Health Assessment and Nursing Interventions for an Elderly Patient with Multiple Comorbidities
Saint Francis UniversitySchool of Health SciencesBachelor of Nursing (Honours) Programme (AY2023-2024) Summative Assessment
Programme/ Course: Bachelor of Nursing (Honours) ProgrammeCourse Title: Health AssessmentCourse Coordinator: Ms. Anna TangCourse Code: NUR203b
Assignment GuidelinesIndividual Project (50%)Due date: 22/04/2024 on or before 17:00Purpose: This assessment is allowed students to provide an overview of health problems through the analysing and synthesizing the subjective and objective data in physical assessment. It helps to make the possible clinical conditions related to nursing diagnosis for implement appropriate nursing interventions to address the health needs of client.Submission guideline:
Each submitted essaymust have a cover pageThe essay should be formatted appropriately as stated in this document.Each student must sign on the cover page and fill in all the fields as requested.The actual word count is 1600 words (+/- 10%), which must be clearly stated on the cover page. Words beyond the word count will not be markedA soft copy should be submitted as a single PDF file to Moodleby 22/04/2024 on or before 17:00, and an identical hardcopy filealso need to submit to the Assignment Box located at 8/F, SFUAny late submission is subject to a 5%-mark deduction penalty for each calendar dayEach student has only one chance of submission. No repeated submission is allowed. The first submission is considered final. All subsequent submission(s) will not be marked.No Turnitin is required
Submission Format:
Font style: Times New Roman.Font size: 12.Margins: 2.5cm margin in each side of pages.Spacing: double-spaced.All pages must be numbered (at the center of the bottom of each page).Write your student ID ONLY at the right top corner of each page.The softcopy of the project should have a white background with the text in black. It is submitted to the collection box (with named of your assigned Workshop Teacher) in Moodle. Upload ONLYpdf format fileNo email submission is allowed.
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Cover pageTable of contentIntroductionAssessmentPlanning and implementationEvaluationConclusionReference
Marking criteria:IntroductionDescribe the background information of the given scenarioAssessment:– History taking by using the Patient Assessment Form (PAF) to elaborate client’s current physio-psychosocial status according to the related questions- Analysis and describe the assessment findings from TWO problematic body systemsPlanning and implementation– Describe and interpret clearly the Subjective Dataof the client
Describe and interpret clearly the Objective Dataof the clientDifferentiate normal and abnormal findingsEstablish FIVE specific and realistic nursing care/ intervention of each problematic body system for the client
Evaluation– Describe the appropriate and relevant methods used to evaluate the effectiveness of the progressConclusion
Provides a clear, precise, and concise summary of the care
Writing skills
Logical flow and showing ability to organize
Format and style
Correct spelling, punctuation and grammarCorrect use of the APA (7th ed.) (2020-21) referencing guide
Academic Honesty and PlagiarismPlagiarism is an unacceptable and undesirable practice. Serious attention is drawn to the policies for honesty in academic work. Details can be found in the Student Handbook for CIHE Sub-degree Programmes 2023-2024. Students are strongly reminded that the assignment must be your ownwork. Copying from other people’s work and quoting of others’ ideas without proper citation and the use the APA referencing style, see CIHE Library (2020) APA Referencing Guide. A ZERO mark will be given if the student(s) is/are found to have plagiarized.
ScenarioProgress NoteHosp No.: HN 24000133Name: Lee LoiHKID: A123321(A)李來DOB: 01/01/1942Sex: FAge:80Ward: S4SPEC: MEDProgress Date: 21/3/2024Entry Date: 21/3/2024Last updated by: Peter Sinon 21/3/2024 07:30Progress: 80/FNKDAMarried, lives with daughterADL-partial dependence, walk with frame at day time Chronic smoker: over 30 yearsPHxHypertension, congestive heart failure, atrial fibrillation on warfarinEmergency admission xxxxxx P/E:Conscious but tired looking, able to answer simple questionsSlurring-speak, verbal report of slip and fell at home twice in recent two weeks GCS 14/15 (E3V5M6)BP 168/92 mmHg Pulse: 148bpmRR:16/minTemp: 36.2C SpO2: 95% in room airTOCC: -veComplaint of right-side weakness x 2/7 with no trauma Limb power left 5/5, right side 4/5Paralysis of face and right eye drop Generalizes oedema x 1/52 Increase headache in recent monthOn self-medication (claimed use pain killer_ Panadol), pain cannot be subsidedChest: clearAir entry: normal HSD with murmurBilateral lower limbs swelling caused by CHF Engorged neck vein observedBW: 60KgBH: 1.77M
Progress NoteHosp No.: HN24000133Name: Lee LoiHKID: A123321(A)李來DOB: 01/01/1942Sex FAge 80Ward: S4SPEC: MEDProgress Date: 21/3/2024Entry Date: 21/3/2024Last updated by: Peter SinProgress: ECG: fast AF 168 beats/min CXR: cardiomegalyCT brain: left hypodense lesion, ischemic changesIMP: xxxxxxxCurrent medicationsNumberMedicationRoute/Dosage/Frequency
Mx:BP/P, GCS Q4HCardiac monitorFluid restriction 1L/day Strict I/OChecking blood x CBP/RFT/LFT/TnT, clotting profile to titration of warfarin BW dailyInform MO if decrease GCAdd Amiodarone loading dose 150mg in D5 100ml over 30 minutes Repeat ECG after loading doseSigned:Peter SinDr. Peter Sin MO 2343
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