QUESTION
HLTEN606A: Assess clients and manage client care
Case Study
_________________________________________________________________________________
Topic: Peter Weaver Case Study
Referencing: Harvard system as per Holmesglen Learning Common guidelines
This assignment requires in-text referencing
Sources: Research for this case study should be undertaken through access of
textbooks, journals and academic/clinical websites only. Do not access
information from unprofessional websites.
Word Count: Each question must total 200-250 words.
Marking Guide: See marking guide for allocation of marks
Please attach a marking guide to your assignment submission
_________________________________________________
Patient History and Presentation:
Peter Weaver is a 52 year old gentleman who was involved in an MCA. He sustained multiple injuries to his head, chest and abdomen. His wife died in the accident. Peter had a blood alcohol reading of 0.12 on admission. He has no medical history and is not on any medications.
Peter was admitted to the ICU on 16/5/12 and transferred to the HDU on the 22/5/12. During his time in ICU, he required mechanical ventilation for respiratory support. He had an unstable blood pressure and required an Adrenaline infusion.
You are team nursing. Peter is a patient in your care in the HDU. The RN Div 1 allocates you to perform a nursing assessment on Peter. These are your findings:
CNS: eyes open to speech. Pupils equal and reacting to light. Obeys command.Moving all limbs equally.Disoriented to time, place and person. Appears restless and is trying to get out of bed.Unable to determine pain scale due to confusion.
CVS: Peripherally warm and dry. No peripheral oedema. Heart rate 60bpm sinus rhythm.BP 150/90 mmHg. Temperature: 38.5C. Arterial line L) radial artery.CVC insitu R) subclavian vein. Hydration Normal Saline @ 50ml/hr
Respiratory: RR = 28 resps/min. Wheeze on inspiration. Coughing up green sputum.Short of breath on minimal exertion.Chest tube (ICC) insitu R) lung.Draining haemoserous fluid.On Underwater Seal Drainage.ICC dressing dry and intact. Dressing changed 21/5/12
Renal: IDC insitu. Draining 40-80ml/hr.Clear, non-offensive urine. Inserted 16/5/12. Fluid
Balance = 1500ml +ve
GIT: Abdomen soft, non-tender. Bruising at S/C heparin sites.Tolerating diet and fluids.
Endocrine: BGL= 5.5mmol./L
Musculoskeletal: #R ankle- POP; #R clavicle- sling
Skin: Moist. Good skin turgour. Redness on L)buttock. No skin tears. Old bruising from seat belt healing- yellow in colour. Abdominal bruising at S/C injection sites
Social: Visited by his daughter and son. They have come from the funeral of their mother who was killed in the MCA. Peter is involved in local community work and is a volunteer for the CFA, SES and World Vision.
Spiritual: Peter and his family regularly attend services at their local Anglican church. Peter has been visited by leaders and members of his church community. Peter supports various mission organisations and has travelled to some remote communities to voluntarily assist in building projects
Instructions:
This assessment requires you to complete the following questions about Peter Weaver.
Each question should be answered in 200-250 words. Your work must be referenced.
Psychosocial client care
- Peter’s family are very angry about the circumstances of the accident. There are long-term emotional issues within this family and they are expressing their grief through anger directed at doctors, nursing staff and Peter himself. How can this situation be managed to promote emotional healing of Peter and his family? You should include ethical/psychosocial expectations of healthcare workers in your answer.
Reflective thinking
- Peter’s path to recovery will be a process of physical and emotional challenges. How can nursing staff assist their clients recover from such traumatic, life-changing events? How do nurses develop a discharge plan for client’s and their families in these situations?
Mission/Value Statements
- Healthcare facilities define their mission statement/values/philosophy. This statement underpins their code of practice. Select a statement/mission/philosophy of one Australian hospital and discuss how their code of practice may be reflective of Peter and his family’s personal and social belief system.
- HLTEN 606A: Assess clients and manage client care – Case study marking guide
- Student Name…………………………………………………………………………
| Nursing Models |
10 marks |
8 marks |
6 mark |
4 marks |
0 marks |
mark |
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/10 |
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/10 |
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| Psychosocial care |
10 marks |
8 marks |
6 mark |
4 marks |
0 marks |
mark |
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The student:
|
Identifies and discusses specific healthcare strategies to promote emotional healing of Peter and his family. Includes specific ethical/psychosocial expectations of healthcare workers in the discussion and links discussion to identified patient problems.. Provides references to support their discussion. Question is answered to a very high standard |
Identifies healthcare strategies to promote emotional healing of Peter and his family. Includes ethical/psychosocial expectations of healthcare workers in the discussion with some link to patient scenario. Provides references to support their discussion. Question is answered to a high standard |
Identifies healthcare strategies to promote emotional healing of Peter and his family. Includes ethical/psychosocial expectations of healthcare workers. No links to patient scenario. Provides references to support their discussion. Question is answered to a satisfactory standard |
Minimal discussion of healthcare strategies to promote emotional healing of Peter and his family. Includes minimal ethical/psychosocial expectations of healthcare workers. No links to patient scenario. No references provided to support their discussion. |
No discussion of healthcare strategies to promote emotional healing of Peter and his family. No ethical/psychosocial expectations of healthcare workers. No links to patient scenario. No references provided. |
/10 |
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| Reflective thinking |
10 marks |
8 marks |
6 marks |
4 marks |
0 marks |
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The student:
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Demonstrates advanced reflective thinking skills specific to patient scenario. Question is answered to a very high standard. | Demonstrates strong reflective thinking skills Question is answered to a high standard.
