NUR250 Medical
Surgical Nursing 1 S2 2015
Click Link Below To Buy:
Hwcoursehelp@gmail.com
Before you begin NUR250 Assessment 1
It is strongly recommended that students revisit and ensure they understand the
University and Unit policies and guidelines related to academic integrity, plagiarism,
submission, extension, late submission and resubmission. Information or links to related
documents are on the Assessments menu on NUR250 Learnline
It is the student’s responsibility to have read, understood and, if required,
sought clarification of Assessment 1 information, including topic and tasks,
requirements and related University and/or Unit policies and guidelines
The Unit Coordinator cannot be held responsible for information about
Assessment 1 that students may access outside of the NUR250 Learnline site
or the communication tools used in NUR250.
This includes information students may access from other students, whether enrolled in the
unit or not, using social media tools such as Facebook and/or workplace colleagues they
may discuss their assignment with.
The Unit Coordinator is the person to contact if you have any questions or
queries
NUR250 Assessment 1
Topic:
Nursing care of a patient with altered gastro-intestinal
function
Due date:
1500 Friday Semester Break Week
Length:
2000 words
Contribution to overall grade: 40%
NUR250 Medical Surgical Nursing 1: Assessment 1 Topic and Tasks S2 2015
Aim and purpose of Assessment 1
Assessment 1 is the only written academic assignment in NUR250.
The aim and purpose of Assessment 1 is to provide students the opportunity to
demonstrate they:
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
Are progressing towards the level of professional written communication required
for nursing practice in Australia
Are demonstrating ethical and professional practice by adhering to the University’s
academic integrity standards and plagiarism policy
NUR250 Medical Surgical Nursing 1: Assessment 1 Topic and Tasks S2 2015
2
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 marking criteria for Assessment 1 for full details.
Academic Literacy
Reminder: Marks are allocated for presentation, written expression, organization and flow of content
Format and style:
Unless otherwise stated in task information, the format for Assessment 1 is objective, third person
academic writing style in proper sentences and topic paragraphs under the specific headings below.
An introduction and conclusion and/or a contents page are not required in this assignment.
Do not copy in the task/question information for each item. It will do nothing more than contribute
to the overall word count and may impact on the assignment mark.
Item 1: Clinical presentation
Item 2: Nursing management: Assessment and monitor of Nigel’s condition
Item 3: Nursing management: Assessing body temperature
Item 4: Nursing management: Medication management
Item 5: Nursing management: Maintaining fluid and electrolyte balance
Item 6: Reflection on process and new learning
References
Assessment 1 is to be submitted and presented:
On the Assessment 1 template located in the Assessment 1 folder on NUR250 Learnline
As a computer generated document in Word format.
o It is the student responsibility to ensure their assignment is converted to a Word
format document before submission. Other word processing software or
applications may not be compatible with Learnline and may interfere with
formatting of your document and timely marking of your assignment
1.5 or double-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
Items 1-5 are to be presented using appropriate professional terminology and formal
academic language and style
o Item 6 has different requirements, see specific task information
With no acronyms and abbreviations
With no dot or numbered points, lists, diagrams or tables
No more than 10% over or under that stated word count
o 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
NUR250 Medical Surgical Nursing 1: Assessment 1 Topic and Tasks S2 2015
3
Academic Integrity: Acknowledging and using the work of others
Students are reminded of their academic responsibilities and professional nursing practice
requirements when using the work of others in assignments.
Reminder: Marks are allocated for academic integrity. See the marking criteria for Assessment 1 for full
details. Breaches of academic integrity will be lodged on the University system and may have serious
consequences for students.
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)
Academic integrity: Draft checking for inadvertent breaches of academic
integrity
To assist students to check their final draft assignments for possible breaches of academic integrity,
there is a Draft Checking site on NUR250 Learnline.
A few days before you submit your assignment, submit a draft copy of your assignment to
generate a report for you to check
Be aware that the report will not be generated immediately, it can take several hours to be
available
Ignore information at the beginning of the template and assignment information such as the
headings you have been asked to use that will be common to all assignments
Pay attention to any highlighted content in your response for each item. Check any material
identified as possible plagiarism and review it to either improve paraphrasing or check it has
been appropriately acknowledged as a direct quote and/or referenced.
A word of caution when using SafeAssign.
SafeAssign only matches text to the range of documents and internet sites it has access to or to
assignments that have been previously submitted on the CDU system.
It is not 100% accurate and does not guarantee that there are no breaches of academic integrity in
your assignment. SafeAssign may not detect material taken from sources it does not have access to
or that it doesn’t recognise as a match.
Students are strongly advised to manually edit and check their assignment to ensure material has
been appropriately paraphrased or appropriately acknowledged and referenced.
