Mr Ngarla Knwarreye Prac A

Mr Ngarla Knwarreye Prac A

PROCESS INFORMATION

Cues below: (not included in word count) May write in dot point

Normal cues (subjective & objective) Abnormal cues (subjective & objective)

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Relate & Infer (word count 600)

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Predict what might happen without clinical intervention? (word count 100)

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NURSING DIAGNOSES, GOALS, ACTIONS, RATIONALE and EVALUATION (word count 800)

Nursing diagnosis 1: (not included in word count) >>insert text here<<

Goals/desired outcome(s): >>insert text here<<

Related actions: >>insert text here<<

Rationale: >>insert text here<<

Evaluate outcomes: >>insert text here<<

Nursing diagnosis 2: (not included in word count) >>insert text here<<

Goals/desired outcome(s): >>insert text here<<

Related actions: >>insert text here<<

Rationale: >>insert text here<<

Evaluate outcomes: >>insert text here<<

REFLECTION on this simulated episode of care: (word count 200)

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Reference list: >>insert text here<<

Ngarla Kngwarreye is a 60 yr old Anmatyerre woman from Urpuntia in Central Australia. She has been referred and admitted to hospital for exacerbation of her COPD. She is currently receiving increased regular salbutamol, oral steroids in addition to her regular medications and intensive respiratory physiotherapy rehabilitation before returning to her community in the next week.

Hx COPD, cor pulmonale

It is 0800 and you attend to undertake her observations. She looks at you vaguely and asks where she is. However, after a moment she seems fine. She seems a bit agitated and says she doesnt want breakfast because she feels like she needs to vomit.

For your submission of AT2,you are tosubmit one of the templates( Ngarla Knwarreye) which you will find in your assessment resources. The answer boxes will expand to accommodate any text entered. Make sure that your marker can easily identify the rationale and evaluation of care for particular actions. Use a numbering system to make it easier to follow.

You will explore all eight (8) stages of the clinical reasoning cycle and support your discussion with the relevant codes, standards and evidence-informed sources. On the template you are given rough estimates of word count in each section. It is just a guide but will indicate to you which areas to spend more time on.

For example, 'relate and infer' is the section where you provide an explanation for the data you have obtained, by discussing the physiological and pathophysiological processes and mechanisms. This careful discussion will inform the diagnoses you develop and all your subsequent decisions about care for the patient.

You are to identify the two highest priority problems for the patient and develop those problems intonursing diagnoses(Levett-Jones, T. 2018. Diagnosing. In A. Berman et al. Kozier & Erbs Fundamentals of Nursing. 4th ed. Pearson: Melb. pp221 229. eBook in UTas Library).

'Develop, articulate and prioritise nursing diagnoses' has a suggested word count of 800. Most of this should be under 'rationale' where you are expected to substantiate the rationale of the actions youve written with evidence-based research. The reflection is expected to be robust including writing against the relevant RN Standards for Practice (NMBA, 2016)

REFERENCING

Follow theguidelines for UTAS Harvard Referencingto attribute images and any other source material accurately and completely.

You need to provide references for the following sections:

Cues:you must identify reference ranges for all data and provide a citation.eg: patient cue HR 110 bpm ( normal HR 60 100 bpm; Burton, 2017)

Relate & Infer, and Predict: this is a discussion about physiology and pathophysiology, and you must support all the ideas you put forward with appropriate references.

Rationale:this is the evidence you use to support ALL nursing actions you have suggested. You should use: textbooks, policies, procedures, Australian guidelines, Australian standards (eg NSQHS). See the Advice about Research section above.

Evaluate:this section requires you to consider the care provided, and how patient progress might be determined. Nursing texts can be a good source of evidence for this.

Reflection:you must reflect against the RN Standards for practice (NMBA, 2016), and these must be cited correctly in your response.

RUBRIC

Correctly interpret relevant pre-briefing diagnostic information 10%

First impressions clearly described with a comprehensive explanation of patient presentation.

All relevant available information is included in initial examination. Appropriate assessments chosen to obtain new information. 8-10 Marks

Use critical thinking to predict possible deterioration pathways 15%

Correct application of previous knowledge (e.g. pathophysiology, pharmacology)

Relevant information has been correctly interpreted and analysed in a clear and concise way. Clear rationales for analysis have been provided 12-15 marks

Analyse and rationalise priorities of care 15%

2 problems or issues with the highest priority are clearly identified with sound rationale provided in their identification

2 relevant goals have been identified employing the SMART acronym correctly in a very clear way 12-15 marks

Develop a management plan describing actions with rationales provided and goals. 20%

Plan correctly addresses the top priority issues identified. The plan is clear and detailed and offers correct and relevant rationales

Correct methods of evaluating actions and outcomes have been shown in a clear and concise manner 16-20 marks

Reflect on intraprofessional and interprofessional communication, critical thinking and clinical reasoning 25%

Major learning opportunities addressed. Reflection shows excellent insight and learning application for future encounters including reflecting on RN standards for practice (NMBA 2016) 20-25 marks

Adhere to presentation conventions: legibility, spelling, punctuation, grammar and referencing 15%

The work is concise, clearly written, using correct terminology, with no spelling or grammatical errors.

The work is correctly formatted, and information is presented in a logical, easy to follow fashion. Difficult concepts have been well explained and easy to understand.

The work is well researched using high quality contemporary sources and adheres to UTAS SoN Harvards referencing guidelines. 12-15 marks

Ngarla Kngwarreye

Admission Chest Xray