Focus on the implementation of nursing care, the rationale for care and its evaluation.
Select 2 of the problems identified on the care plan in Assessment task 1 – it is suggested that at least one should be an actual problem
The individual written report expands on the information presented in the care plan for 2 of the identified problems. The written report will need to hold more detail and explanation than in the care plan. In particular you will need to give the rationale for the nursing intervention, why is thisappropriate care to provide. In addition you will need to demonstrate an understanding of the underlying pathophysiology –again as applies to the chosen interventions/nursing care. This is not a biology essay.
As this is a report format headings/sub headings can be used. It is your choice to use headings; they are not required but can make it easier to organise your work. These are two possibilities:
Items to include in the report:
What you will need to accomplish within the report
Support your work with in textcitation to references and associated reference list. Please take care with websites/online materials. These must be of a scholarly nature and is focused at health professionals. Acceptable online content includes journal articles accessed online, policies or guidelines e.g. NSW Health policies, identifiable documents from government sources or organisation like WHO.
Interventions
Many interventions are undertaken in conjunction with other members of the healthcare team for example many direct interventions require doctor’s orders prior. This table gives examples of some different types of interventions and what evidence would be expected for each type. It is not exhaustive:
Interventiontype | Example | Requiredinformation |
Directaction | Administeringoxygen | · Evidenceforrationale· Amount/quantityyouwoulduseandevidenceforthis
· Type/deviceusedifapplicable · Duration-forhowlong · Safety – must be prescribed, though protocols allow initiation in an emergency |
Notification | Informingthedoctor | · Rationalefor whythiswouldbemostappropriate· Whatinformationwouldyougivetothedoctor
· Whatrecommendedactionwouldbeappropriateaccordingtotheevidence/why |
DirectAssessment | Neuro-obs | · Whatisyourrationalefor conductingthistypeofassessment,withevidence· Howfrequentlyandforhowlongwouldyouconductthisassessment,withevidence
· Whatparameterswouldyouconsiderabnormal-andifabnormal whatwouldbeyournextresponse,withevidence |
Referral | Referraltodietician | · What specifically wouldyou wantthereferringpersontoaddress, why· Howwould thisreferral reasonablyleadtotheoutcomebeingachieved
· Whatinformationwouldyougivetothepersonreceivingthereferral |
Monitoring | WatchingforsignsofLOC | · Howwould youmonitorthis overandaboveyournormalnursingcare· Provideevidencethatthistypeofmonitoringisrecommendedforthehealthproblem
· Whatsigns/symptomswouldbeconsideredabnormalandwhatwouldyourresponsebe,withevidence |
Teaching/education | Teaching post-op exercise | · Rationale· Summary of what these entail
· Frequency required · How you would confirm patient understanding +/or is compliant |
92330 Autumn 2017