[ANSWER] NUR2102 Assessment 3: Written Assignment

Written Assignment NUR2102

TASK DESCRIPTION

Task overview

Task information

Task detail

Step 1: Review the elements of the Clinical Reasoning Cycle (The Clinical Reasoning Cycle Lecture is located in Module 1 on the StudyDesk and the chapter from the textbook is located in the Assessment tab – Written Assignment Two). No submission of the Clinical reasoning Cycle is required.   Step 2: Using the information provided in the patient situation and the current patient information and supported by the best available scholarly evidence apply the Clinical Reasoning Cycle in short answer format responding to the following questions:

Case study

Short answer responses:

Note: You may use headings to differentiate the three parts of your response to the assignment questions

Consider the patient situation

Patient situation:

Mr Noel Smith a 55-year-old retired mining manager presents to the local Emergency Department with marked dyspnoea and audible wheeze increasing over the past 24 hours. He was diagnosed with asthma 20 years ago.

Mr Smith recently divorced from his wife of 15 years. While he used to be very active socially, he has withdrawn from family and friends since the divorce. He smokes 30 cigarettes a day, consumes 3-4 standard drinks daily and his diet is high in saturated fat and sodium. Mr Smith is independent with daily care and mobility however, he does not exercise routinely.

Mr Smith does not routinely visit his General Practitioner (GP). Over the past 5 years, his episodes of coughing and wheezing have increased. Mr Smith only takes his prescribed medications sporadically or when his symptoms worsen. He acknowledges that he once had an asthma action plan but admits that he does not understand it or has never had it reviewed by his GP. He does not feel that his diet or weight contributes to his asthma and states that exercise only makes him feel “puffed”.

Part A. Collect cues and recall knowledge (400 words)

Collect cues and Information

1. From the provided patient situation and current patient information, identify the relevant patient cues/information and using best available scholarly evidence explain how these relate to asthma pathophysiology.

Process information

2. Analyse the subjective and objective data in the current patient information table and compare normal vs abnormal signs and symptoms. From this comparison provide an interpretation of his overall health status with support from the best available scholarly evidence.

Part B. Identify problems, establish goals, take action and evaluate outcomes (1000 words)

Identify problems and issues

Identify and discuss the acute and chronic problems/issues for Mr Noel Smith. Provide a rational for the identified problems based on the cues/information collected from Part A

Establish goals

From the chronic problems/ issues identified, outline ONE (1) SMART goal developed in collaboration with Mr Noel Smith.

Ensure all the elements: S (specific) M (measurable) A (achievable), R (realistic) T (timely) elements are incorporated. (Refer to Appendix A)

Take action

Identify relevant nursing interventions that will assist Mr Noel Smith in achieving the identified SMART goal. Using the best available scholarly evidence provide a rationale as to why these interventions are appropriate for Mr Smith.

Evaluate outcomes

Using best available scholarly evidence, describe the strategies you would use to evaluate the effectiveness of the nursing interventions you identified in Question 3.

Part C. Contemplate/reflect on new learning (400 words)

Reflect on process and new learning

Critically discuss the role of the nurse in facilitating self-efficacy and self-management for patients (and their families) living with a chronic condition in order to achieve improved health outcomes and quality of life. Use the best available scholarly evidence to support your discussion.
Writing Style

This assessment piece will be written in the form of academic short answers supported by scholarly evidence from peer reviewed resources.

• An introduction and conclusion are NOT required
• Write in full grammatical sentences
• Use correct spelling and punctuation
• Paragraph format is required. Dot/bullet points or numbered lists are not permitted
• Keep your writing formal and in third person.
• Express your ideas clearly and concisely
• Appropriately reference any information sources used.

Referencing/ citations

• For this assessment you will use either APA 6^th or APA 7^th referencing style.
• Sources: the majority of the references contained within your reference list must be no older than 6 years old.
• In text citations: You must include in text citations in the body of your work. Each new point or piece of evidence must be attributed (via in-text citation) to the source.

Formatting Style

Assignment must be presented as follows;

• Microsoft word document format
• Double Line Spacing with page numbers to be provided
• Times New Roman, 12-point font
• Use APA formatting style. The first line of each paragraph is indented. The reference list starts on a new page with the heading “References”

Resources available to complete task

• NUR2102 course modules, specifically 1, 2, 3 & 4
• Clinical Reasoning Cycle (Clinical Reasoning Cycle Module 1 on the StudyDesk and the Clinical Reasoning Cycle chapter located in the assessment tab-Written Assignment Two
• SMART Goals information (see information and examples in Appendix A)
• USQ academic writing style is provided in links on the course Resources Tab. https://www.usq.edu.au/library/study-support/assignments
• Referencing
• https://www.usq.edu.au/library/referencing

Submission information

Appendix A

SMART goal examples

[ANSWER PREVIEW]

From the data provided normal signs and symptoms include audible wheeze and decreased air entry, productive cough, difficulty breathing, oxygen saturation (92%), and chest tightness. The inflammation connected with the pathophysiology of asthma is directly linked to these signs and symptoms. However, some can indicate other common respiratory conditions like bronchitis, characterised by cough and difficulty in breathing. The weight, height and BMI equally seem to be in the normal range for an adult of Mr. Smith’s age. Abnormal signs and symptoms may be decreased air entry, RR (32), HR (110), accessory muscle use, and talking in short sentences. These elements point to severe asthma, if not a different chronic malady. Kostakou et al. (2019) state that, among other features, severe asthma is characterised by a patient talking in words instead of full coherent sentences, utilising their accessory muscles, a RR of > 30 breaths per minute, a HR ≥ 110 beats per minute, and oxygen saturation of less than 90%. In addition, Mr. Smith does not have a current asthma action plan and his puffer does not help. Overall, Mr. Smith’s asthmatic status is deteriorating fast. He has a few normal symptoms, with vital signs showing that his condition is inching towards a severe case….[Buy Full Answer for Just USD 9: 2425 WORDS]

[SOLUTION DESCRIPTION]

Type: Essay

Word Count: 2425

Grade/Mark: 85 (Distinction)

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