NURS6019 High Acuity Nursing | My Assignment Tutor

NURS6019 High Acuity Nursing Assessment 1: Essay Marking Rubric 2021 Element Introduction. Context: Understanding of clinical situation. Application and rationale for nursing care. Unsatisfactory No introduction or poor introduction. Little evidence of understanding of clinical situation. Unable to apply nursing assessments and interventions to clinical situation. Inappropriate or no application or rationale for nursing care/ interventions provided. Little relevance to specific case scenario. Does not use a systematic approach for assessments /interventions. Pass Basic introduction. Mentions the chosen nursing care, complication/s, scope and context of essay. Essay shows the student has a basic understanding of the clinical situation and appropriate application of the context. Complication/s or clinical condition adequately identified. Basic rationale provided for nursing assessments/ interventions. Demonstrates a basic understanding of why complications might be considered in this case study. Uses a systematic approach for nursing assessments /interventions. Credit Good introduction with scope, nursing care area, complication/s and context clearly defined. Good grasp of the clinical situation. Covers content well and links content to the clinical situation chosen area of care and context. Good understanding and application of the necessary nursing assessments/ interventions. Rationale for these interventions is well linked to the case scenario. Demonstrates an understanding of why these complications might be considered in this case study. Distinction Scope and context of essay clearly defined but lacks the clarity of an outstanding response. Shows a good appreciation of the clinical situation accompanied by well described and appropriately prioritised nursing assessments and interventions. Excellent application. Excellent grasp of principles of care and nursing assessments/ interventions. Covers content well, links content to the case and provides detailed rationale for care provided to the patient. Demonstrates a sound understanding of potential complications relevant to the patient or the clinical situation. High distinction             Excellent introduction. Scope and context of the paper well explained and supported with real clarity.               Reflects outstanding effort and sound understanding of the patients’ clinical situation. Effectively identifies and prioritises nursing assessments and interventions relevant to the case study in order to prevent further deterioration. All areas covered and examined in impressive detail.               Excellent application of nursing assessments/interventions to case study. Effectively identifies and articulates potential complications relevant to the case study. Demonstrated clinical and physiological understanding enable a good description of how these complications are relevant to the case.               Analysis. Little evidence of analytical ability. Poor grasp of the subject matter. Some analysis, mostly descriptive. Addresses key concepts relevant to the topic and complication or clinical presentation. Good analysis. Draws relevant conclusions. Clearly explains and addresses topic, complications and nursing care. Clearly links nursing care to the case study. Excellent analysis and application. Content areas very well covered with relevant and accurate support.             Referencing Poorly structured essay. Lack of academic writing conventions. Unconnected ideas. Satisfactory essay structure. Minor typographical and grammatical errors but follows academic writing conventions. Well-structured essay. Well- developed written communication skills, obviously carefully edited. Excellent writing and essay structure. Clear expression of ideas. Highly developed synthesis and analysis. Develops an argument to support evidence-based practice, covers content comprehensively.   Writing. Very well written. Demonstrates high level of scholarship.                       Poor referencing style. Some relevant evidence-based Style accurate. Evidence of Style accurate. Assignment reflects Essay reflects outstanding structure Not all sources cited. sources but no evidence of relevant nursing literature and considerable effort in searching, and very accurate referencing. Style and quality.     Poor quality of reference material. Unrelated/unreliable or non-nursing.   wide reading and lack of adequate and relevant nursing literature. Style accurate  good use of evidence-based sources linked to the case study and essay content.    reading and applying a range of relevant evidence-based, nursing material.   Outstanding effort in the collection of evidence to identify best practice. Excellent use of research.   Conclusion.      No/poor conclusion.    Conclusion present but not well developed.   Clear conclusions developing out of the work and clarify Assessment details Mr Chan is a 76-year-old retired teacher. He has fallen from a ladder while cleaning the gutters on his two-story house. His neighbour called an ambulance and he has been transferred to the emergency department of a major city hospital. He was found on his left side. At the scene he complains of pain on the left side of his chest, abdomen, and his left for arm. He was conscious at the scene and his GCS was 15. He was breathing spontaneously at a rate of 28bpm, Spo2 96%, Heart rate 110bpm, BP 140/80mmHg and temp 35.6 degrees Celsius. Paramedics administer oxygen via a non-rebreather mask at 15L/min. They immobilise him on a back board and apply a cervical collar. They insert a 18 gauge IV cannula in his right forearm and have commenced 0.9% Sodium Chloride. They administer morphine for pain and transport him to the emergency department of a major city hospital. On arrival in the emergency department he is awake and able to recall his fall. He complains of pain on the left side of his chest and abdomen on palpation and in his left forearm. His GCS remains 15. He is breathing spontaneously at a rate of 30 bpm, Spo2 94% on the non-rebreather, Heart rate 120bpm, BP 98/60mmHg and temp 35.6 degrees Celsius.  On examination Mr Chan has suffered the following injuries. Fractured ribs 8-10 and left Haemothorax, Fractured left radius and ulna, ruptured spleen. Please choose one of the following questions. 1. Outline nursing assessments and interventions in order of priority that would occur in the emergency department.  When providing your response, you should consider any potential complications the nurse might expect Mr Chan to encounter? You should outline the nursing interventions in order of priority using a systematic approach that would be appropriate to prevent Mr Chan’s condition from getting worse and to prevent further development of any complications you identify.     2.  After he is stabilised in the emergency department Mr Chan is sent to surgery for repair of his fractured forearm. This involved insertion of a    plate and screws. A left sided chest drain was inserted and a subclavian central line.  A laparotomy was performed to remove his ruptured spleen.  Post operatively Mr Chan is transferred to the surgical high dependency ward. You are the nurse caring for Mr Chan in the surgical high dependency ward. He is monitored in sinus rhythm 123 bpm, with an arterial line BP 100/70mmHg, he is currently receiving 2L of nasal prongs with a saturation of 93%, Temp 37.2 degrees celsius. Discuss the nursing assessments and interventions you would perform for Mr Chan in the high dependency unit. When providing your response, you should consider any potential complications the nurse might expect Mr Chan to encounter? You should outline the nursing interventions in order of priority that would be appropriate to prevent Mr Chan’s condition from getting worse and to prevent further development of any complications you identify.  This assessment should be submitted in a modified essay format. This means students are required to include an introduction, body, and conclusion in their work. Headings are acceptable but dot points, lists, pictures, and tables are not. You are required to write an essay of 2,500 words. This assessment requires you to explore the evidence base for nursing care in a high acuity environment. You will need to analyse the current literature including research papers and journal articles to answer the question. The essay must show evidence of critical analysis, synthesis, and evaluation of relevant research literature. That is, textbooks and other secondary sources do NOT qualify as suitable reference material for uncovering the evidence base for best practice. PubMed, The Cumulative Index of Nursing and Allied Health literature (CINAHL) and Medline are useful sources to locate the research evidence for this essay.  Protocols may be used as references if relevant to the case study and contemporary Australian nursing practice.

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