Oral presentationNRSG265: Principles of Nursing Medical NRSG265 _ Assessment 1: Oral Presentation...

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Oral presentationNRSG265: Principles of Nursing Medical NRSG265 _ Assessment 1: Oral Presentation (Online) © Australian Catholic University 2022 _ Page 1 of 4  ASSESSMENT INFORMATION  Assessment Title  Assessment Task 1 – Oral Presentation (Online)  Purpose  This assessment enables students to demonstrate understanding of the health  consumer’s perspective regarding a medical health alteration.  The oral presentation assessment will engage students with the application of  theory to practice, and is designed to facilitate an understanding of the impact of  illness on the patient.  It is also intended to give students the opportunity to  demonstrate the ability to use the eight steps of the Clinical Reasoning Cycle  (CRC). Your presentation will be structured using the CRC steps, and a template  will be provided for your use. This mode of assessment aims to broaden  students’ communication strategies, which is a necessary skill in nursing and will  enable the student to become a safe and effective nurse.  Due Date Wednesday 14th September 2022  Time Due 12:00   Weighting  50%  Length   Narration length: 10 minutes (+/- 10%)  Slide deck length: 10 slides (using provided template)    Assessment Rubric   Appendix A of the NRSG265 unit outline  LEO Resource A national pre-recorded lecture will be uploaded onto LEO in week four (4),  which will provide students with an overview of the assessment as well as  resources and advice on how to approach the task.   A campus-based Q&A session will be held during week six (6) of the semester  via zoom. The Q&A session will provide students with the opportunity to clarify  any questions but the expectation is that students will have viewed the pre- recorded national lecture prior to attending. The date and a link for this session  will be made available on LEO unit.  Students are encouraged to post questions on the Assessment 1 Q&A forum on  LEO and to check for answers there as a first point of query.  LOs Assessed  LO1, LO2, LO3, LO4  Task Students will assess, prioritise and plan the care of the case study patient using  the CRC. The information will be presented within a PowerPoint presentation  using the provided template on LEO (NRSG265 Assessment 1 Template Slides),  which you will then record as a video.  Instructions on how to record your video for submission are available on the LEO  assessment tile.    Appropriate evidence-based literature must be used to support your  presentation.   The key components of Assessment 1 are:  • Step 1 and 2: Consider the patient situation and identify the key elements of  assessment by:  • Providing an initial impression of the patient and identifying relevant  and significant features;  NRSG265: Principles of Nursing Medical NRSG265 _ Assessment 1: Oral Presentation (Online) © Australian Catholic University 2022 _ Page 2 of 4  • discussing in detail, the pathophysiology of the disease and how Mr  Kowalski’s signs and symptoms reflect the underlying  pathophysiology;  • identifying the key elements of a comprehensive nursing assessment;  • Including evidence to support your discussion.    • Step 3 and 4: Process patient information, identifies relevant activities of  living impacted, and identifies nursing issues for the patient:  • Interpret and analyse the information you have been given about his  condition;  • Identify and prioritise 3 nursing issues you must address for Mr  Kowalski, and justify why they are priorities and support your  discussion with evidence;  • discuss the potential impact of the disease on Mr Kowalski’s 3 most  important activities of living. Link your discussion to the Roper-Logan  and Tierney model.     • Steps 5 and 6: Establish goals and take action:  • Identify 3 SMART goals (1 per nursing issue identified) with  comprehensive discussion of the desired outcome, within a suitable  time frame;  • Identify interventions to achieve the above goals. The interventions  should be nursing based;  • consider both pharmacological and non-pharmacological  management;  • recognise strategies to empower and educate Mr Kowalski.    • Steps 7 and 8 - Evaluation and Reflection:  • Consider what strategies/aspects would determine that the  interventions have been successful or effective for Mr Kowalski?  • Include your conclusion here, and part of that should include an  overall statement of what have you learned from doing this case  study (what has been learnt, what went well, and what could have  been improved)  Case Study Mr Jan Kowalski is a 54 years-old male who presented to the emergency  department (ED) due to crushing chest pain (pain score 8/10) that was  associated with nausea, dyspnoea and diaphoresis.  He stated that the pain  came on suddenly this morning while he was watching TV at home, and  resolved spontaneously after 30 minutes, but started again 2 hours later and had  gotten worse since. Mr Kowalski stated that he had never experienced chest  pain like this before and delayed coming into hospital as he thought the pain  would subside again. His wife brought him in as he was looking pale, and the  pain was moving to his jaw and left arm.  Mr Kowalski has a past medical history of hypertension (diagnosed in 2014)  which is managed with Perindopril, and he has been advised by his GP to  reduce his salt intake and lose weight to help reduce his blood pressure.   The ED registrar has requested an ECG, continuous cardiac monitoring, blood  tests (total cholesterol, cardiac troponin, FBC and UEC), and has ordered a  STAT dose of aspirin 300mg, and sublingual glyceryl trinitrate (GTN) 300- 600mcg every 5 minutes for a maximum of 3 doses.  NRSG265: Principles of Nursing Medical NRSG265 _ Assessment 1: Oral Presentation (Online) © Australian Catholic University 2022 _ Page 3 of 4  Patient history:  Mr Kowalski migrated from Poland over 40 years ago with his family, and he  currently lives with his wife and son (age 18) in the regional city of Ballarat in  Victoria. He works full time as a civil engineer and is currently working overtime  most weeks, averaging 50-60 hours/week. He states that “work has been  incredibly busy” and that he “needs to look after multiple work sites due to  ongoing staff sick leave”.   He usually smokes 1 pack of cigarettes per week, but recently this has increased  to 2 packs per week. Due to his and his wife’s long working hours, the family eat  takeout most days and he states he has gained “some weight” over the past few  months.  Family history:  • Father passed away in 2015 due to an acute myocardial infarction (AMI).  • Mother had breast cancer in 2020 and is in remission currently. She lives  in Poland with her sister.   Current medications:  • Perindopril 4mg daily   Initial vital observations:  • BP 138/95 mmHg  • HR 106 bpm  • RR 22 bpm  • SpO2 95% on RA  • T 37.2ºC  Health assessment findings and laboratory results:  • Height 1.67m, Weight 89kg, excess abdominal fat evident. Waist  circumference 101cm  • Alert and orientated to time, place, and person. GCS 15  • Cool, dry hands and feet. Moist mucous membranes  • CRT 2 seconds  • Total cholesterol level - 8.0mmol/L  • Cardiac troponin – elevated   • FBC and UEC – results NAD   Following the review of his laboratory tests and assessment results, Mr Kowalski  has been diagnosed with a NSTEMI. He is to have serial cardiac troponin done  4-8 hourly, repeat ECG with changes to pain level or cessation of chest pain,  and continuous cardiac monitoring. Apply supplemental oxygen if SpO2

