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Effective nursing practices; Discuss influenza, the modes of spread and the specific risks it poses for the older person

EFFECTIVE NURSING PRACTICES: TRIMESTER 2, 2019 ASSESSMENT ITEM 2: WRITTEN ESSAY
Word count: 1500 words
Total marks: 100: Weighting: 40%

 

Task:
You are required to write a 1500-word structured essay, in response to the following case study:

Case Study:

Mr Jimmy Holden is a 68-year-old resident of Sunset Residential Aged Care Facility. He is a widower with two daughters, one who lives nearby and visits daily, many of his relatives also visit regularly. Mr Holden identifies as an Aboriginal Elder, he is underweight for his height, unsteady when mobilising and uses a walking frame. Over the last few days he has had worsening flu-like symptoms (fever and aching joints) and now has a productive cough, lethargy and reduced appetite. He has been diagnosed with influenza and an associated chest infection.

In your essay:

  1. Discuss influenza, the modes of spread and the specific risks it poses for the older person;
  2. Discuss infection control precautions that are necessary in a residential aged care facility;
  3. Discuss other risk assessments and the nursing care that is required, including the cultural safety aspects for this patient;
  4. Discuss other health team involvement that may be required and why;
  5. Support all sections with current scholarly literature (at least 15, published in the last 10 years)

Presentation:
Please ensure you present your work according to academic standards as identified in The Health

Writing & Referencing Guide, including strict adherence to the 1500-word limit.

Time New Roman 12-point double line spacing

Finally: Check and save a copy of you work and submit on-line via the relevant submission point under the assessment tab on the course site. There is a draft submission point for you to check your text matching, remember this can take a few days in a high demand time.

EFFECTIVE NURSING PRACTICE CASE STUDY ESSAY MARKING CRITERIA

CRITERIA POSSIBLE MARKS
Introduction (Approximately 100-150 words)

·         Identifies the topic

·         Clearly explained the aim/purpose and structure of the essay

·         Included a thesis statement (for examples see the Health Writing & Referencing Guide under The Introduction)

/5
Discuss Influenza (Approximately 250 – 300 words)

·         Describe influenza? /4

·         Explain the modes of spread /8

·         Define and describe the risks for the older person /8

/ 20
Infection Control Precautions (Approximately 250- 300 words)

·         Explain the appropriate infection control precautions required and provide a

rationale /10

·         Specifically relate these precautions to the residential aged care facility and explain why they are necessary in residential aged care? /10

/ 20
Assessment and Nursing Care (Approximately 300-350 words)

·         Describe four other risk assessments needed for this patient e.g. pressure injury

assessment and fluid balance charts, include rationale for these assessments /20

·         Include cultural aspects of care /5

/ 25
Interdisciplinary team (Approximately 150- 200 words)

• Discuss two other health team involvement that may be needed for the patient and provide rationale

/ 10
Conclusion (Approximately 150 -200 words)

·         Summarises the main points and ideas

·         Emphasis overall point of view (‘so what’ factor)

·         No new material introduced

/5
Presentation

• Complies with academic standards according to the Health Writing & Referencing Guide for example; appropriate sentence and paragraph structure, overall logical flow, appropriate grammar and spelling

/5
Referencing

·         Supports all key points with appropriate and current scholarly literature, at least TEN (10), published in the last ten years. You can include one piece of grey literature in these 15 pieces of scholarly literature.

·         Complies with APA 6th format in-text and in reference list.

/ 10
TOTAL MARKS / 100

 

Introduction 150 words

 

  • Identifies topic
  • Clearly explains purpose/structure of essay
  • Include a thesis statement

 

Discuss influenza, the modes of spread and the specific risk it poses to the older person. 300 words current

  • Describe influenza
  • Explain the modes of spread
  • Define and describe the risks for the older person

Discuss infection control precautions that are necessary in a residential aged care facility. 300 words

  • explain appropriate infection control precautions required and provide rationale
  • specifically relate these precautions to the residential aged care facility
  • explain why they are necessary in residential aged care

 

Discuss other risk assessments and the nursing care that is required, including cultural safety aspects for elderly aboriginal male. 350 words

 

  • Describe four other risk assessments needed for this patient
  • Waterlow
  • Falls risk assessment
  • Fluid balance chart
  • Nutrition
  • Include rationale for these assessments
  • Include cultural aspects of care

 

Discuss other health team involvement that maybe required and why. 200 words

  • Discuss two other health team involvement that maybe needed for the patient, provide rationale

Conclusion 200 words

  • Summarise the main points/ideas
  • Emphasis overall point of view

References

Australian Government. (2017, Department of Health, Guidelines for the Prevention, Control and Public Health Management of Influenza Outbreaks in Residential Care Facilities in Australia). Retrieved from https://www.health.gov.au/internet/main/publishing.nsf/Content/cdna-flu-guidelines.htm

Australian Government. (2019). Departmet of Health, Flu (influenza). Retrieved from https://beta.health.gov.au/health-topics/flu-influenza

Blanco, N., Eisenberg, M. C., Stillwell, T., & Foxman, B. (2016). What transmission precautions best control influenza spread in a hospital? American Journal of Epidemiology, 11, 1045-1054. doi:10.1093/aje/kwv293

Blanco, N., Eisenberg, M. C., Stillwell, T., & Foxman, B. (2016). What transmission precautions best control influenza spread in a hospital? American Journal of Epidemiology, 183, 1045-1054. doi:http://dx.doi.org/10.1093/aje/kwv293

Brooke , N. J. (2011). Needs of aboriginal and torres strait islander clients residing in australian residential aged-care facilities: Needs of ageing indigenous residents. Australian Journal of Rural Health, 19, 166-170. doi:doi:10.1111/j.1440-1584.2011.01207.x

Bullock, S., Manias, E. (2017). Fundamentals of Pharmacology (8th ed.). Melbourne, Australia: Pearson.

