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Original Question
Assessment Title Written Assessment Purpose This is a case study based on a surgical scenario. Students will appraise an individual’s holistic health care needs and subsequent interventions and management to assist with the application of theory into practice. Weighting 40% Length 1500 word Case Study One Mrs. Patel, a 48-year-old female, was recently diagnosed with uterine cancer after experiencing abnormal bleeding and pelvic pain. Imaging has shown that the cancer is at stage 2, and it appears to have spread to the cervix. The surgical team has recommended a total hysterectomy to remove her uterus,cervix, and possibly surrounding tissues, depending on the findings during surgery. Although Mrs. Patel was hesitant to sign the consent form at first but then proceeded to sign for the procedure, she expresses concerns about undergoing a total hysterectomy. She confides that she is worried about the emotional impact of “losing her uterus” and feels conflicted about how this will affect her sense of femininity and identity. She also expresses concerns about the changes to her body and her ability to have children in the future, even though she has completed her family. She is a practicing catholic and attends church each Sunday and prayer reading once a week. Mrs. Patel has a medical history of type 1 diabetes, which she manages with insulin. Her blood glucose levels are well-controlled, but she is aware that the stress of surgery could affect her blood sugar. Additionally, she has a history of hypertension, which she is managing with medication. Mrs. Patel works as an executive assistant and lives with her husband and their two teenage children. Her weight is 75kg and height is 155cm. Case Study Two Mr Jack Phillips is a 71-year-old man, was recently diagnosed with an adenocarcinoma of the bowel stage C- indicating that the cancer has spread to the lymph nodes near the bowel. The recommendation is for surgery to remove the affected bowel and the lymph nodes. Jack and Pippa are told that Jack will undergo a right hemicolectomy (ascending colon). Jack and Pippa are also told that Jack will need to have a temporary stoma for about 6-10 weeks. Jack is also told that he will need to have follow-up chemotherapy given the stage of his cancer. Although Mr Phillips has filled out the consent form for the procedure, however he expresses to you as the nurse his uncertainty about the surgery as he is not quite sure what is going to happen. He shares with you that he is concerned about “having a bag” and feels conflicted, as he doesn’t want this. Mr Phillips lives on a property located 20km from Dubbo. Mr Phillips lives with his wife, Pippa, they have been married for 50 years. Jack and Pippa have two children and four grandchildren. Their eldest child is, Sally aged 42 lives in Orange 160 kilometres away. Ben, their son, is 38 and works with his father on the family property, Ben also works for a local transport business to supplement his income. Ben is separated from his wife who lives in Sydney with their two children. The farm is currently experiencing an extended period of drought, and this has deeply affected Jack, and he has recently been diagnosed with anxiety related to the impact of the drought on the farm. Jack also likes to have a ‘few glasses of beer’ most days. Despite saying this, Jack and Pippa are connected into the local community and play an active role in managing the local football and netball club. Mr Phillips does not attend church, but has his own spiritual believes. Assessment Task Students will be required to answer the questions listed below based on one (1) of the case studies provided. Students will select one (1) case study only and read through the case study and answer the questions listed below. If a student attempts more than one case study the first submission will only be marked. • Discuss how the patients Age, Occupation, Family Situation, and religious beliefs impact their Decision Making (300 words) . Discuss and analyse Legal and Ethical Considerations: Informed Consent, Confidentiality, and Privacy related to the selected case study (400 words) • Describe the pathophysiology of 2 Common Surgical Complications following the surgical procedure of the case study selected and how these complications may influence post operative care (500 words) • The patient has expressed concerns about their pain management. Identify reasons for pain post operatively, and discuss relevant pharmacological and non-pharmacological options for pain relief for the patient in the selected case study (300 words) Submission Students will submit their written assessment task via the Turnitin link in the NRSG258 Canvas site national assessment tile Referencing Style APA 7th Minimum References A minimum of 11 high quality nursing related resources are to be used. Age of References Published in the last 5 years as this area of knowledge is rapidly developing List Heading “References” is centred, bold, on a new Page (14point Calibri or Arial) Alphabetical Order References are arranged alphabetically by author family name Hanging Indent Second and subsequent lines of a reference have a hanging indent DOI Presented as functional hyperlink Critical Thinking and knowledge. Analysis of the biopsychosocial, spiritual, and cultural factors. LO1, 4 (20 marks) Comprehensive analysis of the biopsychosocial, spiritual, and cultural factors involved. Analysis of the literature used to support all points. Comprehensive discussion of how age, occupation, family dynamics, and religious beliefs may influence the patient’s experience. Critical Thinking and knowledge. Legal and Ethical issues LO6 (20 marks) Legal terms of consent, confidentiality and privacy comprehensively defined with analysis and synthesis of the literature to support understanding. These principles then applied to the case study and comprehensive discussion of what actions would need to be taken to provide ethical and legal care for the patient clearly given. Knowledge and application of evidence. Pathophysiology of surgical complications LO3, 4(25 marks) Comprehensive analysis of the main complications relating to the selected case study and the pathophysiology of 2 to 3 discussed in detail and applied to the post operative nursing care required. Draws extensively from academic literature to support insights. Comprehensive coverage or understanding of complications post operatively demonstrated. Knowledge and application of evidence.Pain management LO4, 5(15 marks) Comprehensive discussion of commonly used post operative pain management given. Information needed to educate the patient is provided and detailed. There is an extensive discussion demonstrating the breadth and depth of the topic. Comprehensive education provided on pharmacological and non-pharmacological pain relief. Integrates a wealth of academic literature. Knowledge and application of evidence -supporting literature. Twenty (20) or more relevant and credible nursing relatedacademic sources cited.
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