NURS12160 Acute Alterations in Health Assessment

Aim

The aim of this assessment is to demonstrate your understanding of the nursing roles within the perioperative and postoperative care of a patient experiencing an acute musculoskeletal alteration in health requiring surgical intervention. You will apply your understanding of the perioperative and postoperative nursing roles to the care of a patient. You will also apply your understanding of the role of the registered nurse in early recognition of deteriorating and sepsis in the treatment and care of a person in an acute care environment. Completion of this assessment will allow you to deepen your understanding of these concepts and the multifaceted and varied role of the registered nurse in the delivery of care.

Scenario

Matt, a 14-year-old boy, suffered an open fracture involving the tibia and fibula of the right leg while riding his quad bike on his family property in rural New South Wales. An aeromedical retrieval was required. Matt and his father were transferred by helicopter to the nearest regional facility. Upon arrival, Matt was treated in the Emergency Department (ED), where he was stabilised. Imaging was undertaken, confirming the need for surgical management. He was then transferred from ED directly to theatre for emergency surgery for an open reduction and internal fixation (ORIF).

• Explain the role and actions of the ED nurse when transferring Matt from ED totheatre? What information should be included when communicating during transfer of care and why?

Matt’s immediate post-operative phase and recovery is uneventful, and he is transferred to the paediatric unit. Upon transfer to the unit Matt is commenced on regular prophylactic Cefazolin. Within 20 minutes Matt complains of an itch at the site of his IV and across his body.

• What nursing actions may assist you in recognition and management of Matt’sdeterioration?

On day two of admission during dressing change, it is noted that there is an unusual amount of ooze with some redness and swelling around the surgical site. A swab is taken and sent to the laboratory. Within 4 hours, the results return, indicating a gram-positive bacterium. Further blood tests are requested for a full septic screen.

• Briefly discuss the role and nursing actions undertaken by the Registered Nurse whencaring for Matt and how will these assist in identifying sepsis?

Matt will be transferred to a rural and remote hospital in the nearest town and will require referrals to multidisciplinary teams.

• What considerations need to be made when organising Matt’s transfer to the local ruralfacility and eventual discharge?

Instructions

To prepare yourself for this assessment, we recommend that you review and complete the following modules in Moodle:

• Module 1 – Introduction to NHPA, Lifestyle Factors and Perioperative NursingIncludes Topic 1A: Introduction to National Health Priority Areas and Topic 1B: Introduction to perioperative nursing roles and care of the patient undergoing 
• Module 2 – Nursing Care of a Person Experiencing an Acute Alteration inMusculoskeletal Health
• Module6 – Nursing Care of a Person Experiencing Sepsis

Access the Assessment Template that has been provided to you in the Assessment Tab in Moodle to complete this assessment.

You are to support your responses with credible, up-to-date, peer-reviewed citations throughout your paper.

You are to adhere to the referencing style of American Psychological Association (APA) 7th Edition.

To further support your learning please utilise the weekly Academic Learning Centre (ALC) sessions. Please see the Moodle page for the scheduled sessions.

Literature and References

In this assessment use at minimum of 10 contemporary references (<5>

Requirements

• Computeraccess with internet connection
• Utilise the Assessment Template provided to you. The template includes a title pagewhere you are to input the required information. The font, font size and headings are appropriate and acceptable. Should you not utilise the template provided you risk a deduction of 
• Use a conventional and legible size 12 font, such as Times New Roman, with 2.0 linespacing and 54cm page margins (standard pre-set margin in Microsoft Word).
• Includepage numbers on the top right side of each page in a 
• Utilise formal academic language for the first three questions The fourth question isreflective, and you may answer this question in first-person.
• Useformal academic 
• Use the seventh edition American Psychological Association (APA) referencing style.The CQUniversity Academic Learning Centre has an online CQU APA Referencing Style Guide.
• The word count excludes the reference list and the questions within the template butincludes in-text citations (i.e., paraphrasing or direct quotations). Paraphrasing is preferred.

Resources

• You will be provided with weekly online sessions with the ALC to assist you inaddressing your assessment task, researching, writing, citing, and referencing your  These sessions will be held weekly. It is recommended that you attend these sessions in person to gain the most benefit. Alternatively, you can watch the recordings.
• You have access to working directly with the ALC on a one-on-one basis. Please visitthe Academic Learning Centre make an appointment face-to-face or online. Should you require a referral, please email the Unit Coordination Team and a referral will be issued for 
• You may utilise resources from within the Moodle content for NURS12160. Pleaseensure that you search for credible sources including but not limited to evidence-based and peer-reviewed journal articles, credible websites, textbooks to support your work. The quality and credibility of your citation sources are important and give your writing strength and 
• We recommend that you access your discipline specificLibrary Guide and the Nursing and Midwifery Resource Guide
• For information on academic communication please go to theAcademic Learning Centre Moodle site. The Academic Communication section has many helpful resources including information for students with English as a second 
• Submit a draft no less than 48 hours before the due date (Thursday 30^thof March) to review your TurnItIn Similarity Score prior to finalising your submission. Instructions on how to do this and how to interpret your similarity score are HERE.

Submission

Online in Moodle in Word Document Format only via TurnItIn.

Please ensure that you complete BOTH submission prompts to finalise your submission. Failure to finalise your submission will result in your submission remaining in draft where it will not be marked.

Results will be returned to students three weeks from submission date.

Marking Criteria

Refer to the marking rubric on the Moodle site for more detail on how marks will be assigned.

Learning Outcomes Assessed

• Identify factors associated with the early recognition of deteriorating patients in theacute care environment
• Identify factors associated with the early recognition of sepsis in the acute careenvironment
• Determine the nursing role in each phase of the perioperative period