Robert · Accepted Answer

Introduction
NRSG265 Assessment 1
Case study – Mr KOWALSKI
Student Name
ID Number 
General presentation tips:
Choose whichever design you wish as long as it looks professional and is easy to read. This goes with font and colour scheme too
Remember, images are great if they’re RELEVANT to your presentation. Don’t include pictures for the sake of just including pictures (images must be cited too)
You can use flowcharts or tables etc to present your information if you’d like 
Anything in red in this template must be kept as is for your assessment. Everything else is adaptable 
1
Introduction 
Nursing care is a component of the overall health organisation that aims to meet the nursing requirements of patients and the community. 
Acute myocardial infarction is among the main causes of fatality in the developed world  (Daniel et al., 2019).
This paper focuses on the case study of Mr Kowalski, considering the patient situation, major assessment elements, his disease’ pathophysiology, signs and symptoms, top three nursing priorities, and relevant activities of living relevant to Mr Kowalski by reflecting on Roper-Logan and Tierney model, 3 smart goals, established goals and intervention and evaluation of the effectiveness of the intervention. 
NSTEMI is a form of acute coronary syndrome. 
It refers to three conditions that result in a dearth of blood flow to the heart.
Unstable angina and STEMI are the other two situations (Karataş & Polat, 2020).
2
Step 1 and 2: Consider the patient situation and identify the key elements of assessment
As Mr Kowalski has been suffering from crushing chest pain and was diagnosed with NSTEMI, this myocardial infarction can result in severe complications (Li & Liu, 2018). 
In this case, the focus must be given to associated symptoms, quality, and onset. As he has been a smoker, has hypertension, is overweight, and has a family history of heart disorders, he is at higher risk of developing serious medical conditions such as heart attacks. The risk of myocardial infarction is higher in smokers as odd ratios appear as 3.71 in some studies (Kim et al., 2018). 
Obesity and being overweight without or with metabolic syndrome are linked to the elevated risk of ischemic heart disease and NSTEMI in the general populace.
Electrolytes and chemistry profiles will also help in the assessment of Mr Kowalski's condition as the imbalance of potassium and sodium may impact conduction and hinder contractility (Zaben & Khalil, 2019).
3
NSTEMI involves partial occlusion of a coronary artery which leads to less circulation of oxygenated blood to the heart muscles. In the case of Mr Kowalski, the blockage in arteries might be caused by chemicals that cause the thickening of the blood and the formation of clots inside blood vessels. This NSTEMI is a form of heart attack that occurs when the oxygen demand of the heart is not met. 
Clinical manifestations of coronary syndrome include nausea, chest pain, cold sweat, lightheadedness, etc (Daniel et al., 2019).
Step 1 and 2: Consider the patient situation and identify the key elements of assessment (continued)
This condition has been termed as a difficult detectable electrical pattern just like other major types of heart attacks. 
It is less detrimental than STEMI, but it requires immediate medical diagnosis and therapy (Karataş & Polat, 2020).
4
Step 3 and 4: Process patient information, identifies relevant activities of living impacted, and identifies nursing issues for the patient
As Mr Kowalski has increased blood pressure, tachycardia, tachypnea, normal SpO2 at RA, normal body temperature,

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