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Demonstrates reflective thinking skills . Question is answered to a satisfactory standard
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Demonstrates minimal reflective thinking skills. Question answered to a minimal standard
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Does not demonstrate reflective thinking skills. |
/10 |
| Missions/Values |
10 marks |
8 marks |
6 marks |
4 marks |
0 marks |
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| The student: | Demonstrates advanced critical thinking and reflective skills specific to patient scenario. Discussion is considered, sympathetic and indicates students ability to reflect on a specific needs during hospital admission. Question is answered to a very high standard and | Demonstrates strong reflective and critical thinking skills. Question is answered to a high standard | Demonstrates reflective and critical thinking skills . Question is answered to a satisfactory standard
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Demonstrates minimal reflective and critical thinking skills. Question answered to a minimal standard
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Does not demonstrate reflective and critical thinking skills. Does not link to patient scenario. |
/10 |
| Presentation: |
5 marks |
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2 mark |
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0 marks |
mark |
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The work is: |
Grammatically correct with all spelling correct to either Australian or USA standards.Appropriate syntax and tense used throughout. Professional formatting and presentation |
Under five errors of either grammar or spelling.Under ten (10) errors of syntax or tense. Presentation formatted to an acceptable standards |
Over five errors of grammar OR spelling OR Over ten (10) errors of syntax ortense. Not presented in professional format |
/5 |
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| Referencing |
5 marks |
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2 marks |
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0 marks |
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The work is: |
Referenced according to Holmesglen Learning Commons with no mistakes in spelling or formatting |
Referenced according to Holmesglen Learning Commons with up to 5 mistakes in spelling and/or formatting |
Referenced but may not be to Holmesglen Learning Commons and may contain 5 or more mistakes in spelling and/or formatting. |
/5 |
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SOLUTION
HLTEN606A: Assess clients and manage client care
Case Study
_________________________________________________________________________________
Topic: Peter Weaver Case Study
Referencing: Harvard system as per Holmesglen Learning Common guidelines
This assignment requires in-text referencing
Sources: Research for this case study should be undertaken through access of
textbooks, journals and academic/clinical websites only. Do not access
information from unprofessional websites.
Word Count: Each question must total 200-250 words.
Marking Guide: See marking guide for allocation of marks
Please attach a marking guide to your assignment submission
_________________________________________________
Patient History and Presentation:
Peter Weaver is a 52 year old gentleman who was involved in an MCA. He sustained multiple injuries to his head, chest and abdomen. His wife died in the accident. Peter had a blood alcohol reading of 0.12 on admission. He has no medical history and is not on any medications.
Peter was admitted to the ICU on 16/5/12 and transferred to the HDU on the 22/5/12. During his time in ICU, he required mechanical ventilation for respiratory support. He had an unstable blood pressure and required an Adrenaline infusion.
You are team nursing. Peter is a patient in your care in the HDU. The RN Div 1 allocates you to perform a nursing assessment on Peter. These are your findings:
CNS: eyes open to speech. Pupils equal and reacting to light. Obeys command.Moving all limbs equally.Disoriented to time, place and person. Appears restless and is trying to get out of bed.Unable to determine pain scale due to confusion.
CVS: Peripherally warm and dry. No peripheral oedema. Heart rate 60bpm sinus rhythm.BP 150/90 mmHg. Temperature: 38.5C. Arterial line L) radial artery.CVC insitu R) subclavian vein. Hydration Normal Saline @ 50ml/hr
Respiratory: RR = 28 resps/min. Wheeze on inspiration. Coughing up green sputum.Short of breath on minimal exertion.Chest tube (ICC) insitu R) lung.Draining haemoserous fluid.On Underwater Seal Drainage.ICC dressing dry and intact. Dressing changed 21/5/12
Renal: IDC insitu. Draining 40-80ml/hr.Clear, non-offensive urine. Inserted 16/5/12. Fluid
Balance = 1500ml +ve
GIT: Abdomen soft, non-tender. Bruising at S/C heparin sites.Tolerating diet and fluids.
Endocrine: BGL= 5.5mmol./L
Musculoskeletal: #R ankle- POP; #R clavicle- sling
Skin: Moist. Good skin turgour. Redness on L)buttock. No skin tears. Old bruising from seat belt healing- yellow in colour. Abdominal bruising at S/C injection sites
Social: Visited by his daughter and son. They have come from the funeral of their mother who was killed in the MCA. Peter is involved in local community work and is a volunteer for the CFA, SES and World Vision.
