Reference no: EM133120794

NURS2037 Health Variations

Learning Outcome 1: Recognise and respond appropriately to physiological changes associated with alterations in health of people across the lifespan
Learning Outcome 2: Utilise evidence to support decision making for safe, person-centred care

Learning Outcome 3: Explain the role of the nurse when caring for a person during the perioperative period

Learning Outcome 4: Justify the selection and prioritisation of nursing care with a person experiencing an alteration in health

Learning Outcome 5: Explain safe and effective use of pharmacological and non-pharmacological interventions with a person experiencing an alteration in health

Learning Outcome 6: Discuss the Australian National Health Priority Areas as they relate to person centred care

Case Study

Aim of assessment

The aim of this assessment is to enable students to complete the short answer questions using evidence based infor- mation from relevant literature.
Word Count

There is a word limit of 1200 words. Use your computer to total the number of words used in your assignment. However, do not include the reference list at the end of your assignment in the word count. In-text citations will be included in the additional 10% word count. If you exceed the word limit by more than 10% the marker will stop marking at 1200 words plus 10%.

Case Study with three (3) Short Answer Questions

Mr John Hemsley, 56 years old, presented to his general practitioner (GP) with a three-month history of constipation and abdominal discomfort. More recently he has felt very fatigued and has been experiencing lower abdominal pain. In the weeks prior consulting the GP, Mr Hemsley noticed his stools were long and narrow with small amounts of bright blood on the toilet paper. He ignored these signs and symptoms as he was too embarrassed to talk about them. The GP performed a digital rectal examination to rule out the haemorrhoids. The findings were a firm irregular non- capsulated mass in John's rectum. The GP arranged a consultation with a gastrointestinal specialist. The specialist scheduled a colonoscopy for John the following week. During the colonoscopy, a biopsy was taken of the large sessile lesion located in the proximal third of John's rectum. Three polyps were also removed from John's colon. The biopsy results confirmed a stage IIA rectal adenocarcinoma.

Following the above findings John was scheduled for surgery the following day to have an abdominal-perineal resection and the formation of a sigmoid colostomy.

There were no complications reported during John's surgical procedure. Postoperatively John has been commenced on analgesia of I.V. Morphine 2.5mg - 5mg PRN 2-4 hourly and I.V. 4mg-8mg Ondansetron PRN 8 hourly for nausea.

Additional Medical/Social background:

John states that his father died from bowel cancer at the age of 84 years old and his younger brother was diagnosed with Crohn's disease when he was 18 years old. John states he was quite active as a "young man"but over the last 10 years does not do any form of regular exercise and has gained 20kgs. He did admit to the "occasional"cigarette on the weekends but did say how he was proud to have now "given up"regular smoking of cigarettes for the last 5 years. John's current weight is 107kgs.

In addressing the Australian National Health Priority Area of Cancer Control, use a person-centred care approach to respond to the following:

Question 1: Postoperatively, Mr. Hemsley has been ordered PRN I.V. 2.5mg to 5mg Morphine for his pain relief. Discuss one (1) nursing care consideration for the safe administration of this medication?

Question 2: Discuss one (1) non-pharmacological nursing comfort measure you can undertake to help manage Mr. Hemsley's postoperative pain.
Question 3: A sigmoid colostomy was performed on Mr. Hemsley during surgery. Discuss one (1) nursing consider- ation when caring for the patient with a colostomy during the postoperative period.

Details

- Each question should be answered separately.
- Answers are to be written in a formal academic tone without colloquial or slang words.
- Answers are to be written in the third person (he/she or they/them/their). Do not use I/my/our/your.
- Answers are to be written clearly and concisely using correct spelling and grammar and written in complete sentences and paragraphs.

Attachment:- Health Variations.rar