Application of the best evidence-based nursing practice

Assignment Help Case Study

Reference no: EM133117765 , Length: word count:1600

Assessment Task: Written analysis of case-based scenario

You are required to submit a fully referenced academic paper in an essay format on the following case study. Your essay should demonstrate your knowledge and application of the best evidence-based nursing practice related to assessment, nursing care, and evaluation of care for the aspects described below.

Scenario:
Sarah Smith, a 82-years-old female, has been admitted to the cardiology ward, diagnosed with unstable angina following a sudden onset of heavy chest pain, and epigastric distress while gardening. Sarah lives with her husband, who is 85yrs old and they are both retired.

You are the Registered Nurse on duty in the ward, and based on the DR's orders, you administer:

Medication	Dose	Rate	Route
Aspirin	300mg	Stat	PO
Anginine tablets	300mcg	300mcg @ 5min intervals at onset of chest pain. Maximum of 600mcg	SL
Morphine	5mg	PRN	IV
Enoxaparin	40mg/0.4ml	Daily	SC

Sarah is not keen to have some of these medications as she admits she is scared of injections.

Medical History Hypertension. Smoker
Anxiety Hypercholesteremia

Subjective data:
• Feeling anxious and tearful
• Fatigue
• Restless
• Nausea
• Central chest pain - Pain scale (6/10)

Objective data:
• Blood pressure: 175/90 mm Hg
• Heart rate: 95 beats per minute
• Respiratory rate: 24/minute
• SaO2: 95% Room air
• Temperature: 36.5 degrees
• Weight: 95Kg
• Pupils' reactivity: Equal and reactive to light.
• ECG: Normal sinus rhythm with ST elevated in V1-V4

Your assignment should be directly related to the scenario and cover the following aspects of assessment, nursing care planning, and evaluation of care provided:

These aspects must be used as headings - please refer to the marking guide for further explanation and description of each area.
1. Introduction
2. Prioritise and Facilitation of General Nursing Care
3. Prevention of Possible Hospital Acquired Complications
4. Promotion of Adequate Hydration and Nutrition
5. Provision of Emotional and Psychological Support
6. Education and Discharge planning
7. Conclusion

Attachment:- Assessment task - Description.rar

Reference no: EM133117765

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