Get Answer: Approximately This Morning Question Guide
This question focuses on applying theory to practical scenarios.
What This Question Is About
This question relates to approximately this morning and requires a structured academic response.
How to Approach This Question
Focus on explaining concepts clearly and supporting them with examples.
Key Explanation
This topic involves approximately this morning. A strong answer should include explanation, application, and examples.
Original Question
At approximately 6:30 this morning, Luna Smith, a 55-year-old female, was involved in a motor vehicle accident (MVA) on her way to work. Her car collided with a tree at high speed. Ambulance service was dispatched to the scene immediately. At the scene, Luna was wearing a seat belt in the driver’s seat. She was alert and reported no loss of consciousness; the airbag had activated during the accident. A 20 gauge IV access was gained on the left wrist, and fluid resuscitation commenced. Luna was extricated from the vehicle using a spine board and C-collar. The following observations were recorded: Blood pressure (BP) = 100/70 mmHg, Heart rate (HR) = 120 beats /per minute, Respiration rate (RR) = 26 breaths /per minute, Oxygen saturation SpO2 = 95 % on room air, Temperature = 36.7 °C, GCS = 15 (E -4 , V- 5 , M – 6), Pupils are reactive to light, and their size is 3 mm, Pain score is 10 out of 10, Pale, cool, and clammy skin with a three-second capillary refill in peripheral areas, Open femur fractures in the right leg, with obvious deformity and large blood loss. The treatment was provided instantly: Morphine IV 2.5mg was administered immediately after the IV access was established. Due to the mechanism of injury, Luna was immobilised on a spine board with a C- spine collar. After difficult extrication from the vehicle, traction splints were applied to the right leg to immobilise during transport. Saline-soaked gauze was applied to the open fracture and secured with a pressure bandage. O2 therapy was supplied with 5L via a non-rebreather mask, and 1 L of Hartman’s solution was infused during transfer to the hospital. Luna was transferred to JHH-ED. In ED at 7:45 am, Luna was bypassed triage, and her ATS category was 1, so she was sent directly to the resuscitation bay. Upon arrival at the emergency department, Luna was conscious, and her airway was clear. C-Spine collar remains in situ, and precautions were maintained during the transfer from the trolley to the bed. The following observations were recorded: Blood pressure (BP) = 80/48 mmHg, Heart rate (HR) = 136 beats /per minute in sinus tachycardia, Respiration rate (RR) = 34 breaths /per minute, Oxygen saturation SpO2 = 88 % on 15L O2 vis a non rebreather mask, Temperature = 35.5 °C, GCS = 14 (E -3 , V- 5 , M – 6), Pupils are reactive to light, and their size is 3 mm, Pain score is 8 out of 10, Capillary refill > 3 seconds The weak pedal pulses on the right leg were present, and normal pedal pulses showed on the left leg. Sensation and movement were present in all limbs, and traction splints and pressure bandages remained in place. Continued bleeding was noted on the pressure dressing. Luna was observed to be pale, diaphoretic, and with cyanosis around the lips. It was recorded that Luna weighed 65 kg, was 167 cm tall, and had no history of allergies. She was healthy and did not take regular medications. Please complete the case study assessment using the provided Clinical Reasoning Cycle template. Below is a summary of the assignment requirements. Please be aware that this is just a summary; to complete this task, you must follow the marking rubrics and assignment template details. Consider the patient’s situation – Provide an overview of the scenario (approximately words). Collect cues/information -Identify ten (10) relevant cues related to current information and prioritise these cues. Process Information -Identify the relationships or patterns between the ten (10) prioritised cues, using your pathophysiology knowledge according to the patient’s situation. References are needed (approximately 450 words). Identify the problems – Identify one (1) nursing diagnosis for the deteriorating patient based on the prioritised cues. Present the diagnosis using “related to” and “evidenced by” statements (approximately 50 words). Establish (SMART) goals – Identify two (2) patient-centred goals for this deteriorating patient linked to the nursing diagnoses. Present the goals using SMART criteria (approximately 50 words). Take actions – Outline three (3) nursing interventions for each identified goal to assist this patient in achieving the desired outcomes. Provide brief evidence-based rationales for each intervention (approximately 800 words total). Evaluate -Explain the process for evaluating the desired outcomes in this scenario (approximately 200 words) Reflect – Use the SPROUT model of reflection to consider what you have learned from completing this task and outline two (2) strategies they could undertake to ensure a positive impact in future practice (approximately 350 words). You must support your work with academic sources, use in-text references, and provide a reference list. All sources must be correctly referenced in-text and in the reference list following the APA 7th Edition referencing style.
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