MY AREA IS SURGICAL NURSING AND ENDOSCOPY

MY AREA IS SURGICAL NURSING AND ENDOSCOPY

I WOULD LIKE TO DO THIS ASSIGNMENT ON THE ACUTE DETERIORATION OF A PATIENT DUE TO IRON DEFIECIENCY ANAEMIA SECONDARY TO CROHNS DISEASE AS PART B OF THE ASSIGNMENT BRIEF

Assessment Instructions

You are required to write a 3,000 word case analysis on a patient you have recently cared within your speciality area. The structure of your case study should include the following headings:

Introduction (max 300 words)

Set the scene for your case analysis.

Identify the condition and the context (state which area you will focus on (a) or (b)

I WOULD LIKE TO FOCUS ON B- ACUTE DETERIORATION FROM IDA BUT THIS IS IMPATED BY THE PATINET HAVING CROHNS (SEE ASSIGNMENT INFORMATION)

Case presentation (max 300 words)

Briefly describe the patients past medical history, details of relevant psychosocial history and identify current challenges.

Support your discussion with appropriate literature

CAN YOU USE THIS??Discussion (Approximately 2000 words)

Clinical Specialisation.

Include the impact ofeither ( a) or ( b) in your discussion

Management and outcome

Review the literature to determine current best practice for this condition

Identify current protocols and clinical guidelines

Discuss the most relevant pathophysiology of the patients condition

Compare relevant changes in the usual physiological process for this condition in relation to (a or b)

Refer to best practice guidelines, clinical protocols, Practice Standards etc. and discuss if there any changes made to the usual treatment protocol/clinical practice guideline due to the factors discussed (a or b).

Link the complexities of care with your theoretical and clinical knowledge.

Discuss appropriate interventions that may be used to support your patient, such as therapeutic and rehabilitative approaches and ethical considerations.

Discuss factors that influence patient outcomes for this patient.

Examine cultural, psychological, ethical and legal aspects on complex clinical decision making and evaluate the range of therapeutic and rehabilitative approaches to restore homeostasis or manage end of life care.

Conclusion (max 300 words)

Summarise the content of your analysis and suggest recommendations for future practice.

Assessment Type:Case AnalysisAssessment Description:

Weighting:(60% )Word count:3,000 words

Unit Learning Outcomes:

This assignment consolidates your learning from the unit and aligns with all the learning comes.

Purpose of Assessment

The aim of this assignment is for you to present a case analysis on a patient within your speciality. To demonstrate satisfying the following unit learning outcomes: -

Analyse contemporary national and international initiatives in relation to patient management within area of clinical specialisation.

Examine the effect of cultural, psychological, ethical and legal issues on complex clinical decision making within area of clinical specialisation

Evaluate the range of therapeutic and rehabilitative approaches that may be applied to individuals/groups within area of clinical specialisation

Assessment

You are required to demonstrate your knowledge of applied physiological and pathophysiological processes to the management of this patient and present a critical analysis of the therapeutic and rehabilitative approaches related to the maintenance of homeostasis in this case. Choose a patient for your case analysis based on the criteria below.

Depending on your clinical specialty you are required to address the impact on your patient for of one of the following in your discussion.

EITHER

Any chronic conditions that impact upon the patients primary diagnosis. Focus on physiological changes that impact on patient outcomes.

OR

Clinical deterioration of a patient (Acute, palliative or end of life care). Focus on physiological changes that impact on patient outcomes.

Note:This is an academic assignment and must follow the SNM Guidelines and APA 7threferencing style. It is a critical analysis rather than a narrative summary of the day to day care of your patient and their journey.

Assessment Instructions

You are required to write a 3,000 word case analysis on a patient you have recently cared within your speciality area. The structure of your case study should include the following headings:

Introduction (max 300 words)

Set the scene for your case analysis.

Identify the condition and the context (state which area you will focus on (a) or (b)

Case presentation (max 300 words)

Briefly describe the patients past medical history, details of relevant psychosocial history and identify current challenges.

Support your discussion with appropriate literature

Discussion (Approximately 2000 words)

Clinical Specialisation.

Include the impact of either ( a) or ( b) in your discussion

Management and outcome

Review the literature to determine current best practice for this condition

Identify current protocols and clinical guidelines

Discuss the most relevant pathophysiology of the patients condition

Compare relevant changes in the usual physiological process for this condition in relation to (a or b)

Refer to best practice guidelines, clinical protocols, Practice Standards etc. and discuss if there any changes made to the usual treatment protocol/clinical practice guideline due to the factors discussed (a or b).

Link the complexities of care with your theoretical and clinical knowledge.

Discuss appropriate interventions that may be used to support your patient, such as therapeutic and rehabilitative approaches and ethical considerations.

Discuss factors that influence patient outcomes for this patient.

Examine cultural, psychological, ethical and legal aspects on complex clinical decision making and evaluate the range of therapeutic and rehabilitative approaches to restore homeostasis or manage end of life care.

Conclusion (max 300 words)

Summarise the content of your analysis and suggest recommendations for future practice.

This is a case study I have written. Up to you if you use it??? Case study (300 words) This is 436????? The case study in this paper involves a thirty-nine years old male admitted to the ward with known crohns disease following a decline in his health and reduced capacity to maintain normal activities of daily living. He presented with the slow onset of dyspnea on exertion and extreme fatigue. He has frequent episodes of dyspepsia and epigastric pain. He has as known history of alcohol abuse, of which the patient is seeking help for. The patient suggests that his energy levels have taken a large decline in the past 3 months and his dyspnea has worsened over the previous few days. He denies chest pain, coughing, wheezing, or recent infections. He states that he has had one or two episodes of haematemesis after drinking heavily, and darker than normal stools at the same time for two to three days following. He consumes one to two six packs of beer per day, which has reduces from twelve bottles per day in the past two months. The patient states that nothing makes his breathing easier, but the dyspepsia and stomach pain are relived when he takes antacids. On assessment of the previous medical history, the patient has no cardiac or pulmonary disease. He was diagnosed with a crohns disease in his early twenties, which is currently in remission, and had a duodenal ulcer, which was healed by medication in the past one and a half years. He has had nil surgery in his childhood. He does not smoke, and only takes over-the-counter antacids, and occasional loperamide to ease diarrhea from time to time. He has no known allergies. Physical assessment shows no physical acute distress, yet the patient appears much older than stated and is very thin in appearance. On admission to the ward the patients respirations were unlaboured and 16 breaths/minute, blood pressure was 120/62 mmHg, the heart-rate was 96 beats/minute and regular. The temperature was 37.2 degress Celcuis. His skin is pale with no notable marks or rashes. His nails are brittle and thin. His abdomen is soft and not distended and bowel sounds present with mild epigastric pain currently. Blood results confirm the haemoglobin is low at 9 g/dL and the haematocrit is 29%. White blood cells platelet appears normal. The prothrombin time, liver function tests, electrolytes, and amylase are normal. Partial thromboplastin time is unaltered. Serum ferritin, transferrin saturation, total iron-binding capacity, folate, and red cell folate levels are decreased. The serum B12 level is normal. A bone marrow biopsy shows megaloblastic changes and low iron stores. An upper endoscopy reveals a 2 cm duodenal ulcer with evidence of recent but not acute hemorrhage.