Subject Code and Title Assessment Individual/Group Length Learning Outcomes Subm

Subject Code and Title
Assessment
Individual/Group
Length
Learning Outcomes
Submission
Weighting
Total Marks
ASSESSMENT 1 BRIEF
CAP203 Care of the person with an acute illness
Case study: Pre-operative care: Part 1
Individual
600 words (+/- 10%)
This assessment addresses the Subject Learning Outcomes listed at
the end of this document
Due by 11:55pm AEST/AEDT Sunday end of Module 2.1 (Week 3)
25%
100 marks
Assessment Task
This assessment is designed to assess your knowledge of pre-operative nursing care. After analysing
a case study you will answer a series of questions.
Please refer to the Task Instructions for details on how to complete this task.
Context
The Registered Nurse plays an important role in the preparation of a person for surgery. This
assessment provides you with the opportunity to apply theory to a clinical scenario. To complete this
assessment you will need to apply clinical reasoning processes as you examine and analyse a case
study. You will be required to integrate the information from analysis of the data provided, together
with your knowledge of pathophysiology, clinical manifestations and legal and ethical
considerations, to the holistic nursing care of a person during the pre-operative period of an acute
surgical admission. You will need to use the following processes from the clinical reasoning cycle to
complete the assessment:
collect cues/information
process information
identify problems/issues
Instructions
To complete this assessment, you will need to examine and analyse the case study presented below
and provide responses to the questions asked. For each question, you should provide a separate
heading. Each question has been given an estimated word count to give you direction in the amount
of information you need to provide. Bullet points can be utilised in your responses. You are not
required to provide an introduction or conclusion for this assessment.
Case study
Maria Romano is a 76 year old woman admitted to the Emergency Department via ambulance.
Maria fell when watering her garden and was unable to get up. She was lying in her garden for 3
hours until her daughter came home from work and found her.
Maria’s medical history includes osteoporosis, glaucoma and she has recently been diagnosed with
early dementia. She has no significant surgical history. Maria lives with her daughter Paulina and
Paulina’s husband, Sam.
Maria’s current medications include Aspirin 75mgs daily, Alendronate Sodium 10mg orally daily &
Latanoprost eye drops to both eyes nocte.
She was administered Intravenous Morphine and inhaled Methoxyflurane by the paramedics.
Assessment data:
Airway: patent
Respiratory rate: 18 breaths/min Oxygen saturation: 97% on room air
Heart rate: 90 beats/min
Blood pressure: 110/70 mmHg Capillary refill: 2 seconds
Right leg shortened and externally rotated
Right hip bruised and oedematous
Right foot pale, cool to touch, no paraesthesia or abnormal sensation, pedal pulse present
Alert: orientated to time and place
Pain score: 5/10 on rest. 7/10 on movement
Temperature: 35.5 C
X-rays reveal an Intertrochanteric fracture of the Right femur. Maria is seen by the Orthopaedic
surgeon and is scheduled for an Open Reduction and Internal fixation (ORIF) of the fracture. She has
been placed on Emergency Operating List and the anaesthetist has been contacted to perform a
femoral nerve block. The orthopedic registrar will visit Maria to gain consent for the surgery.
Maria is accompanied by Paulina, who is clearly upset about her mother’s hospitalisation. Paulina
informs you that she is so worried about how thin Maria is. She is also concerned that Maria has
been falling frequently over the past few months, she purchased a walking frame for Maria but she
rarely uses it. You note that Maria is upset that she is going to require surgery. She is worried about
her garden and who will water it while she is in hospital.
1) After reviewing the information above, identify the assessment data/information/risk factors that
would contribute to a diagnosis of a fractured neck of femur (100 words)?
2) Discuss the pathophysiology of osteoporosis and how this may have increased Maria’s risk of
sustaining a fracture (50 words).
3) Identify five additional assessments you would undertake to identify priorities for holistic person
centred care in the pre-operative period. Provide a brief rationale for each (200 words).
CAP203 Assessment1Brief
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4) Consider and briefly discuss any legal and ethical considerations relating to informed consent,
confidentiality and privacy from this scenario (200 words).
5) From your analysis of the data provided, identify four patient problems in the pre-operative
period (50 words)
Referencing
Please use a minimum of 5 credible resources to support your discussion. It is essential that you use
appropriate APA style for citing and referencing research. Please see more information on
referencing in the Academic Skills webpage.