Assignment 2 INC3: Case study
Addresses learning outcome(s):
1. Communicate effectively with interprofessional colleagues and healthcare
teams, and advocate, with support, for people and families to ensure safe care.
2. Integrate culturally appropriate psychosocial and emotional wellbeing
assessments into the holistic care of people and their families.
3. Describe the interconnectedness of mental and physical health and integrate
evidence-informed strategies, policies, and guidelines to promote well-being.
4. Model safety in the simulated environment, including documentation, clinical
handover, risk assessment and prevention, parenteral medication
administration, and nursing care for a person undergoing surgery.
5. Assess deterioration in health status and initiate care escalation, accurately
communicate nursing assessment and actions verbally and in writing.
This assignment challenges you to critically analyze the clinical data and use the
nursing process to develop care priorities for a post-operative patient. You are required
to identify priorities of care, identify and describe appropriate assessments and
synthesize these into a holistic person-centered care approach to nursing care.
This assignment requires a scholarly approach to academic writing using evidence to
inform your decisions and formatting and presentation of a standard expected at tertiary
Due: 21 April 2023 (Semester 1 Week 12)
Mrs. Kimberly Carey, a 42 year-old-female, was admitted this morning to the surgical
ward where you are working as a Registered Nurse (RN). Her admission notes outline
that she was admitted to the ward to manage acute cholecystitis while waiting
for her scheduled laparoscopic cholecystectomy.
Kimberly is a mother to two primary school-aged children and works part-time as a
librarian at the National Library of Australia. Kimberly has a supportive husband, Bob, who
works in the Australian Public Service with the Australian Taxation Office. Kimberly is a
practicing Jehovah’s Witness.
Kimberly has a medical history of diagnosed asthma, anxiety and obesity (current BMI is
30 kg/m2). Kimberly was noted to have been feeling anxious about her surgery pre-
operatively, specifically outlining concerns regarding difficulty performing usual caring
role, work commitments and changes to body image due to scaring.
The laparoscopic cholecystectomy has concluded and, following a four (4)-hour operation,
she has returned to the Surgical Ward. The Post-Anaesthetic Care Unit (PACU) RN is
currently providing you with a clinical handover and informs you that Kimberly required
an open cholecystectomy for a gangrenous gallbladder. You review the surgical site with
the PACU RN and you note a surgical wound to her right sub-costal region that is closed
with staples and covered by a clear Comfeel® dressing. You note that the dressing is
intact with a small amount of blood along the incisional wound. There is also an
Exudrain®, on suction, from the surgical site.
Kimberly currently has a Fentanyl PCA insitu and is receiving intravenous fluid therapy.
The PACU RN informs you that Kimberly received a total of 80mcg of fentanyl in PACU
before the PCA was commenced.
Kimberly is also receiving supplemental oxygen therapy via nasal prongs at 2 litres/min.
She is drowsy but rouses to your voice and describes pain at her surgical site as 8 out of
10. Kimberly’s husband (Bob) expresses concern about her drowsy condition and is asking
you whether it is normal to have so much fluid collecting in the drain.
Vital sign observations on return to ward.
HR: 105 bpm
NIBP: 90/60 mmHg
RR: 20 breaths/min
SPO2: 97% @ 2lpm via NP
T: 37.3 ⁰C
Medications charted on NIMC.
Flixotide 100mcg inhale BD.
Ventolin 5mg inhale PRN/QID.
Fentanyl PCA 10mcg/mL IV, bolus dose 20mcg with lockout time 5min.
Enoxaparin 40mg S/C Nocte To commence DAY 2 post-operatively.
Cephazolin 1g IV TDS.
This assignment has three (3) parts (Part A, B and C).
Your response to the assessment will be submitted via the file upload tab in Canvas: Part
A as a .mp4 or .mov video file and Part B and Part C as a word document.
Part A: Provide a verbal and visual nursing handover using the ISBAR format, as though
you are giving this ISBAR handover to a Registered Nurse colleague of the case study
patient. Your ISBAR handover must clearly address key safety concerns related to the
case study provided. Your ISBAR handover must not exceed four (4) minutes in duration
and include only information that is stated in the case study. It is important that the ISBAR
format is evident within handover and is clear and easily understood with video on. The
students face must be visible. Use .mp4 or .mov video file to submit the assessment.
Part B: You are required to submit a 1500-word response to the case study that
demonstrates critical analysis of the given clinical data, use of the nursing process to
prioritise your approach to nursing care, and synthesis of these points into a holistic
person-centred care approach that is relevant to the post operative phase of a
Your response must:
1. Identify one (1) nursing priority for each of the following areas of (i) pain, (ii)
wound, (iii) elimination, and (iv) patient education, in relation to the case
2. Identify and describe comprehensive nursing assessments you would
undertake to develop a nursing plan of care that addresses the four (4)
nursing priorities identified.
