Discuss the immediate nursing priorities of care (including pharmacological and non-pharmacological interventions), the rationale for this approach, anticipated outcomes, and challenges to the efficacy.

You will have an option of two assessment methods: a) 1500-word case report You will be asked to select a patient from one of the 5 scenarios covered in the tutorial classes and then: 1. Explain the patient’s altered clinical signs (e.g., hypoxia, hypotension, tachycardia) in relation to the body’s compensatory mechanisms. 2. Provide evidence-based recommendations on patient care needs, including the immediate nursing priorities of care (e.g., pharmacological and non-pharmacological interventions). Report: A formal summary of a unique patient and his or her illness, including the presenting signs and symptoms, diagnostic studies, treatment course and outcome (Venes, 2017). Chosen Scenario: Sepsis You are a third-year student nurse working in the High Dependency Unit. You have just come in for your shift and have been given a patient handover. Situation: Barbara Davis is a 48-year-old American woman who was admitted to the hospital with a 36-hour history of progressively worsening abdominal pain, nausea, and vomiting. Background: Barbara has a past medical history of hypertension, type 2 diabetes mellitus and obesity, and takes regular medications for these conditions. Five days ago, she was admitted to the ICU and treated for acute pancreatitis. During the transfer to the hospital, paramedics inserted a peripheral intravenous catheter (PVC) in her right antecubital fossa to begin an infusion of normal saline at the maximum flow rate. Upon admission to the ICU, additional peripheral IV access was obtained to enable staff to convert the right antecubital insertion site to a saline lock. Within hours of ICU admission, Barbara became agitated, tachycardic, and hypertensive and due to profuse sweating, her dressing on the PVC site was repeatedly reinforced with tape. On day 5, Barbara’s clinical status improved, and she was transferred to HDU for observations. Assessment: On assessment in HDU, you notice that Barbara is unable to speak in full sentences, her RR is 40 breaths/min, has a rapid and shallow respiratory pattern, and she is using accessory muscles. Auscultation of the lungs doesn`t reveal any abnormalities, but her SpO2 dropped to 92% and on 8L/minute O2 via Venturi mask. Her HR is 140 beats/min (regular, sinus tachycardia), BP is 95/55 mmHg, CRT is 4 seconds, and her Temp is 39.2°C. Her peripheries are cool, her skin is mottled, and she is oliguric. Her BGL is 8.5mmol/L and she appears confused. When you remove the heavy tape and dressing from the old PVC site, you notice that there is some pus around the area, it looks red and is tender to touch. Managing Complex Care in Adult Nursing Summative Assessment Brief This assignment requires you to either write a case report or record a 10-minute PPT in the style of a clinical handover. There are 2 parts to this assessment. Part 1: Explain the patient’s altered clinical signs in relation to the body’s compensatory mechanisms. Part 2: Provide evidence-based recommendations on immediate patient management for your chosen case scenario. Your work should be submitted as one document. Part 1A (500 words): Physiological changes Select a patient from one of the 5 scenarios we have covered in the tutorial classes (either Pneumonia, Sepsis, Myocardial Infarction, Hypovolemic Shock or Acute Kidney Injury), critically examine, and explain the patient’s altered clinical signs (e.g., hypoxia, hypotension, tachycardia) in relation to the body’s compensatory mechanisms. Use evidence-based references to support your writing. All references used to support your writing should be presented following APA 7th guidelines. Part 1B (1000 words): Recommendations on patient management For your chosen patient, provide evidence-based recommendations for care based on their clinical presentation. Please include the following elements: • Discuss the immediate nursing priorities of care (including pharmacological and non-pharmacological interventions), the rationale for this approach, anticipated outcomes, and challenges to the efficacy. • Articulate appropriate clinical decision-making with an evidence base. For example, how you would prioritise the patient’s care needs (e.g., administration of oxygen, IV fluids, antibiotics) to ensure care is appropriate and timely? • Include supporting references related to the clinical problem throughout your writing (utilising where appropriate local, national, and international guidelines and current relevant nursing literature sources). Reference list (not included in word count) The reference list presented at the end of your writing should be in alphabetical order by the first author’s surname. References should be written in full, and no bullet points or numbers assigned to individual references in the reference list. Use the APA 7th reference guide to help you. Presentation Number of words: 1,500 Presentation: Double Spacing, Font Size 12, Style: Ariel and Academic Style (3rd person)

Last Completed Projects