You will be able to demonstrate active engagement in critical reflection on their ability to undertake appropriate assessment(s) and maintain holistic perspectives and cultural awareness through the theoretical examination of a particular nursing specialty case study (on LEO) focusing on the delivery of nursing care, using the clinical reasoning cycle framework and the evidence. NRSG370 Assessment Task 2: Case Study – Medical/Surgical #1 Melody King, 36, Peritonitis following ruptured appendix Ms. Melody King presented to the Emergency department with 2-3 days of severe Left Lower Quadrant abdominal pain, which required emergency laparoscopic surgery for removal of a ruptured appendix. She has a past medical history of asthma and depression, with her current prescribed and compliant medications list which includes: • Ventolin • Seretide • Sertraline Melody’s observations were as follows: • BP 95/45mmHg • HR 120 • Temp 38.3°Celcius • RR 22/min and shallow • SpO2 95% on room air She complained of increasing nausea andcentralised abdominal pain 7-8 on a scale of 0 to10. Physical assessment showed a distended abdomen and generalised abdominal guarding.To investigate her condition further, pathology results reveal a raised white blood cell (WBC) count and CRP. You are the RN caring for Melody post-operatively on the surgical ward. RUBRIC Sequencing 5% The content in the case study directly matches the outline presented in the introductory paragraph. Paragraphs are well organised, and there is a logical progression of ideas so that content flows from one paragraph to the next flawlessly. The case study ends with a rational conclusion. Content 50% Extensively defines and discusses the provision of ethical, legal, evidencebased, holistic person centred care, including the establishment of realistic and relevant goals. Includes relevant discussion on the collection, processing and presentation of client/patient information. Clearly identifies and prioritises 3 relevant nursing issues/ problems. Strong evidence of use and understanding of the clinical reasoning cycle Critical thinking, reasoning and evaluation of evidence 30% There is evidence of comprehensive depth and breadth of reading. A concise and well supported analysis related to nursing care and issues/problems is presented, and is supported by adequate and appropriate evidence Paragraph, structure / intelligibility 5% Flawless presentation of ideas. Sources & Referencing 10% Credible and relevant references are used. Accurate use of APA referencing style in all instances. A broad range of in-text citations has been use
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