59525 – Nursing assignment._ critical discussion paper related

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._ paper to the nursing management2000 Words LimitSubmit a discussion paper related to the nursing management of Mrs. Jane Smith case below, with the support of .Scenario:Mrs. Jane Smith is an 80 year old woman who was admitted to ED at 1730 with the history of un-witnessed fall. She was found on the floor by her son. She was unable to stand up. In ED she was found to be in excruciating pain. Her right Leg appeared to be shortened and internally rotated. It was noted she had multiple bruising over her right arm and face and a 4 cm laceration to her right lower arm. She was administered intranasal Fentanyl 100 Mcg by the Ambulance crew.Her Vital Signs: BP – 147/77 mmHg, HR 112/min – Irregular, RR – 24/min Spo2 – 99% RA, temp; 37.2GCS – E3 V4M6 = 13/15.Regular Medication Medication given in Emergency Dept.Rivaroxaban 15 mg Bupivacaine + fentanyl femoral blockThyroxine 50 mcg Panadol 1 gAmiodarone 100mg Neurofen 400 mgMetoprolol 25 mg Morphine 5 mgMrs. Jane Smith had blood taken. She has a chest x-rays which was NAD, and Right hip X-Ray which revealed # neck of femur.CT scan of her head has been ordered, which is yet to be doneA – Allergies – PenicillinM – as mentioned aboveP – Hypothyroidism, HTN, AF, IHD multiple fallsL – Last ate around noonE – Events – Does not remember events leading to the fallThe discussion paper should address the following issues:1. What data deviate from normal findings, suggesting the needs for further investigation?2. What additional information should the nurse ask or question for?3. Describe the patient’s presenting problem focusing on the pathophysiological issues.4. Identify 2 nursing diagnosis that needs immediate interventions and the nursing management appropriate for the patient and evaluations of the nursing management plans presented in the literature.5. Explain the pharmacokinetics of the prescribed medications in ED and their indications.6. nursing management of the prescribed medication in ED, the adverse effects of the medications, contraindication, and side effects, with the age of the patient in mind, using evidence-based literature.7. Describe in detail the information you would share with the patient and how you will educate the patient about the interactions and long-term effects of the regular medications of Mrs. Jane Smith.Criteria:1. Nursing ManagementA # A presentation of abnormal data suggesting the need for further investigation, additional information should the nurse ask or question for and the pathophysiology of the presenting problem with supporting literatureB# Identify 2 nursing diagnosis that needs immediate interventions, the nursing management appropriate for the patient and evaluations of the nursing management plans presented in the literature (peer review/evidence-based practice sources)2. Application of pharmacology to practiceA# Explain the pharmacokinetics of the prescribed medications in the ED and their indications with supporting literature.B# nursing management of the prescribed medications in ED, the adverse effects of the medications, contraindications, and side effects, with the age of the patient in mind, using evidence-based peer-reviewed literature.C# Describe in detail the information you would share with the patient and how you will educate the patient about the interactions and long-term effects of the regular medications (with supporting peer-reviewed literature) of Mrs. Jane Smith.Critical and synthesis supported by relevant and credible literature1. Critical of the issues2. Evidence of original ideas3. Relevant and credible literature were integrated into the arguments. Sequencing and Structure1. A logical flow of ideas2. grammar, spelling and punctuation3. An appropriate essay structureSource and Referencing1. Accurate APA 7th referencing style2. Relevant and updated literature3. Minimum 15 References not older than 10 years4. APA 7th Format

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