NURS2037 Health Variations 1 Introduction to Alterations in Health Assignment 3: Case study

Assignment 3: Case study

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• DueApr 10by5pm

• Points100

• Submittinga file upload

Teaching Period 1, 2023

NURS2037 Health Variations 1 Introduction to Alterations in Health Assignment 3: Case study

Team/Individual task:Individual
Word/time limit:1200(+/- 10%)
Weighting:40%
Due date:5pm AEST Monday 10 April 2023 (Week 10)

After you have read this information, go to theAssignment 3 Q&Adiscussion board to ask any questions and see what your peersare saying about this assignment.

Assignment overview

This assignment is a mandatory submission, which means that in order to pass this subject of study, you must submit this assignment.

This assignment requires you to respond to a number of prompts on a given case study using evidence-based information from relevant literature.

This assignment supportsSubject Learning Outcomes 4, 5 and 6.

If your studies have been adversely affected by circumstances beyond your control, you may request an extension using the following options.

Note: A request must be made within 48 hours of the assignment due date.

Request an extensionView an existing request

Assignment details

Read through the following informationto understand and meet the requirements of this assignment:

Case study

Familiarise yourself with patient Mr John Hemsley:

Mr John Hemsley, 56 years old, presented to his general practitioner (GP) with a three-month history of constipation and abdominal discomfort. More recently he has felt very fatigued and has been experiencing lower abdominal pain. In the weeks prior to consulting the GP, Mr Hemsley noticed his stools were long and narrow with small amounts of bright blood on the toilet paper. He ignored these signs and symptoms as he was too embarrassed to talk about them. The GP performed a digital rectal examination to rule out haemorrhoids. The findings were a firm irregular non-capsulated mass in Johns rectum. The GP arranged a consultation with a gastrointestinal specialist. The specialist scheduled a colonoscopy for John the following week. During the colonoscopy, a biopsy was taken of the large sessile lesion located in the proximal third of Johns rectum. Three polyps were also removed from Johns colon. The biopsy results confirmed a stage IIA rectal adenocarcinoma. Following these findings, John was scheduled for surgery the following day to have an abdominal-perineal resection and the formation of a sigmoid colostomy. There were no complications reported during Johns surgical procedure. Postoperatively John has been commenced on analgesia of I.V. Morphine 2.5mg - 5mg PRN 2-4 hourly and I.V. 4mg-8mg Ondansetron PRN 8 hourly for nausea.

Additional Medical/Social background

John states that his father died from bowel cancer at the age of 84 years old and his younger brother was diagnosed with Crohns disease when he was 18 years old. John states he was quite active as a 'young man' but over the last 10 years does not do any form of regular exercise and has gained 20kgs. He did admit to the 'occasional' cigarette on the weekends but did say how he was proud to have now 'given up' the regular smoking of cigarettes for the last 5 years. Johns current weight is 107kgs.

Discussion prompts

In addressing the Australian National Health Priority Area of bowel cancer prevention and treatment, use a person-centred care approach to respond to the following prompts:

Prompt 1

Postoperatively, Mr Hemsley has been ordered PRN I.V. 2.5mg to 5mg Morphine for his pain relief.Discussone (1)nursing care consideration for the safe administration of this medication.

Prompt 2

Discussone (1)non-pharmacological nursing comfort measure you can undertake to help manage Mr Hemsleys postoperative pain.

Prompt 3

A sigmoid colostomy was performed on Mr Hemsley during surgery.Discuss one (1)nursing consideration when caring for a patient with a colostomy during the postoperative period.

Note:You are only required to discuss one (1) nursing consideration for each question prompt. If you list or discuss more than one (1) nursing consideration, marks will be deducted.

Research, citing and referencing

You will need to cite a minimum offivereferences that include the followingthreemandatory references provided. Thethreemandatory references have been cited here, and you can find their reference entries in the reference list of this assignment document.

• Determining the use of nonpharmacologic methods by surgical nurses for postoperative pain management and the influencing professional factors: A multicenter study(Gumus, et al., 2020, 7579).

• Role of the nurse in supporting the safe use of opioids(Telford, 2020, 7782).

• Patient-related factors associated with stoma and peristomal complications following fecal ostomy surgery(Zelga, et al., 2021, pp. 415430).

