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S1 2016
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NUR250 Assessment 1
Topic:
Due date:
Length:
2000 words
Are developing their ability to locate, interpret, integrate, synthesize and apply
nursing knowledge from NUR250, other units they have completed and a range of
current, reliable sources to a patient case or scenario they may meet in day to day
nursing practice in medical surgical settings
Are developing appropriate critical thinking, clinical reasoning and sound clinical
decision making processes and strategies essential for safe, evidence-based and
competent nursing practice in medical surgical settings
Are able to focus their attention to the needs of the individual patient as the key
concern of nursing practice in medical surgical settings
Are able to explain and justify or defend their nursing care decisions
Have a developing understanding of the role and scope of practice of the registered
nurse in the Australian health care context
NUR250 Assessment 1
Assessment 1 is to be prepared and submitted following the guidelines
below.
Academic literacy and academic integrity guidelines
Note: Marks are allocated for following presentation guidelines and attention to academic integrity and
literacy requirements. See the Assessment 1 marking criteria for full details.
Academic Literacy
Assessment 1 is to be submitted and presented:
1.5 spaced in either Arial font size 10 or 11 or Times New Roman or Calibri font size 11 or 12
In clear, coherent Australian English that demonstrates progression towards the standard for
written communication for professional nursing practice in Australia
Contents page, title page, introduction and conclusion are NOT required
Writing style is variable, depending on task. See specific task information for guidelines
Referencing is required when and where appropriate. Refer to task information for
guidelines. (See academic integrity information below)
Note: Headings, any task information copied in and in-text citations are included in
the word count
Use of trade names is not acceptable. Only generic terms or names are to be used when
referring to specific medications or other prescribed treatments or resources that may be
used in nursing practice
All information is to be interpreted and restated in your own original words demonstrating
your ability to interpret, understand and paraphrase material from your sources
It is recommended that direct quotations be kept to an absolute minimum in number and
length. It is far better to paraphrase to demonstrate your understanding
Your thoughts and ideas are to have complete, correct and consistent in-text citations with
full and complete publication details in the reference list in CDU APA 6th (Reference
list is to start on a new page at the end of the assignment)
Relevant documents from reputable, reliable, professional websites may be used where it is
appropriate to do so.
All resources cited in your assignment must have complete and correct
details in the reference list, including active URL
Care (Funnell and/or Koutoukidis, et al) does not have the depth or breadth of information
required by a RN.
Dictionaries
Journal abstracts
Journal articles that are not in English
Journal articles that cannot be accessed via CDU databases or search engines
Websites such as Wikipedia, myDr, Nurse.com, Scribd, and other nursing/health/medical
blog sites
Information from organisational intranet sites or other sites that require registration or log
in to access material. This is not publicly available information.
Contd next page
Consumer websites such as the Better Health Channel or consumer information from
government departments or agencies
Preview copies of books from online retailers
Submission
It is the students responsibility to:
Ensure the correct copy of your assignment is submitted on the correct submission
point for the assignment by the due date.
In Word format following the presentation guidelines above and on the Assessment
1 template provided in the Assessments 1 folder on the on NUR250 Learnline.
Assignments not submitted on the correct submission point will not be accepted or
marked.
Assignments submitted with no student identification on the document will not be
marked until all other assignments have been marked and student ID can be confirmed
Label the assignment file you submit in the following format:
Surname, Student Number, NUR250 Assessment 1
Assessment 1: Topic
Nursing care of a person with a major burn
Meet Marion
You will be caring for her today
Shift handover:
Marion was admitted 5 days ago with burn injuries to her lower legs, back and posterior
side of her lower arms. Extent of the burns is estimated at approximately 40% and depth is
variable but there is an extensive area of partial and full thickness burn on her back and
posterior thighs.
Marion was transferred to the ward from the intensive care unit yesterday afternoon
following fluid resuscitation and initial surgical debridement. She is now 6 days post burn
injury. Today she is booked on the afternoon theatre list for further debridement,
harvesting of autologous split skin grafts and replacement of the nasogastric tube.
Overnight her vital signs have been stable, urine output satisfactory and she is reporting she
is comfortable with minimal pain. She is currently nil by mouth in preparation for theatre
but has been tolerating oral food and fluids prior to this. However, there has been some
concern about caloric and nutrient intake.
