CASE STUDY- with short solutions
Goal of assessment:
This assessment aims to enable students to complete the short answer on some common health
circumstances utilizing evidence-based data from related literature.
Phrase Rely:
There’s a phrase restrict of 1500 phrases. Use your laptop to complete the variety of phrases utilized in your task. Nonetheless, don’t embrace the reference listing at the finish of your task in the phrase rely. In-text citations will probably be included in the further 10%-word rely. In case you exceed the phrase restrict by greater than 10% the marker will cease marking at 1500 phrases plus 10%
Assessment particulars:
Mr John Hemsley, a 56-year-old male, introduced to the Emergency Division with stomach ache, nausea and vomiting related to recurrent episodes of constipation. The onset of signs was three (three) months in the past. In the previous 4 (Four) weeks Mr Hemsley skilled unexplained episodes of fatigue. On toileting, he additionally noticed that his stools had been usually lengthy and slim with small quantities of vibrant blood on
the bathroom paper. He ignored these syndromes as he was too embarrassed to discuss them. The emergency Doctor carried out a digital rectal examination to rule out haemorrhoids, colorectal most cancers or anal fissures. The primary discovering was a agency irregular non-capsulated mass in John’s rectum. Mr Hemsley was subsequently admitted underneath the care of a Gastrointestinal specialist for additional investigations and administration of ache. On day two (2) as an inpatient, a colonoscopy was carried out, and a biopsy was resected from the massive sessile lesion positioned in the proximal third of the rectum and three polyps had been additionally faraway from the colon. The biopsy outcomes confirmed a stage IIA rectal adenocarcinoma. Following the above findings, Mr Hemsley was scheduled for surgical procedure.
Belly-perineal resection and the formation of a sigmoid colostomy was carried out. There have been no problems reported throughout his surgical process. The surgeon commenced him on analgesia of Morphine 2.5mg – 5mg PRN 2-Four hourly and I.V. 4mg-8mg Ondansetron PRN eight hourly for nausea whereas admitted in a Surgical ward.
Medical/Social background: Mr Hemsley said that his father had died from bowel most cancers at the age of 84 years previous, and his youthful brother was identified with Crohn’s illness when he was 18 years previous. Mr Hemsley reported that he was bodily lively as a “younger man” however over the final 10 years; nonetheless, he had lived a sedentary way of life leading to 20kgs weight acquire (present weight – 107kg). Mr Hemsley had “given up” common smoking of cigarettes for the final 5 (5) years however resorted to “occasional” cigarette smoking on the weekends.
Answer the following three (three) Short Answer Questions:
Most cancers management is certainly one of the Australian Nationwide Health Precedence areas; deal with the following three
(three) questions on bowel most cancers based mostly on Mr Hemsley in the case examine.
Question Assignment 1: Describe how the administration of Morphine alters Mr Hemsley’s acutely aware notion
of ache (300 phrases), and focus on three (three) particular nursing obligations (with rationales)
required for the secure administration of Morphine. (400 phrases)
Question Assignment 2: Determine and focus on (giving rationales) the advantages of three (three) non-pharmacological
nursing interventions which may be carried out when managing Mr Hemsley’s post-operative ache.
(300 phrases)
Question Assignment three: Determine and focus on two (2) potential problems and the related nursing
interventions of precedence when managing Mr Hemsley’s colostomy throughout the first 24- 48hrs postoperatively. (500 phrases)
Submission Necessities:
1. Digital copy solely. Students are to submit an digital copy of the assessment.
Students are NOT required to submit the authentic exhausting copy of their assessment on campus. 2. Submit your assessment electronically by means of the Turnitin hyperlink on the Topic vUWS website.
three. Students are to add the assessment with the following title; Surname_Firstname_assessment title
Four. Your assessment should be submitted in .doc, docx format.
5. This assessment is marked on-line; no paper copy will probably be accepted. Marks, feedback and the marking standards will probably be launched on-line. If you don’t obtain your marked assessment when all others have been returned, it’s your
duty to contact the Topic Coordinator for help.
Sources:
(i) A minimal of 5 references are to be used for this assessment together with the three (three) necessary references
offered.
The three (three) necessary references for this assessment are:
Gumus,Okay., Musuroglu, S., Ozlu, Z.Okay., & Tasci, O. (2020). Figuring out the Use of Nonpharmacologic Strategies by Surgical Nurses for Postoperative Ache Administration and the Influencing Skilled Elements: A Multicenter Examine. Journal of PeriAnesthesia
Nursing, 35, 75-79. https://doi.org/10.1016/j.jopan.2019.04.011
Telford, A. (2020). Position of the nurse in supporting the secure use of opioids. Nursing Normal, 35(9), 77-82.
Zelga, P., Kluska, P., Zelga, M., Piasecka-Zelga, J., & Dziki, A. (2021). Affected person-Associated Elements Related With Stoma and Peristomal Problems Following Fecal Ostomy Surgical procedure. J Wound Ostomy Continence Nursing, 48(5):415-430.
ii. There are a selection of textbooks and assets out there by means of the Western Sydney College Library which will
help you. Please refer to the Topic’s vUWS website for particular Topic assets.
iii. Assessments listed as particular person assessments should be accomplished independently. Students are suggested to refer
again to their notes, textbooks or applicable educational, peer-reviewed assets utilised throughout Topic supply.
iv. Don’t use non-credible web sources for this assessment; solely use textbooks and peer-reviewed assets.
