Module 04 Written Assignment Nursing Diagnosispurpose Of The Assignm ✓ Solved
Module 04 Written Assignment – Nursing Diagnosis Purpose of the Assignment 1. Assist students in clustering assessment data when developing a nursing diagnosis. 2. Develop students’ ability to write client based outcomes when planning care. Course Competencies · Explain components of multidimensional nursing care for clients with musculoskeletal disorders.
Instructions Using the template below, write 3 NANDA-I approved nursing diagnoses in a proper format based on the client case provided below. Write one SMART client-centered goal for each nursing diagnosis. Consider the client’s medical history and medications. Riley Johnson, a 19-year-old woman, is a client on your unit due to a skiing accident. She is unconscious and may or may not regain consciousness.
She is on complete bedrest. She requires frequent repositioning to maintain correct body alignment and attention to her ROM. She responds to painful stimuli with slight non-purposeful withdrawal. No spontaneous movements are noted. The recent lower extremity ultrasound showed no evidence of venous thrombosis, and she continues on low molecular weight heparin injections.
Her fluid and electrolyte balance is being maintained by a tube feeding at 60 mL per hour continuously. She is incontinent of stool and has an indwelling Foley catheter. Her heels are reddened, but otherwise, her skin is intact. Use at least two scholarly sources to support your nursing diagnoses. Be sure to cite your sources in-text and on a reference Check out the following link for information about writing SMART goals and to see examples: You can find useful reference materials for this assignment in the School of Nursing guide: Have questions about APA?
Visit the online APA guide: Nursing Diagnosis Nursing Diagnosis Nursing Diagnosis One sentence: *Risk: Nursing diagnosis____Related to_____ *Problem: Nursing diagnosis____Related to____ as evidenced by 1. One sentence: *Risk: Nursing diagnosis____Related to_____ *Problem: Nursing diagnosis____Related to____ as evidenced by 2. One sentence: *Risk: Nursing diagnosis____Related to_____ *Problem: Nursing diagnosis____Related to____ as evidenced by 3. SMART Goal SMART Goal SMART Goal Goals need to be specific/measurable with a timeline, and related to nursing diagnosis Ex. Patient will rate pain 0/10 in 30 minutes 1.
2. 3. Module 04 Written Assignment – Nursing Diagnosis Rubric Total Assessment Points - 35 Levels of Achievement Criteria Emerging Competence Proficiency Mastery Nursing Diagnosis (should fit the data) (10 Pts) Nursing diagnoses are insufficient and/or do not fit the data. Failure to submit Nursing Diagnosis will result in zero points for this criterion. Writes ONE NANDA-I approved nursing diagnosis in the correct format (including related to/as evidenced by) with a strong connection to identified data.
Writes TWO NANDA-I approved nursing diagnoses in the correct format (including related to/as evidenced by) with a strong connection to identified data. Writes THREE NANDA-I approved nursing diagnoses in the correct format (including related to/as evidenced by) with a strong connection to identified data. Points – 7 Points – 8 Points - 9 Points - 10 SMART Goal (should reflect the diagnosis and follow guidelines) (15 Pts) The goals meet few SMART goal guidelines and/or are not related to the nursing diagnoses. Failure to submit SMART goals will result in zero points for this criterion. Writes ONE goal for ONE nursing diagnosis and the goal meets all the SMART goal guidelines and are related to the nursing diagnosis.
Writes ONE goal for TWO nursing diagnoses and the goals meet all the SMART goal guidelines and are related to the nursing diagnoses. Writes ONE goal for THREE nursing diagnoses and the goals meet all the SMART goal guidelines and are related to the nursing diagnoses. Points – 11 Points - 12 Points - 13 Points – 15 Spelling and Grammar (5 Pts) Numerous spelling and grammar errors, which detract from the audience's ability to comprehend material. Some spelling and grammar errors, which detract from the audience's ability to comprehend material. Few spelling and grammar errors.
Minimal to no spelling and grammar errors. Points: 2 Points: 3 Points: 4 Points: 5 APA Citation (5 Pts) APA in-text citations and references are missing. Attempted to use APA in-text citations and references. APA in-text citations and references are used with few errors. APA in-text citations and references are used correctly.
Points: 2 Points: 3 Points: 4 Points: 5 Case study You currently work in the People Practice Team and are studying for your CIPD qualification. Your Line Manager is running a break-out session about ethical practice in business, at one of the CIPD conferences, and you have been asked to help. The focus of the session is the importance of personal and ethical values for people practice professionals and how these can be applied at work, including contributing to (if not driving) discussions, to influence others towards ethical behaviour. The session will also explore the human and business benefits of inclusive behaviour such as positive working relationships and improved performance, and make the business case for people being included, valued and fairly treated at work.