Part of how you are assessed will depend on the quality of your research and your ability to cite current and relevant literature. Search theWSU Libraryto do your own independent research.

Note:The reference list is not included in the word count. In-text citations will be included in the additional 10% word count. If you exceed the word limit by more than 10%, your marker will stop marking at 1200 words plus 10%.

Assignment tip

View the marking guide under 'Assignment criteria' to see a detailed breakdown of how your work will be assessed. This is an excellent place to start your preparations for this assignment.

Refer back to the marking guide frequently to make sure you are meeting the requirements.

Note:If you have not yet looked at the PCAL webinar, you are encouraged you to do so prior to submission, so you can be confident you have addressed all of the assignment criteria sections.

Supporting documents

Supporting resources

Refer to the assignment resources section of this subject'sLeganto reading listLinks to an external site.on the following topics:

• APA 7th Edition referencing style

Subject-specific support

• PCAL webinar recording for NURS2037 HV1 concept map assessment (WSU SoNM Teaching & Learning)a subject-specific resource designed to assist you with the professional communication and academic literacy components of this assignment. On-campus PCAL staff and Subject Coordinators discuss the requirements and strategies for this assignment

Note:This webinar may refer to dates and/or details that are applicable only to on-campus students. Please ignore these.The slides for the webinar arealso available for you to download and follow along with:

• PCAL support for NURS2037 HV 1 Case study (PPTX 1 MB).Download PCAL support for NURS2037 HV 1 Case study (PPTX 1 MB).

Submission details overview

This assignment will be submitted through Canvas. When you are ready to submit your assignment, select the 'Start Assignment' button at the top of this page. You will be taken to the 'File Upload' tab, where you can choose your file or submit your URL.

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Once you have submitted your assignment, select 'Submission Details' on the right of your screen to view your originality report if you haven't already done so.

Please allow a 24-hour turnaround for an originality report to be generated.

Resubmissions after the due date without prior approval from your Subject Coordinator may not be marked.

Assignment support

Don't forget that in addition to your OLAs who provide discipline-specific content advice, you can access the 24/7 draft writing service from Studiosity.

If you need assistance with academic feedback on a draft of your assignment, seeAssignment support: Studiosity.

Assignment criteria

1. Criteria 1Discuss one (1) nursing consideration for the safe administration of I.V. Morphine 2.5mg - 5mg.
2. Criteria 2Discuss one (1) nonpharmacological nursing comfort measure that can be undertaken to help manage Mr Hemsleys postoperative pain.
3. Criteria 3Discuss one (1) nursing consideration when caring for a patient with a colostomy during the postoperative period.
4. Criteria 4Language use: sentences are clearly constructed and expression and meaning are clear. There are no spelling, grammatical or punctuation errors. Referencing and in-text citation: APA 7th edition referencing style is used correctly for both in-text citations and the reference list. A minimum of five (5) references including the three (3) mandatory references are used. References must be current and within the last five (5) years

Your work will be assessed using the following marking guide:

Assessment declaration and statement of authorship

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• this is an original piece of work and no part has been completed by any other person other than signed below

• I have read and understood the guidelines onAcademic honesty and plagiarism, and no part of this work has been copied or paraphrased from any other source except where this has been clearly acknowledged in the body of the assignment and included in the reference list

• I have retained a copy of this assignment in the event of it becoming lost or damaged.

I agree and acknowledge that:

• I have read and understood the declaration and statement of authorship above

• I accept that use of my Western Sydney University Online account to electronically submit this assignment constitutes my agreement to the Western Sydney University Online Assessment Declaration.

• If I do not agree to the Western Sydney University Online Assessment Declaration in this context, the outcome of my assignment may not be valid for assessment purposes and may not be included in my aggregate score for this subject.

• I am aware that it is not acceptable to resubmit the same piece of work (in part or as whole) for multiple assignments without permission from the Subject Coordinator

• I have read and understood the Western Sydney University Student Honour Code.

Prior to submitting your assignment please refer to theAcademic integrity checklist (PDF 43 KB)to ensure the integrity of your submission.

Further information relating to the penalties for plagiarism, which range from a formal caution to expulsion from the University, is contained in the Western Sydney University OnlineAcademic honesty and plagiarismpage.