Your lecturer and assignment markers will check your sources where they have concerns as to the
originality of your work.
NUR250 Medical Surgical Nursing 1: Assessment 1 Topic and Tasks S2 2015
4
Academic Integrity: Use of current, reliable evidence for practice
Markers must be able to access ALL your sources. All resources must be accessible via CDU
databases or freely available by internet search.
All resources for NUR250 assignments should be from quality, reliable
and reputable nursing journals. This is where you will find information about the
nursing management of patient/health problems. Remember that you will have to apply
information from other countries to the Australian health and nursing context.
In some items, it may be appropriate to use articles from other
journals. If you locate what you think is a relevant article from a non-nursing journal,
carefully evaluate the article to ensure it is relevant to nursing, and/or that the information
is relevant to the role and scope of practice of the RN in Australia.
All resources must be dated between 2007 and 2015
There must be at least 12 peer-reviewed journal articles cited in your
assignment. Articles reporting original research, formal literature and/or systematic
reviews are the preferred resources.
Only one textbook can be cited as a reference in the assignment and it
must be a current edition. This includes any books from the CDU Library eBook collection. If
you must use a textbook, one of the set texts is the preferred reference.
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.
Resources that are NOT appropriate
The following are NOT appropriate resources as they cannot be considered reliable
sources of information:
Textbooks for lower level nursing courses. For example, any edition of Tabbner’s Nursing
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.
Consumer websites such as the Better Health Channel or consumer information from
government departments or agencies
Preview copies of books from online retailers
NUR250 Medical Surgical Nursing 1: Assessment 1 Topic and Tasks S2 2015
5
Submission
It is the student’s responsibility to:
Ensure Assessment 1 is submitted on the required template for the assignment.
(See the Assessment 1 folder on NUR250 Learnline)
Ensure the correct copy of your assignment is submitted on the correct submission
point for the assignment by the due date.
Have read, understood and, if required, clarified the University/School and/or
NUR250 policies and guidelines related to extensions, late submission and
resubmission
Ensure the academic integrity of assignments before submission
Assignments are to be submitted:
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.
Via the correct Assessment 1 SafeAssign submission point on NUR250 Learnline
Assessment Submission menu
Only one submission is allowed.
Resubmission of assignments and supplementary assessments are not
available.
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
Emailed, faxed, posted or hand-delivered assignments will not be accepted or
marked
NUR250 Medical Surgical Nursing 1: Assessment 1 Topic and Tasks S2 2015
6
Assessment 1: Topic
Nursing care of a person with altered gastrointestinal function
Meet Nigel.
You will be caring for him today.
Source: Flickr, may be subject to copyright
Shift handover:
Nigel was admitted 3 days ago with an acute abdomen. After medical assessment and
initial investigations, he had a laparotomy where they resected an area of small bowel to
remove areas of bowel cancer. He now has a colostomy and has been recovering well post
operatively until last evening.
This morning, he is now 3 days post operation. Overnight he has had increasing abdominal
pain, rigidity and rebound tenderness of the abdomen, abdominal distension and nausea.
Bowel sounds have been diminishing and changing in character overnight. This morning he
is febrile, tachycardic, tachypnoeic, lethargic, sometimes disorientated and has decreased
urine output and skin turgor. He is now nil by mouth and the nasogastric tube inserted
during theatre remains in situ on low suction. Naso-gastric aspirates and drainage are bile
stained and variable in amount. He has had minimal drainage from the colostomy
overnight.
Current medications include an opioid infusion via a PCA, prn analgesics, metronidazole, an
aminoglycoside antibiotic and an anti-emetic. He has nasal prong oxygen in situ @ 2
litres/min and 2 intravenous lines for fluids and medications.
Nigel is quite distressed about his current condition and is afraid he is going to die today.
NUR250 Medical Surgical Nursing 1: Assessment 1 Topic and Tasks S2 2015
7
Assessment 1 Tasks:
An important part of your nursing care today is to keep Nigel as comfortable as possible and to
undertake frequent assessment for, and early recognition of, potential complications. This involves
Assessment and monitoring of Nigel’s condition
Monitoring fluid and electrolyte balance
Your task in Assessment 1 is to critically discuss key issues related to Nigel’s nursing care today.
Based on the handover you received at the beginning of your shift today (on the previous
page) and current reliable evidence for practice, address the following 6 items.
Do not make up or assume information in relation to or about Nigel.
Only use what you
know from the handover information you received today.
Note: Unless otherwise stated, textbooks are not appropriate references for the items below.
Students are expected to locate, critically evaluate and use current, reliable and relevant evidence
from reliable nursing journals.