 

Chen, F., Ren, M., & Li, H. (2016). Radiology of Influenza. Dordrecht: Springer. doi:0.1007/978-94-024-0908-6_8

Chumpitazi, B. P., Self, M. M., Czyzewski, D. I., Cejka, S., Swank, P. R., & Shulman , R. J. (2016). Bristol stool form scale reliability and agreement decreases when determining rome III stool form designations. Neurogastroenterology & Motility, 28, 443-448. doi:http://dx.doi.org/10.1111/nmo.12738

Continence Foundation of Australia. (2019). Retrieved from Bristol stool chart: https://www.continence.org.au/pages/bristol-stool-chart.html

Crisp, J., Douglas, C., Rebeiro, G., Waters , D., Potter , P. A., Perry, A. G., . . . Hall, A. (2017). Potter and Perry’s fundamentals of nursing (5th ed.). Sydney, Australia: Elsevier.

Daly, J., Speedy , S., & Jackson , D. (2017). Contexts of nursing: An introduction (5th ed.). Sydney Australia: Elsevier.

Delany, C., & Golding , C. (2014). Teaching clinical reasoning by making thinking visible: An action research project with allied health clinical educators. BMC Medical Education, 14, 20-21. doi:http://dx.doi.org/10.1186/1472-6920-14-20

Doll, M., Stevens, M., & Bearman, G. (2018). Environmental cleaning and disinfection of patient areas. International Journal of Infectious Diseases, 67, 52-57. doi:http://dx.doi.org/10.1016/j.ijid.2017.10.014

Georgiades , D. (2016). A balancing act: Maintaining accurate fluid balance charting. Australian Nursing and Midwifery Journal, 24, 28-31. Retrieved from http://go.galegroup.com.libraryproxy.griffith.edu.au/ps/i.do?p=ITOF&u=griffith&id=GALE|A477459700&v=2.1&it=r&sid=summon

Ghebrehewet, S., Macpherson, P., & Ho, A. (2016). Influenza. BMJ, 355. doi:10.1136/bmj.i6258

Green, H. A., Wiseman, J., & Jackson, C. (2018). Community care clinicians’ experiences and perceptions of waterlow pressure ulcer risk assessment. Journal of Tissue Viability, 27, 199-202. doi:http://dx.doi.org/10.1016/j.jtv.2018.08.006

Healthdirect. (2018, Influenza – Flu). Retrieved from https://www.healthdirect.gov.au/influenza-a-flu

Healthdirect. (2018, Colds and flu statistics). Retrieved from https://www.healthdirect.gov.au/colds-and-flu-statistics

Healthdirect. (2018, What does a geriatrician do?). Retrieved from https://www.healthdirect.gov.au/what-does-a-geriatrician-do

Hunter , S., & Arthur, C. (2016). Clinical reasoning of nursing students on clinical placement: Clinical educators’ perceptions. Nurse Education in Practice, 18, 73-79. doi:http://dx.doi.org/10.1016/j.nepr.2016.03.002

Jarvis, C., Forbes , H., & Watt, E. (2016). Jarvis’s physical examination & health assessment (2nd ed.). Sydney, Australia: Elsevier.

Jasemi, M., Valizadeh, L., Zamanzadeh, V., & Keogh, B. (2017). A concept analysis of holistic care by hybrid model. Indian Journal of Palliative Care(23), 71-80. doi:doi:10.4103/0973-1075.197960

Kalb, K. A., & O’Connor-Von, S. (2019). Holistic nursing education: teaching in a holistic way. Nursing Education Perspectives, 40, 162-164. doi: doi:10.1097/01.NEP.0000000000000405

Malhotra, A., Shah, N., Depasquale, J., Baddoura, W., Spira, R., & Rector, T. (2016). Use of bristol stool form scale to predict the adequacy of bowel preparation – a prospective study. Colorectal Disease, 18, 200-204. doi:http://dx.doi.org/10.1111/codi.13084

Moore, Z. E., & Patton, D. (2019). Risk assessment tools for the prevention of pressure ulcers. Cochrane Database of Systematic Reviews, 1. doi:http://dx.doi.org/10.1002/14651858.CD006471.pub4

Morley, J. E. (2017). Geriatricians: The super specialists. Journal of the American Geriatrics Society, 65, 866-868. doi: doi:10.1111/jgs.14702

NSQHS. (2019). Preventing and managing pressure injuries. Retrieved from https://webcache.googleusercontent.com/search?q=cache:t7mD7q240MsJ:https://www.health.qld.gov.au/__data/assets/pdf_file/0029/433478/pip-audit-def.pdf+&cd=1&hl=en&ct=clnk&gl=au

Nursing and Midwifery Board of Australia. (2015). Framworks. Retrieved from https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Frameworks.aspx

Nutrition Australia. (2019). Aged Care. Retrieved from http://www.nutritionaustralia.org/vic/aged-care

Paules , C., & Subbarao, K. (2017). Influenza. Lancet, 697-708. doi:www.dx.doi.org/10.1016/S0140-6736(17)30129-0

Perkins, A. (2018). Influenza: Are you ready? . Nursing made Incredibly Easy, 16, 36-43. doi:10.1097/01.NME.0000546248.64215.4e

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Ralph, A. P., Lowell, A., Murphy, J., Dias , T., Bulter , D., Spain , B., . . . Cass , A. (2017). Low uptake of aboriginal interpreters in healthcare: Exploration of current use in Australia’s northern territory. BMC Health Services Research(17), 1-12. doi: doi:10.1186/s12913-017-2689-y

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