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Interpret and use evidence and critical thinking skills in patient assessment and care planning. Dem

Interpret and use evidence and critical thinking skills in patient assessment and care planning. Demonstrate effective communication when applying nursing knowledge to assessment and care planning. Demonstrate knowledgeable, safe nursing practice within the multidisciplinary team in a simulated environment. Scenario 1 Resident: Christine Joans Age: 86 years Scenario: You are on the morning shift at the University Residential Aged Care Facility. Christine Joans, an 86-year-old resident, is known for her love of sudoku and knitting. Recently, Christine has been experiencing postural hypotension, which makes her feel dizzy when transitioning from lying or sitting to standing. Incident Report: The night staff reported to the morning team that Christine had an unwitnessed fall yesterday evening. Following the incident, Christine was reviewed by a doctor. A comprehensive nursing assessment conducted by the night staff found no significant abnormalities besides a bruise and a small skin tear on her left hand, which had been properly dressed. Christine has been advised to stay on bed rest until she is reviewed later this morning. Task: Your buddy Registered Nurse has requested that you introduce yourself to Christine and prepare her breakfast so that she can eat independently. Considering her current health status and recent fall, ensure Christine is comfortable and her needs are met. Reminder: • Before you end the video (within the maximum 15 minutes), verbalise to the camera what you identified as a problem/issue and how you addressed this problem. • Additionally, if needed, verbalise to the camera any amendments to practice that you identified (something you might have missed or forgotten). Scenario 2 Resident: Kamal Khan Age: 88 years Scenario: It is dinner time, and you are working the late shift at Sunshine Coast University Hospital. Kamal Khan, a 77-year-old male, has left hemiplegia resulting from a cerebrovascular accident (stroke) that occurred two weeks ago. Although Kamal requires assistance with cutting his food, his speech and swallowing are unaffected. Having lived in Australia for thirty years, Kamal speaks good English. He experiences intermittent diplopia (double vision), which is gradually improving. Kamal needs to be reminded to wear his glasses and requires assistance due to his hemiplegia. He is motivated to continue practicing, as he has noticed slight improvement in his double vision. Medical History: Kamal has a history of hypertension and type 2 diabetes, both of which are currently managed. Recently, he has reported calf pain, and the doctor has advised that he remain in bed until further review. Incident Report: Kamal’s condition includes left hemiplegia, requiring assistance with daily activities and exercises. His intermittent diplopia necessitates reminders to wear glasses. Despite his limitations, Kamal is committed to his recovery and has shown improvement in his vision. Task: Your buddy Registered Nurse has requested that you introduce yourself to Kamal, prepare him for dinner, and assist with his meal so that he can eat independently. Ensure that Kamal is comfortable, has his glasses on, and that his needs are met, considering his current health status. Kamal is looking forward to his daughter Priti’s visit after dinner, so ensure he is well-prepared and in good spirits for their time together. Reminder: • Before you end the video (within the maximum 15 minutes), verbalise to the camera what you identified as a problem/issue and how you addressed this problem. • Additionally, if needed, verbalise to the camera any amendments to practice that you identified (something you might have missed or forgotten). Scenario 3 Patient: Dan Mathews Age: 24 years Gender Identity: Non-binary Scenario: It is breakfast time, and you are working on the day shift at Redcliff Hospital. Dan Mathews was admitted to the medical ward early this morning with a chest infection and an exacerbation of asthma. Dan is currently unable to mobilize due to shortness of breath. Interests: Dan enjoys making models and has been working on a diorama, with some smaller pieces brought in for them to continue painting. Additionally, Dan enjoys listening to music and watching music videos. Social Note: Dan’s friend, Daz, has just phoned to inform that they will be visiting mid-morning. You will need to let Dan know about the visit. Task: Your buddy Registered Nurse has asked you to introduce yourself to Dan, prepare them for breakfast, and ensure they can eat independently. Reminder: • Before you end the video (within the maximum 15 minutes), verbalise to the camera what you identified as a problem/issue and how you addressed this problem. • Additionally, if needed, verbalise to the camera any amendments to practice that you identified (something you might have missed or forgotten). Scenario 4 Patient: Charlie Cameron Age: 60 years Scenario: It is lunchtime, and you are working the day shift at Maryborough Hospital. Charlie Cameron, a 60-year-old male with coronary heart disease, is currently resting. Charlie, also known as Cameron, is an Elder of the Gubbi Gubbi people. This morning, local Elders visited Cameron to plan and prepare for an upcoming ceremony that he hopes to attend in two weeks. Despite feeling tired after the visit, Cameron enjoyed spending time in the hospital gardens with his clan. Although his room is by a window, Cameron, who used to work as a ranger, misses being outdoors on Country every day. He finds solace in watching nature and Australian travel programs. Medical Condition: Coronary Heart Disease Incident Report: During the morning, Cameron was visited by local Elders in preparation for an upcoming ceremony. This social interaction left him feeling fatigued, prompting him to rest in bed. As a result, Cameron requires assistance with his lunch. Task: Your buddy Registered Nurse has requested that you introduce yourself to Cameron, prepare him for lunch, and assist him so that he can eat independently. Ensure Cameron feels comfortable and cared for, respecting his cultural background and current health needs. Reminder: • Before you end the video (within the maximum 15 minutes), verbalise to the camera what you identified as a problem/issue and how you addressed this problem. • Additionally, if needed, verbalise to the camera any amendments to practice that you identified (something you might have missed or forgotten). Criteria Ratings Pts Thinks critically and analyses nursing practice (Standard 1) 3 pts Demonstrates safe and developing practice Self-reflection demonstrates complex and informative critical thinking and analysis of developing personal nursing practice. / 3 pts Engages in therapeutic and professional relationships (Standard 2) 3 pts Demonstrates safe and developing practice Builds a comprehensive and safe therapeutic relationship with the person. / 3 pts Provides safe, appropriate and responsive quality of nursing practice (Standard 6)

 
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