It is recommended, however, that students refer to the set texts to help identify key points to
include in their responses and assist them to develop sound search strategies to locate appropriate
journal articles.
Item 1: Clinical presentation
No textbooks are to be cited as references in this section
An important first step in the clinical reasoning process is to anticipate what you might see, hear and
feel when you first meet the people you are caring for each shift.
Nigel is one of the people you will be caring for today but you haven’t met or seen him as yet.
Based only on the handover information you are given and using current, reliable journal articles to
support your thoughts and ideas (Textbooks are not appropriate references in this section)
Describe what you might expect to see, hear and/or feel when you first meet Nigel at his
bedside
AND
Explain why you might expect to see, hear or feel these findings
(300 words, 5 marks)
NUR250 Medical Surgical Nursing 1: Assessment 1 Topic and Tasks S2 2015
8
Item 2: Nursing Management: Assessment and monitoring of Nigel’s
condition
No textbooks are to be cited as references in this section
An important part of caring Nigel today is to monitor his condition during your shift to ensure early
detection of any changes in his condition.
Identify
o How you will assess and monitor Nigel’s condition during your shift today
o Potential complications you will monitor Nigel for today
AND
Explain
o How these strategies will help you to identify any changes in Nigel’s condition
o Changes that indicate improvement or deterioration in his condition
(400 words, 15 marks)
Item 3: Nursing Management: Assessing body temperature
No textbooks are to be cited as references in this section.
In this section, students are required to locate current, reliable journal articles that report
original research or formal systematic or literature reviews relating to assessing body
temperature to support their statements.
Assessing body temperature is a frequent and fundamental nursing assessment of any person.
However, there is quite a bit of variation in practice amongst nurses when assessing body
temperature.
Bases on current, reliable evidence reporting original research, formal systematic or comprehensive
literature reviews related to assessing body temperature:
Identify and compare
o Acceptable equipment or methods to assess body temperature
o The acceptable time frame required to accurately assess body temperature
o Factors that can prevent or enhance accurate assessment of body
temperature
AND
Based on your findings above, develop a current, evidence-based best practice
statement about how to accurately assess body temperature for a medical surgical
setting
Note: Your best practice statement must be your own original statement. It is not acceptable
to restate any protocols you may be using or find in your current workplace or on the internet.
(350 words, 10 marks)
NUR250 Medical Surgical Nursing 1: Assessment 1 Topic and Tasks S2 2015
9
Item 4: Nursing management – Medication management
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.
Briefly explain why Nigel has been prescribed
o an opioid infusion using a patient controlled analgesic device
o an aminoglycoside antibiotic
o the dopamine antagonist anti-emetic, metoclopramide
AND
Explain
o The nursing responsibilities associated with administering the 3 medications above
o How you will monitor Nigel to ensure he is responding appropriately to these 3
medications you are administering today
(350 words, 15 marks)
Item 5: Nursing management: Maintaining fluid and electrolyte balance
No Textbooks are to be cited as references in this section
An important nursing goal in Nigel’s care today is to maintain adequate fluid and electrolyte balance
Explain why
o Nigel is at risk of a fluid volume and electrolyte deficit
o Maintaining fluid and electrolyte balance is an important nursing goal in Nigel’s care
today
AND
Identify
o Strategies you would implement in your nursing care today to monitor Nigel’s fluid
and electrolyte balance
o Indicators that will identify that Nigel has developed a fluid and/or electrolyte deficit
(400 words, 15 marks)
NUR250 Medical Surgical Nursing 1: Assessment 1 Topic and Tasks S2 2015
10
Item 6: Reflection on process and new learning
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 what you have learnt while you have prepared your assignment about
o
o
o
Caring for someone like Nigel
The role and scope of practice of the registered nurse when caring for someone with
altered gastro-intestinal function
Where you think you need further development and/or learning
(200 words, 5 marks)
Presentation guidelines for Item 6 only
In this item you are required to write about your thoughts and feelings about what you have done
and learnt in this assignment.
Reflective writing is the opportunity for you to document your thoughts and feelings. This requires a
different writing style to the rest of the assignment.
As you are expressing your thoughts and feelings, you write in the first person. It is expected to see
words like “I” and “my“ and phrases like “I have learnt…”, “I now understand or realise that…”
It is also not appropriate to reference your own personal thoughts and feeling. However, if you refer
to professional nursing standards and codes, information from specific sources (eg a text book or
NUR250 Learnline) or draw on your understanding of the role and scope of practice of the registered
nurse, you must provide a reference to support your statements.
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
NUR250 Medical Surgical Nursing 1: Assessment 1 Topic and Tasks S2 2015
11
No comments:
Post a Comment