Reference no: EM133130308

NUR5111 Contemporary nursing practice - Monash University

Primary Assessment

During this stage the nurse begins to collect relevant information by asking questions and performing a brief primary assessment.
• What are the components of a comprehensive primary assessment that are clinically appropriate for Mrs White?
• Identify any areas of concern in the primary assessment you would like to highlight for Mrs White. Your answers may be in dot point form for this section only.

Focussed Assessment

Based on the findings of the primary assessment, the nurse begins to collect information by asking relevant questions and performing a focussed assessment.
• Choose three (3) priority systems to assess and provide rationale for why you have prioritised these three (3) systems. Look for clues in the case information/handover/notes to ensure your choice is relevant to the case.
• Identify any other relevant information/assessment connected to your three (3) systems (focussed assessments) you would like to know more about to ensure a thorough focussed assessment has occurred.

Identifying Nursing Problems

In this stage, the nurse synthesises all the information that has been collected and identifies the most urgent patient problems.
• Discuss the physical assessment findings that may alert you to physiological deterioration and explain why the findings are concerning.
• Identify and prioritise two (2) actual patient problems and provide rationale for your prioritising of each patient problem.
• Identify and prioritise two (2) potential problems of concern for this patient, and provide a rationale for each of your choices. These problems mus be of significance and relevance to the patient in this case.

Planning and Implementing Care
(approximately 500 words +/- 10%)

Based on Mrs White's nursing problems, the nurse selects the most appropriate course of action and prioritises interventions. Discuss four (4) key evidence-based nursing interventions, including brief rationales for each intervention.
• Interventions may relate to Mrs White's presentation at 0730 or be based on the 'bigger picture' of her needs during admission.
• Interventions must be prioritised.
• Interventions need to be nursing interventions, not medical.
• Interventions must not be generic (i.e. vital signs, medication rounds are relevant to all patients; you should focus on interventions specific to Mrs White's needs.)

Evaluation
(approximately 200 words +/- 10%)

This stage requires the nurse to evaluate each of the four (4) proposed interventions and determine whether the patient's condition has improved. This is how you will determine if the interventions you proposed have been successful.

• What physical assessment findings would indicate that the four (4) nursing interventions you have suggested, have been effective or not? For each intervention you have identified, state at least one (1) way you can evaluate if the intervention has worked or not.
• You may include your evaluation as part of your planning and implementing section.

Notes:
• You do not need to repeat the case study details.
• Your discussion must be supported by a wide range of current evidence from reputable academic sources. Reference should be no older than 7 years.
• An academic style of writing and appropriate terminology should be used throughout the assessment.

Attachment:- Contemporary nursing practice.rar