Spiritual: Peter and his family regularly attend services at their local Anglican church. Peter has been visited by leaders and members of his church community. Peter supports various mission organisations and has travelled to some remote communities to voluntarily assist in building projects
Instructions:
This assessment requires you to complete the following questions about Peter Weaver.
Each question should be answered in 200-250 words. Your work must be referenced.
Psychosocial client care
- Peter’s family are very angry about the circumstances of the accident. There are long-term emotional issues within this family and they are expressing their grief through anger directed at doctors, nursing staff and Peter himself. How can this situation be managed to promote emotional healing of Peter and his family? You should include ethical/psychosocial expectations of healthcare workers in your answer.
Reflective thinking
- Peter’s path to recovery will be a process of physical and emotional challenges. How can nursing staff assist their clients recover from such traumatic, life-changing events? How do nurses develop a discharge plan for client’s and their families in these situations?
Mission/Value Statements
- Healthcare facilities define their mission statement/values/philosophy. This statement underpins their code of practice. Select a statement/mission/philosophy of one Australian hospital and discuss how their code of practice may be reflective of Peter and his family’s personal and social belief system.
- HLTEN 606A: Assess clients and manage client care – Case study marking guide
- Student Name…………………………………………………………………………
| Nursing Models |
10 marks |
8 marks |
6 mark |
4 marks |
0 marks |
mark |
|
/10 |
||||||
|
|
|
|
|
|
|
|
|
/10 |
||||||
| Psychosocial care |
10 marks |
8 marks |
6 mark |
4 marks |
0 marks |
mark |
|
The student:
|
Identifies and discusses specific healthcare strategies to promote emotional healing of Peter and his family. Includes specific ethical/psychosocial expectations of healthcare workers in the discussion and links discussion to identified patient problems.. Provides references to support their discussion. Question is answered to a very high standard |
Identifies healthcare strategies to promote emotional healing of Peter and his family. Includes ethical/psychosocial expectations of healthcare workers in the discussion with some link to patient scenario. Provides references to support their discussion. Question is answered to a high standard |
Identifies healthcare strategies to promote emotional healing of Peter and his family. Includes ethical/psychosocial expectations of healthcare workers. No links to patient scenario. Provides references to support their discussion. Question is answered to a satisfactory standard |
Minimal discussion of healthcare strategies to promote emotional healing of Peter and his family. Includes minimal ethical/psychosocial expectations of healthcare workers. No links to patient scenario. No references provided to support their discussion. |
No discussion of healthcare strategies to promote emotional healing of Peter and his family. No ethical/psychosocial expectations of healthcare workers. No links to patient scenario. No references provided. |
/10 |
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| Reflective thinking |
10 marks |
8 marks |
6 marks |
4 marks |
0 marks |
|
|
The student:
|
Demonstrates advanced reflective thinking skills specific to patient scenario. Question is answered to a very high standard. | Demonstrates strong reflective thinking skills Question is answered to a high standard.
|
Demonstrates reflective thinking skills . Question is answered to a satisfactory standard
|
Demonstrates minimal reflective thinking skills. Question answered to a minimal standard
|
Does not demonstrate reflective thinking skills. |
/10 |
| Missions/Values |
10 marks |
8 marks |
6 marks |
4 marks |
0 marks |
|
| The student: | Demonstrates advanced critical thinking and reflective skills specific to patient scenario. Discussion is considered, sympathetic and indicates students ability to reflect on a specific needs during hospital admission. Question is answered to a very high standard and | Demonstrates strong reflective and critical thinking skills. Question is answered to a high standard | Demonstrates reflective and critical thinking skills . Question is answered to a satisfactory standard
|
Demonstrates minimal reflective and critical thinking skills. Question answered to a minimal standard
|
Does not demonstrate reflective and critical thinking skills. Does not link to patient scenario. |
/10 |
| Presentation: |
5 marks |
|
2 mark |
|
0 marks |
mark |
|
The work is: |
Grammatically correct with all spelling correct to either Australian or USA standards.Appropriate syntax and tense used throughout. Professional formatting and presentation |
Under five errors of either grammar or spelling.Under ten (10) errors of syntax or tense. Presentation formatted to an acceptable standards |
Over five errors of grammar OR spelling OR Over ten (10) errors of syntax ortense. Not presented in professional format |
/5 |
||
| Referencing |
5 marks |
|
2 marks |
|
0 marks |
|
|
The work is: |
Referenced according to Holmesglen Learning Commons with no mistakes in spelling or formatting |
Referenced according to Holmesglen Learning Commons with up to 5 mistakes in spelling and/or formatting |
Referenced but may not be to Holmesglen Learning Commons and may contain 5 or more mistakes in spelling and/or formatting. |
/5 |
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| Total |
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LC66
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