter in situ and is passing approx. 60-70mls of urine/hr.3. Assessment Task 1 QuestionsQuestion 1: Use stage one of the clinical reasoning cycle (CRC) ‘Consider the patient situation’ to identify the biopsychosocial, spiritual and cultural impacts of Ted’s surgery for him and his family (250words)[Hint: use the RLT model in your answer]Question 2: The information for stage two of the CRC collect cues and information has been provided for you in the case study. Use this information to provide responses to CRC stages three ‘Process the information’ and stage four ‘Identify Problems.’ Please link to pathophysiology and provide evidence from the literature to support your thinking. (600words)Question 3: Using stage five of the CRC Establish goals outline and justify (5) nursing care interventions/strategies the registered nurse would implement to provide care for Ted. Justify your thinking with links to current peer reviewed evidence and literature (600words)[Hint: can be in dot point format]Question 4: Select two classes of drugs that would be used to manage Ted’s post operative condition. Please provide a rationale for why that drug class would be suitable for Ted. Provide a detailed description of the pharmaco-dynamics of each of the selected class of drug as well as the potential side effects and the nursing implications for administration (250 words)[Hint: How do they work? How would it help Ted resolve his issue?]
4. Assessment Task 1 Helpful Hints Hints for completing this assessment:•Please review the marking Rubric and see the weighting for each question. This should guide your answers along with the suggested word limit for each. Note: word limits are suggestion ONLY. The whole assessment is 1800words +/-10%•This is not an essay however I do expect full sentence structure and academic writing,•The word count is minimal therefore your answers need to be concise. (this is a skill of academic writing). You do not have the word limit to ramble.•Please use headings such as 'Question 1'; 'Question 2' etc. and then answer the question beneath. This will save your word count.•For Question 3 you can use dot points for each intervention to save on word count but please maintain proper sentences structure. And you still must provide enough explanation so the reader knows what your nursing intervention involves and why?•For Question 4 for instance name/state the class of drug and then answer the question. It does not require a leading sentence