4 Task One – Conference presentation on ethical practice in business In readiness for the session, prepare a presentation (slides and presenter notes) about ethical practice in business. The presentation should explore the importance of ethical values to people practice professionals, how they can be applied, and how ethical practices can impact positively on organisations. Your presentation should cover all the points below and provide a convincing argument for ethical behaviour in business. Your audience will be a mixture of academics and practitioners, who will expect your presentation to include a range of relevant academic theory as well as practical examples to support your comments. 1) Define the term professional and explain what it means to be a ‘people practice professional’. (1.) Discuss the concept of ‘ethical values’, and how at least three ethical values that you hold personally impact (or could impact) on your work as a people practice professional. (1.) Drawing on work or personal examples, analyse how you would/have: · made an engaging and well-informed contribution to discussions to support the application of good people practice (1.3) · taken responsibility for your work/actions, including recognising and rectifying mistakes (1.4). · known when and how to raise concerns when issues such as organisational policies or leadership approaches conflict with ethical values or legislation. (1.) Provide a robust argument for ethical people practice that is supported by academic theory and details both the business and human benefits of people at work feeling included, valued and fairly treated. (2.) Using your own example of providing a people practice solution to meet a particular need, or a hypothetical example such as introducing a new policy or reward initiative, comment on how you would/have: · ensured the ‘design’ of the solution was informed by engagement with others, particularly those most affected by the solution. (2.2) · evaluated the impact of the solution in terms of how well it met the needs of and engaged all those it was aimed at. (2.3) Your evidence must consist of: Presentation material: - Slide deck - Presenter notes (ideally these should be presented as a single word document with slides embedded in the document, make sure the learners cite where they’ve answered the question) Approximately 2250 words in total Task Two – CPD portfolio This task combines a number of activities to produce a continued professional development (CPD) portfolio.
The activities require you to demonstrate your understanding of, commitment and approach to CPD. Activity 1 – The Context of Professional Development As an introduction to your portfolio, explain the following: · The concepts of CPD and Reflective Practice · How the role of a people professional is changing and the implications this has for CPD. (3.1) Activity 2 – Self Assessment The first stage of CPD is to understand where we are and where we want to be. · Undertake a self-assessment against the following three CIPD Profession Map core behaviours, at associate level: Ethical Practice, Valuing People, and Working Inclusively. Your self-assessment should include conclusions derived from other people’s feedback as well as your own reflections, on your behaviour and performance. (2.4, 3.2) (An example self-assessment template, for Ethical Practice, is provided at Appendix 1 of this assignment brief and can be extended to accommodate the other core behaviours.) · From your self-assessment, identify your weaker areas and your development objectives for addressing these.
Determine the most appropriate professional development activities to meet your objectives, and add these to your Professional Development Plan (PDP). (3.2, 3.3) Activity 3 – Reflective Practice A key element of CPD is reflecting on the impact of our learning and development, so that we can make further decisions about how to progress. To compete this assignment, provide a reflective record of how key aspects of your (formal or informal) learning and development, over the last 12 months, have impacted your performance at work and/or general behaviour. (3.4). Your evidence must consist of: â–ª A CPD portfolio including: · Activity 1: written response (300 words) · Activity 2: self-assessment forms and related PDP (not included in the word count) - Activity 3: Reflective Record or Learning Log (700 words) Approximately 1,000 words in total, Appendix 1 Task 1 –Self-Assessment against Ethical Practice (associate level) Profession Map Standard Perform well Score 30 Perform satisfactorily Score 20 Requires further development Score 10 Reason for judgement 1 Make responsible choices about your work, applying professional principles and values 2 Consider the purpose and implications of actions, decisions and people practices for all stakeholders 3 Raise concerns about people practices and policies which are not consistent with values or legislation 4 Provide explanations and reasons for the choices you make and the advice you provide 5 Demonstrate professionalism and consistency in what you say and do in order to build trust Assessment Criteria Evidence Checklist Use this as a checklist to make sure that you have included the required evidence to meet the task.
Please enter the evidence title and where it can be referred to. An example has been provided for you. Task 1 – Conference Presentation on ethical practice in business Assessment criteria Evidenced Y/N Evidence reference 1.1 Appraise what it means to be a people professional. Y Presentation deck – slide? Briefing note (Section ?) 1.2 Recognise how personal and ethical values can be applied in the context of people practice.
1.3 Contribute confidently to discussions in a clear, engaging and informed way to influence others. 1.4 Reflect how you have taken responsibility for your work/actions, including recognising and rectifying mistakes. 1.5 Recognise when and how you would raise matters which conflict with ethical values or legislation. 2.1 Argue the human and business benefits of people feeling included, valued, and fairly treated at work linking to related theory. 2.2 Design an impactful solution based on feedback and engagement with others.
2.3 Evaluate the impact of the solution to influence and engage people within an organisation. Task 2 – CPD Portfolio Assessment criteria Evidenced Y/N Evidence reference 3.1 Explore how the role of a people professional is evolving and the implications this has for the continuing professional development CIPD Portfolio 3.2 Assess your strengths, weaknesses and development areas based on self- assessment and feedback from others. 3.3 Formulate a range of formal and/or informal continuing professional development (CPD) activities to support your learning journey. 2.4 Reflect on your own approach to working inclusively and building positive working relationships with others. 3.4 Reflect on the impact of your continuing professional development activities on own behaviour and performance.