She has intravenous fluids running at maintenance and an indwelling catheter in situ. She is
not reporting any nausea or other discomfort at present but is getting frustrated at having
to rely on others to help with her personal care and daily activities.
Full and partial thickness burns are covered with a silver impregnated dressings that are
difficult to keep in place due to location of injuries. Superficial burns have hydrogel
dressings where possible and some areas require regular application of an emollient.
Current medications include a transdermal fentanyl patch, panadeine forte 4/24 and nitrous
oxide prn as well as an anti-emetic, vitamin and mineral supplements and an aperient.
Prophylactic intravenous antibiotics were commenced this morning.
Her husband is visiting regularly but his time is limited due to childcare and work
commitments. He brings their 2 young children on most afternoons for a short visit. There
are no other family members living locally but her mother and sister are arriving in the next
few days. Marion is quite concerned about how the family is going to manage over the next
few months.
Assessment 1 Tasks:
Using the template provided in the Assessment 1 folder and, based on the handover you received at
the beginning of your shift today, other information included below and current reliable evidence for
practice, address the following 5 tasks.
Do not make up or assume information in relation to or about Marion, the photo is not
an indication of her age or appearance. Only use what you know from the information you received
today.
Note:
Students are expected to demonstrate they have read beyond the set texts to prepare their
responses and nursing care plan and can apply and integrate knowledge to practice.
Reliance on text books alone is no guarantee that your information is current and reliable evidence
for practice. However, set texts are a good place to start to identify key points and to develop
search strategies to locate appropriate journal articles.
Task 1:
Based solely on the handover you have received and in grammatically correct sentences identify the
3 nursing problems you think are the most important while caring for Marion today
AND
For each nursing problem above, identify
What it is related to
Why it is a priority for you today
Task 2:
Based solely on the handover you have received and using the template provided in the Assessment
1 folder, develop a full nursing care plan for Marion today. Your plan must address the physical,
functional and psychosocial aspects of care.
For each nursing problem on your plan, identify your
Goal of care
Nursing interventions or actions
Rationales for interventions
Expected outcome of care
Tips for Task 2:
Dot points may be used in the nursing care plan template
See Weeks 1 & 2 learning material for guidance with care plan
Appropriate professional language must be used, no abbreviations or nursing jargon
Rationales must be referenced. It is strongly recommended only current, reliable journal
articles be used as references when providing rationales
(950-1000 words, 30 marks)
NUR250 Medical Surgical Nursing 1: Assessment 1 Topic and Tasks S1 2016
8
Task 3
Two important aspects of medication management by registered nurses is for the nurse to
understand why a patient has been prescribed specific medications and how to monitor the patient
to ensure they are responding to prescribed medications as they should.
In grammatically correct sentences and using current, reliable evidence for practice, briefly explain
why Marion has been prescribed
o Fentanyl via transdermal patch
o Vitamin and minerals supplements
o An aperient
AND
Explain
o The nursing responsibilities associated with administering the 3 medications above
o How you will monitor Marion to ensure she is responding appropriately to these 3
medications you are administering today
Tips for Task 3:
References are essential in Task 3
Revisit Week 3 for guidance with RN role and responsibilities
(350 words, 10 marks)
Task 4:
An important and legal requirement of nursing practice is to communicate relevant information,
actions and outcomes related to patient care and provide accurate reflection of the health status of
the patient, their responses to care and the patients perspective.
Using a succinct, narrative format and only the relevant information in the shift handover and the
additional information below
Write a progress note entry that clearly and succinctly outlines the important information
other health professionals, including other nurses, need to know about Marion at the end of
your shift today
Task 5:
An important part of the clinical reasoning process is to reflect on what you have done and learnt
and to identify areas where you need further development and/or learning.
In this item, reflect on your experience in preparing this assignment and identify
The three (3) most important things you have learnt about your level of underpinning
knowledge and understanding and/or clinical reasoning skills while completing this
assignment
Why these three (3) things are most important for you
(200 words, 5 marks)
Please go to next page there are important reminders before you submit
A reminder to
Check the submission time and day before submission
Ensure the academic integrity of your work before submission
Prepare and submit your assignment as directed in the presentation
guidelines earlier in this document