NURS12160 ACUTE ALTERATIONS IN HEALTH CASE STUDY

AssessmentOneCaseStudy

Aim

The aim of this assessment is to demonstrate your understanding of the nursing roles withinthe perioperative and postoperative care of a patient experiencing an acute musculoskeletalalteration in health requiring surgical intervention. You will apply your understanding of theperioperative and postoperative nursing roles to the care of a patient. You will also apply yourunderstanding of the role of the registered nurse in early recognition of deteriorating andsepsis in the treatment and care of a person in an acute care environment. Completion of thisassessment will allow you to deepen your understanding of these concepts and themultifacetedandvariedroleoftheregisterednurse inthedeliveryofcare.

Scenario

Matt, a 14-year-old boy, suffered an open fracture involving the tibia and fibula of the right legwhile riding his quad bike on his family property in rural New South Wales. An aeromedicalretrieval was required. Matt and his father were transferred by helicopter to the nearestregional facility. Upon arrival, Matt was treated in the Emergency Department (ED), where hewas stabilised. Imaging was undertaken, confirming the need for surgical management. Hewas then transferred from ED directly to theatre for emergency surgery for an open reductionand internalfixation(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 ofcareandwhy?

Matts immediate post-operative phase and recovery is uneventful, and he is transferred to thepaediatric unit. Upon transfer to the unit Matt is commenced on regular prophylactic Cefazolin.Within20minutesMattcomplains ofanitchatthesiteofhisIVandacrosshis body.

• What nursing actions may assist you in recognition and management of Mattsdeterioration?

On day two of admission during dressing change, it is noted that there is an unusual amount ofooze with some redness and swelling around the surgical site. A swab is taken and sent to thelaboratory. Within 4 hours, the results return, indicating a gram-positive bacterium. Furtherbloodtestsarerequested forafull septicscreen.

• Briefly discuss the role and nursing actions undertaken by the Registered Nurse whencaringforMattand howwill theseassist inidentifying sepsis?

Matt will be transferred to a rural and remote hospital in the nearest town and will requirereferralstomultidisciplinaryteams.

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

Instructions

To prepare yourself for this assessment, we recommend that you review and complete thefollowingmodulesinMoodle:

• Module 1 Introduction to NHPA, Lifestyle Factors and Perioperative NursingIncludes Topic 1A:Introduction to National Health Priority Areas and Topic 1B:Introductiontoperioperativenursingrolesandcareofthepatientundergoing
• Module 2 Nursing Care of a Person Experiencing an Acute Alteration inMusculoskeletalHealth
• Module6NursingCareofaPersonExperiencingSepsis

Access the Assessment Template that has been provided to you in the Assessment Tab inMoodletocompletethisassessment.

You are to support your responses with credible, up-to-date, peer-reviewed citationsthroughoutyourpaper.

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

To further support your learning please utilise the weekly Academic Learning Centre (ALC)sessions.PleaseseetheMoodle pageforthescheduledsessions.

LiteratureandReferences

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

Requirements

• Computeraccesswithinternetconnection
• 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 areappropriate and acceptable. Should you not utilise the template provided you risk adeductionof
• Use a conventional and legible size 12 font, such as Times New Roman, with 2.0 linespacingand54cm pagemargins (standardpre-setmargininMicrosoftWord).
• Includepagenumbersonthetoprightsideof eachpageina
• Utilise formal academic language for the first three questions The fourth question isreflective,andyoumayanswerthisquestioninfirst-person.
• Useformalacademic
• Use the seventh edition American Psychological Association (APA) referencing style.The CQUniversity Academic Learning Centre has an onlineCQU APA ReferencingStyleGuide.
• The word count excludes the reference list and the questions within the template butincludes in-text citations (i.e., paraphrasing or direct quotations). Paraphrasing ispreferred.

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 attendthese sessions in person to gain the most benefit. Alternatively, you can watch therecordings.
• You have access to working directly with the ALC on a one-on-one basis. Please visittheAcademic Learning Centremake an appointment face-to-face or online. Shouldyou require a referral, please email the Unit Coordination Team and a referral will beissuedfor
• You may utilise resources from within the Moodle content for NURS12160. Pleaseensure that you search for credible sources including but not limited to evidence-basedand peer-reviewed journal articles, credible websites, textbooks to support your work.The quality and credibility of your citation sources are important and give your writingstrengthand
• We recommend that you access your discipline specificLibrary Guideand theNursingandMidwiferyResourceGuide
• For information on academic communication please go to theAcademic LearningCentre Moodle site. TheAcademic Communication sectionhas many helpful resourcesincludinginformationforstudentswith Englishasasecond