Assignment:Care of a Person with Major Burn

NUR250: Medical Surgical Nursing-Report Writing Assignment

Topic: Nursing care of a person with a major burn

Shift handover:

Marion was admitted 5 days ago with burn injuries to her lower legs, back and posterior side of her lower arms. Extent of the burns is estimated at approximately 40% and depth is variable but there is an extensive area of partial and full thickness burn on her back and posterior thighs.Marion was transferred to the ward from the intensive care unit yesterday afternoon following fluid resuscitation and initial surgical debridement. She is now 6 days post burn injury. Today she is booked on the afternoon theatre list for further debridement, harvesting of autologous split skin grafts and replacement of the nasogastric tube. Overnight her vital signs have been stable, urine output satisfactory and she is reporting she is comfortable with minimal pain. She is currently nil by mouth in preparation for theatre
but has been tolerating oral food and fluids prior to this. However, there has been some concern about caloric and nutrient intake. She has intravenous fluids running at maintenance and an indwelling catheter in situ. She is not reporting any nausea or other discomfort at present but is getting frustrated at having to rely on others to help with her personal care and daily activities.Full and partial thickness burns are covered with a silver impregnated dressings that are difficult to keep in place due to location of injuries. Superficial burns have hydrogel dressings where possible and some areas require regular application of an emollient. Current medications include a transdermal fentanyl patch, panadeine forte 4/24 and nitrous oxide prn as well as an anti-emetic, vitamin and mineral supplements and an aperient.
Prophylactic intravenous antibiotics were commenced this morning.Her husband is visiting regularly but his time is limited due to childcare and work commitments. He brings their 2 young children on most afternoons for a short visit. There are no other family members living locally but her mother and sister are arriving in the next few days. Marion is quite concerned about how the family is going to manage over the next few months.

Assignment:Care of a Person with Major Burn

Assignment:Care of a Person with Major Burn

Question:

Task 1:Based solely on the handover you have received and in grammatically correct sentences identify the:
1. 3 nursing problems you think are the most important while caring for Marion today AND For each nursing problem above, identify
a.What it is related to
b. Why it is a priority for you today

Task 2:Based solely on the handover you have received and using the template,develop a full nursing care plan for Marion today. Your plan must address the physical,functional and psychosocial aspects of care.For each nursing problem on your plan, identify your
a. Goal of care
b. Nursing interventions or actions
c. Rationales for interventions
d. Expected outcome of care

Task 3:Two important aspects of medication management by registered nurses is for the nurse to understand why a patient has been prescribed specific medications and how to monitor the patient to ensure they are responding to prescribed medications as they should.In grammatically correct sentences and using current, reliable evidence for practice, briefly explain why Marion has been prescribed

a. Fentanyl via transdermal patch
b. Vitamin and minerals supplements
c. An aperient ANDExplain
d. The nursing responsibilities associated with administering the 3 medications above
e. How you will monitor Marion to ensure she is responding appropriately to these 3 medications you are administering today

Assignment:Care of a Person with Major Burn

Assignment:Care of a Person with Major Burn

Task 4:An important and legal requirement of nursing practice is to communicate relevant information,
actions and outcomes related to patient care and provide accurate reflection of the health status of the patient, their responses to care and the patient’s perspective.Using a succinct, narrative format and only the relevant information in the shift handover and the additional information below
a. Write a progress note entry that clearly and succinctly outlines the important information other health professionals, including other nurses, need to know about Marion at the end of your shift today Additional information you need to know for Task 4 During your shift the following information and events have occurred On return to ward following surgery
b. Post op orders: NBM, nasal prong oxygen to continue til review tomorrow morning, IV fluids, IDC, analgesia changed to morphine via PCA, IV antibiotics continue, burn dressings to remain intact for 24 hrs, donor site dressings to remain intact for 3 days, NBM until review, no enteral feeds until review.
c. Post op assessments:
d.Vital signs slightly elevated
e. 02 saturations 98%
f. Pain score 3-4
g. Drowsy but easily roused
h. Dressings intact, small amount of ooze
i. IV site satisfactory
j. Urine output > 30 ml/hour

Task 5:An important part of the clinical reasoning process is to reflect on what you have done and learnt
and to identify areas where you need further development and/or learning.In this item, reflect on your experience in preparing this assignment and identify,The three (3) most important things you have learnt about your level of underpinning knowledge and understanding and/or clinical reasoning skills while completing this assignment.Why these three (3) things are most important for you

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

 

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.