Topic: Scenario aged care
Assessment Item 2, Semester 2 2012, 1976NRS Nursing Practices
1500 words (weighting 40%)
Scenario
You are allocated to care for a group of 5 residents in an aged care facility which houses a Dementia Unit. One of your clients, Mary Canley (85 yrs), confides in you that she has been incontinent of faeces and has increasing abdominal discomfort. Reading her care plan you find that she is usually continent. Mrs Canley occupies a bed in Room 1 (see ward plan in assessment section). When you speak to the Nurse in Charge of the Unit and she says that another resident in the Dementia Unit has just complained of stomach cramps and diarrhoea.
Essay task What you need to do
Discuss the nursing care required in the above scenario. Your discussion should be based on evidence and utilise a reflexive decision making approach to nursing care.
Your essay discussion should include the following:
1) Evidence from research to support your clinical decisions and care implementation.
2) Describe how this type of infection can be spread within healthcare facilities and outline the possible risks to patients and / or nurses.
3) Identify best practice for preventing the spread of this infection.
4) Hygiene maintenance and manual handling risks for both clients and staff.
5) Nutritional management including monitoring and maintaining fluid and electrolyte balance for Mrs Canley during your shift.
For information only:
This assessment item aIDresses the learning outcomes as outlined in you course objectives for 1976NRS as below:
1. Use a reflexive decision making approach to the provision of pro-active and responsive nursing support for the activities of daily living.
2. Understand and apply principles and strategies that constitute safe nursing care which optimises health outcomes and minimises risks to individuals and groups.
3. Recognise and respect socio-cultural diversity, where this is based on factors such as ethnicity, material resources, geography, religious beliefs, gender and age, and in a way that is responsive to the needs and rights of individuals and groups.
4. Implement strategies to ensure a safe environment.
6. Critically reflect on nursing practices and their application in various health care contexts
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