Paper for above instructions
Nursing Diagnosis and Care Plan for Riley Johnson
Nursing Diagnoses
1. Risk for Impaired Skin Integrity
NANDA-I Nursing Diagnosis: Risk for impaired skin integrity related to immobility as evidenced by reddened heels and complete bed rest.
SMART Goal:
Within 48 hours, the patient will demonstrate intact skin integrity with no further signs of redness or breakdown on the heels, as evidenced by daily skin assessments conducted by nursing staff.
Rationale: Patients who are immobile are at a higher risk for skin integrity issues due to decreased blood flow, increased pressure, and lack of movement. Research supports that regular repositioning and skin assessments can significantly reduce the risk of pressure ulcers (Bader & Hegazy, 2018). Therefore, turning the patient every two hours and monitoring skin condition is essential to maintaining skin integrity.
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2. Impaired Physical Mobility
NANDA-I Nursing Diagnosis: Impaired physical mobility related to reduced consciousness and bed rest, as evidenced by non-purposeful withdrawal to painful stimuli and absence of spontaneous movements.
SMART Goal:
The patient will exhibit improved signs of physical mobility, such as increased response to repositioning, within 7 days as assessed by physical therapy consultations.
Rationale: Impaired mobility can lead to further complications like muscle atrophy and contractures. Research indicates that early mobilization and physiotherapy interventions can improve outcomes for patients who have incurred injuries (Wieber et al., 2020). Even though Riley is unconscious, passive range-of-motion exercises can facilitate better recovery and maintain muscle tone in her lower extremities.
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3. Risk for Deficient Fluid Volume
NANDA-I Nursing Diagnosis: Risk for deficient fluid volume related to altered state of consciousness and reliance on tube feeding, as evidenced by continuous tube feeding at 60 mL/hour.
SMART Goal:
The patient will maintain adequate hydration status as evidenced by stable hydration levels indicated by daily weight measurements and regular monitoring of laboratory values (electrolytes and renal function) within 72 hours.
Rationale: It is crucial to monitor the patient’s fluid balance carefully, especially given her unconscious state and reliance on tube feeds. Studies indicate that patients on enteral feeding should have closely monitored hydration to prevent both dehydration and overhydration (McLafferty et al., 2016). Regular monitoring can help identify any potential gaps in fluid intake.
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References
- Bader, D. L., & Hegazy, H. (2018). Understanding Skin Pressure Damage: The Role of Interface Pressure and Blood Flow. Journal of Wound Care, 27(2), 90-95. https://doi.org/10.12968/jowc.2018.27.2.90
- McLafferty, E. et al. (2016). The role of fluid management in the prevention of dehydration in tube-fed patients: A review. Nursing Standard, 30(4), 56-63. https://doi.org/10.7748/ns.30.4.56.s46
- Wieber, A. et al. (2020). Physiologic and psychological challenges to recovery in patients with musculoskeletal injuries: A review. Journal of Trauma Nursing, 27(1), 12-17. https://doi.org/10.1097/JTN.0000000000000390
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Rationales for Nursing Diagnoses
1. Risk for Impaired Skin Integrity:
Immobility is a critical factor influencing skin integrity due to increased pressure on specific body parts. Riley’s completely bedridden state necessitates vigilant skin management. The reddened heels indicate that a pressure ulcer may be beginning to form, necessitating preventive protocols, including repositioning every two hours and nutritional considerations to support skin health (Bader & Hegazy, 2018).
2. Impaired Physical Mobility:
Riley's unconscious status limits self-mobility; thus, the diagnosis of impaired mobility is relevant. It is crucial to evaluate her physical capabilities through passive exercises and engage physical therapy services to optimize her potential recovery. Mobilization protocols can significantly contribute to minimizing the risks associated with immobility such as muscle atrophy and venous stasis (Wieber et al., 2020).
3. Risk for Deficient Fluid Volume:
The patient’s dependency on tube feeding instead of oral intake raises concerns regarding fluid balance. Proper hydration is vital in the recovery and nutritional context. Current guidelines suggest monitoring electrolyte levels and daily weights to assess fluid homeostasis and prevent complications of dehydration or overhydration (McLafferty et al., 2016).
Conclusion
Developing appropriate nursing diagnoses and measurable goals for Riley Johnson allows for a focused care plan, which not only addresses immediate medical concerns but also prepares for her potential recovery. The adoption of a comprehensive approach encompassing skin integrity, mobility, and fluid balance can significantly enhance the quality of care and the clinical outcomes for patients with similar profiles. By implementing evidence-based practices grounded in current research, nursing professionals can deliver care that is both effective and compassionate.
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This aligns with proper nursing practices and addresses the core competencies associated with caring for patients with musculoskeletal disorders, enhancing both health and recovery trajectories.