November 24, 2019

Compare and contrast the similarities and differences between the two advanced nursing roles.

Care Management and Outcomes improvement Order Description Read the competencies/standards and identify key role functions of these two advanced nursing roles NP ( Nurse Practitioner) versus […]
November 24, 2019

Outline the causes, incidence and risk factors of the selected disease and how it can impact on the patient and their family (400 words – 20%)

0 Congestive Cardiac Failure 1 NRSG353 Assessment Task 2 –Case Study Due Date: 1st May 2015 at 5pm via Turnitin Weighting: 40% Word count: 1600 words (every question has a specific word count, which must be adhered to) Instructions: • Students are to choose one (1) of the case studies below and answer the associated questions. The assignment is to be presented in a question/answer format not as an essay (i.e. no introduction or conclusion). • Each answer has a word limit (1600 in total); each answer must be supported with citations. • A Reference List must be provided at the end of the assignment. • Please refer to the marking guide available in the unit outline for further information. ** The following questions must be answered for your chosen case study ** The following questions relates to the patient within the first 24 hours: 1. Outline the causes, incidence and risk factors of the identified condition and how it can impact on the patient and family (400 words) 2. List five (5) common signs and symptoms of the identified condition; for each provide a link to the underlying pathophysiology (350 words) a. This can be done in the form of a table – each point needs to be appropriately referenced 3. Describe two (2) common classes of drugs used for patients with the identified condition including physiological effect of each class on the body (350 words) a. This does not mean specific drugs but rather the class that these drugs belong to. 4. Identify and explain, in order of priority the nursing care strategies you, as the registered nurse, should use within the first 24 hours post admission for this patient (500 words). Already(Choosen(and(given(on(page(2 Given(on(next(page 2 Case Study Question 1 Mrs Sharon McKenzie is a 77 year old female who has presented to the emergency department with increasing shortness of breath, swollen ankles, mild nausea and dizziness. During your assessment Mrs McKenzie reports the shortness of breath has been ongoing for the last 7 days, and worsens when she does her gardening and goes for a walk with her husband. On examination her blood pressure was 105/55 mmHg, HR 54 bpm, respiratory rate of 24 bpm with inspiratory crackles at both lung bases, and Sp02 at 92% on RA. Her fingers are cool to touch with a capillary refill of 1-2 seconds. Mrs McKenzie states that this is normal and she always has to wear bed socks as Mr McKenzie complains about her cold feet. Her current medications include: digoxin 250mcg daily, frusemide 40mg BD, enalapril 5mg daily, warfarin 4mg daily. The following blood tests were ordered: a full blood count (FBC), urea electrolytes and creatinine (UEC), liver function tests (LFT), digoxin test, CK and Troponin. Her potassium level is 2.5mmol/L. Mrs McKenzie also has an ECG which showed sinus bradycardia, and a chest x-ray showing cardiac enlargement and lower-lobe infiltrates, suggesting the presence of acute exacerbation of congestive cardiac failure. Impression: Congestive cardiac failure with ?digoxin toxicity NRSG353 Acute Care Nursing 2, Semester 1 2015Page 15 of 17 Assessment Task 2: Case Study – Marking Rubric (40%) Criterion High Distinction Distinction Credit Pass Unsatisfactory Q1 Outline the causes, incidence and risk factors of the selected disease and how it can impact on the patient and their family (400 words – 20%) Linked to case study Provides comprehensive identification of causes, incidences and risk factors. Provides comprehensive understanding of the disease impact on patient and family Linked to case study Provides a solid indication of causes, incidences and risk factors. Provides a solid understanding of the disease impact on patient and family Linked to case study Provides an identification of causes, incidences and risk factors. Provides an understanding of the disease impact on patient and family Linked to case study Provides minimal identification of causes, incidences and risk factors Provides minimal understanding of the diseases impact on patient and family Not linked to case study Does not identify appropriate causes, incidences and risk factors. Does not identify the impact on the patient and family Q2 List five (5) common signs and symptoms of the selected disease, and for each one provide a link to the underlying pathophysiology (350 words -15%) Provides a comprehensive look at the identified five (5) common signs and symptoms Provides a comprehensive link to pathophysiology Identifies five (5) signs and symptoms that are less common Provides a thorough link to pathophysiology Identifies five (5) signs and symptoms Provides a solid link to pathophysiology Identifies five (5) common signs and symptoms Provides basic links to pathophysiology. Does not identify five (5) signs and symptoms Does not link to appropriate pathophysiology. Q3 Describe two (2) common classes of drugs used for patients with the selected disease including physiological effect of each class on the body (350 words – 15%)) Two (2) classes of drugs appropriately identified. A comprehensive understanding and explanation of the physiological effects on the body Two (2) classes of drugs appropriately identified. A thorough understanding of the physiological effects on the body Two (2) classes of drugs appropriately identified. Some understanding of physiological effects on the body One (1) class identified in appropriate Minimal identification of physiological effect on the body Drugs identifies not appropriate No identification of physiological effect on the body Q4 Identify and outline, in order of priority the nursing care strategies you, as the registered nurse, should use within the first 24 hours post admission for this patient (500 words – 40%)) 40% The care plan was articulate, logical, balanced and convincing. A diverse range of perspectives offered. All important aspects are covered demonstrating comprehensive knowledge of the key areas. The care plan was cohesive and logical. A sound attempt at analysis and critique from a range of perspectives was also made. Most of the key areas are covered demonstrating an advanced understanding of the important issues. The care plan was cohesive and logical. Some attempt at analysis and critique was made. A number of key areas are covered demonstrating a clear understanding of the important issues. A logical care plan was presented but mostly descriptive. Some structure to ideas with satisfactory explanation of some key areas provided. A basic understanding was demonstrated. There is little/no cohesion to the flow of the case study. Broad generalisations are made. Irrelevant content and unstructured points are made. Key areas are not addressed. Minimal understanding is demonstrated. NRSG353 Acute Care Nursing 2, Semester 1 2015Page 16 of 17 Referencing 5% An extensive range of relevant literature utilised with sophisticated interpretation and analysis. Accurate referencing using APA format. An extensive range of relevant literature utilised with appropriate interpretation & application. Accurate referencing using APA format. Satisfactory use of literature with appropriate interpretation & application. Mostly accurate referencing using APA format. Satisfactory use of literature. Some attempt to interpret & apply the literature is evident. Mostly accurate referencing using APA format. Unsatisfactory use of literature. No attempt to interpret & apply the literature is evident. Not accurate referencing using APA format. Presentation 5% Within 10% of word limit Flawless presentation Within 10% of word limit High standard of written communication with few errors of spelling, and grammar Within 10% of word limit Effective written communication with few errors of spelling, and grammar Within 10% of word limit Effective written communication although a number or errors of spelling and grammar More than 10% over word limit Multiple errors in spelling and grammar Structure does not flow topics are not linked appropriately Comments Final Grade /100 Marker:
November 24, 2019

Discuss the resources needed to ensure billing and coding compliance with regulations and ethical standards.

A. Analyze the collection of data by patient access personnel and its importance to the billing and collection process. Be sure to address the importance of […]
November 24, 2019

Are there any cultural-based related issues regarding your group that should inform your approach to care? • Identify one evidence-based behavior change technique to promote health in this population.

Teenage pregnancy/Consider Levels of Nursing Intervention Paper details: • Provide a few examples of community resources that need to be in place to assist your population […]
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