3. Outline a rationale for undertaking each of the nursing assessments
identified, including reference to any additional assessment findings you
would seek to identify or questions you would ask. Students are encouraged
to take into consideration the person’s demographics, history and pre-
operative health issues when discussing their approach to assessment.
4. Discuss recommendations for ongoing care including interventions and
collaboration within the interdisciplinary team to address the nursing
Please present your responses to the questions using structured paragraphs. It is
recommended that you paraphrase the question in your opening topic sentence.
Headings can be used to support the student in addressing the requirements of
If headings are included this will count towards the overall word count of the
In text citations must be used throughout your responses, following APA 7th
A reference list should be placed at the end of the document encompassing all
sources cited in your responses and following APA 7th edition requirements.
You must include a list of references at the end of your submission. You will be
assessed on the use of evidence-based practice guidelines and contemporary
peer reviewed academic literature.
1500 word (+/- 10%) including intext citations.
Part C: You are to include, as an attachment to the case study, a one (1) page concept map
identifying relationships between Kimberlys' psychosocial and mental health concerns.
Include nursing interventions to address these concerns in brief dot points.
Using the exemplar below, create a concept map where Kimberly is within the center. Your
concept map will branch off into the following sections (i) Nursing education (ii) Mental
health concerns post operatively (iii) Recovery and rehabilitation (iv) Family and other
psychosocial concerns. In each section you will briefly identify how you will manage and
anticipate complications within these areas within short sentences or dot points. Concept
map should not exceed one (1) page.
Students are required to submit their response to the assessment task via the unit
The submission must include the following:
1. Part (A) ISBAR format handover to a Registered Nurse colleague using Video
file (.mp4 or .mov). Video must clearly show the students face and audio must
be clear. Must not exceed four (4) minutes in duration.
You are required to submit Part A .mp4 or .mov video file first. Part B and Part C are to be
submitted together as a Word document with a cover page and APA reference list.
Students' names are not to be included on any assessment tasks/submissions. Student ID
numbers should be included (per the Assessment Policy and Procedures).
All work must be appropriately referenced as per current APA 7 th Ed. Guidel
An example concept map to be considered.
Why Choose Instant Nursing Papers?
Quality Nursing Papers
We assist students in achieving the best top-grade in their nursing papers, and in compliance with the provided instructions. Have your nursing paper written with a certified specialist Ph.D., Bachelor's, and Master's graduates with many years of experience in academic writing.
Experts with Ph.d., MDs and DNP Holders
Our writers have acquired Ph.D., MDs and DNP credentials from world class institutions. Our writers can handle papers from any discipline and can handle over 100+ subjects.
Nursing Papers Cheap
We provide a great deal of student-friendly prices and professionalism with all our nursing essay writing services. Our paper writing services have a user-friendly interface and professional nursing academic assistance. We are committed to assisting all students with their nursing assignments and projects regardless of their academic level.
Fast Paper Delivery
Our writers follow a strict schedule to ensure papers are delivered before the deadline to enable our editors to proofread before the final delivery to our customers. We strictly observe the early delivery of assignments to meet our clients' deadlines.
Plagiarism-free Nursing Papers
Our expert nursing paper writers are dedicated to conducting thorough research and writing papers from scratch to deliver original papers. To avoid paper plagiarism, all orders go through steps of writing, editing, and proofreading.
24Hour Customer Help
Our customer support is available 24/7/365 to help clients and make their paper writing services easy to use. Our experienced support team is available to answer your queries any time, 24 hours a day.
Try it now!
How it works?
Follow these simple steps to get your paper done
Place your order
Fill in the order form and provide all details of your assignment.
Proceed with the payment
Choose the payment system that suits you most.
Receive the final file
Once your paper is ready, we will email it to you.
Our Nursing Papers Writing Service
We provide Nursing Assignment Services to Nursing students. Also, we are not limited to providing Nursing assignment help to students only. We also provide assignment help and solutions to community health nursing, Anatomy & Physiology, Microbiology, Biochemistry and Biophysics, and Nutrition & Dietetics.
Sit back, relax while our writers sort you out on your most daunting nursing essay queries on how to write a good nursing essay. We got you if you are looking for the best nursing essay services.
It is no doubt that qualifying for a nursing career is difficult and requires a series of tests. Most nursing students must put in a lot of work in their assignments and coursework. Instantnursingpapers.com will help you answer queries such as “who can write my nursing research paper?”.
Nursing Dissertation Help
Instantnursingpapers.com will save you the hustle of undergoing pressure or even depression while doing your nursing dissertation paper. Save yourself from all the long sleepless nights and pressure by working with our best nursing dissertation writing professionals.
Nursing Coursework Help
If you happen to hop into our site in search of nursing coursework help, look no further. We are the number one solution for the best nursing coursework assignments. Therefore, to complete the best APA nursing coursework, seek help from professional nursing coursework experts at instantnursingpapers.com