CASE STUDY- with short solutions
Goal of assessment:
This assessment aims to enable students to complete the short answer on some common health
situations utilizing evidence-based data from related literature.
Phrase Depend:
There’s a phrase restrict of 1500 phrases. Use your laptop to whole the variety of phrases utilized in your task. Nevertheless, 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 extra 10%-word rely. Should 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 typically lengthy and slender with small quantities of shiny blood on
the rest room 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 beneath 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 giant 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.
Stomach-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background: Mr Hemsley acknowledged that his father had died from bowel most cancers at the age of 84 years outdated, and his youthful brother was identified with Crohn’s illness when he was 18 years outdated. Mr Hemsley reported that he was bodily energetic as a “younger man” however over the final 10 years; nevertheless, he had lived a sedentary way of life leading to 20kgs weight achieve (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 primarily based on Mr Hemsley in the case examine.
Question Assignment 1: Describe how the administration of Morphine alters Mr Hemsley’s aware notion
of ache (300 phrases), and talk about three (three) particular nursing tasks (with rationales)
required for the secure administration of Morphine. (400 phrases)
Question Assignment 2: Establish and talk about (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: Establish and talk about two (2) attainable 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 unique arduous copy of their assessment on campus. 2. Submit your assessment electronically by 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 have to 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) obligatory references
supplied.
The three (three) obligatory references for this assessment are:
Gumus,Ok., Musuroglu, S., Ozlu, Z.Ok., & Tasci, O. (2020). Figuring out the Use of Nonpharmacologic Strategies by Surgical Nurses for Postoperative Ache Administration and the Influencing Skilled Components: A Multicenter Research. 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 Customary, 35(9), 77-82.
Zelga, P., Kluska, P., Zelga, M., Piasecka-Zelga, J., & Dziki, A. (2021). Affected person-Associated Components 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 sources accessible by the Western Sydney College Library that will
help you. Please refer to the Topic’s vUWS website for particular Topic sources.
iii. Assessments listed as particular person assessments have to be accomplished independently. Students are suggested to refer
again to their notes, textbooks or acceptable educational, peer-reviewed sources utilised throughout Topic supply.
iv. Don’t use non-credible web sources for this assessment; solely use textbooks and peer-reviewed sources.
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CASE STUDY- QUICK ANSWERS
The assessment’s purpose is to:
The purpose of this analysis is for students to give you the chance to complete a short answer on some prevalent health points.
circumstances primarily based on evidence-based data gleaned from related literature
Phrase Depend:
There’s a phrase restrict of 1500 phrases. Use your laptop to whole the variety of phrases utilized in your task. Nevertheless, 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 extra 10%-word rely. Should 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.
