Importance Of Nursing l Assignment.

Nursing Assignment
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Last name__ _student number_NUR251 S2 2019 Assessment 1

Task 1:
In the first instance, physical and vital signs assessment will be performed for David.
Physical assessment will be performed in the form objective findings through
observation, palpation, percussion and auscultation. Physical assessment and vital
signs assessment will be beneficial for identifying signs and symptoms of current
medical condition of David. Moreover, it will also be beneficial in integrating David’s
medical history and pathophysiology (Gabayan et al., 2017; Mok, Wang, and Liaw,
2015). Observed vital signs in case of David are outside normal range. If
assessment of vital signs of David would not have been done; it would be difficult to
gather information about normalisation of these vital signs. Consequently, it would be
difficult to plan specific intervention with respect to abnormal value of vital signs
(Mok, Wang, and Liaw, 2015). Data obtained from the physical and vital signs
assessment will be maintained in the observation chart, progress notes and
medication chart.
In the second instance, assessment of acute pain related to acute kidney injury (AKI)
will be performed in David. Acute pain in David will be assessed through
implementing PQRST algorithm. Accurate pain assessment in David in essential
because acute urinary bladder pain is the prominent symptom of AKI. Moreover,
most of the elder patients are hesitant to verbalise the pain. Hence, it is highly
possible that such pain might remain untreated. It is essential to assess pain and
provide relevant intervention because untreated persistent pain can lead to multiple
physical and psychological manifestations (Coluzzi, 2018). Information related to
pain assessment will be maintained in the records such observation chart, progress
notes and medication chart.
In the third instance, fluid balance assessment will be performed in David.
Assessment of fluid balance will be performed through monitoring fluid volume,
complications, cardiac rhythm and neurological manifestation (Chuang, 2016). Fluid
balance assessment is essential in case of David because he is associated with
kidney disease. Kidney diseases are mainly responsible for disturbed fluid balance. If
fluid balance assessment not performed in David, there is possibility of accumulation
of salt and water which lead to organ damage and exaggeration of the AKI (Chuang,
2016; Prowle, Kirwan, and Bellomo, 2014). Data and values obtained through fluid
balance will be maintained in the fluid balance chart, daily weight chart, stool chart,
fluid prescription chart and medication chart.
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3
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Task 2
Nursing Care Plan: David Smith
Nursing problem: Acute Pain
Related to: Acute kidney injury
Goal of care Nursing interventions Rationale Evaluation
Minimise pain in
David and achieve
pain rating below 3
on pain scale of 0 –
10.
Use PQRST algorithm for the
assessment of pan.
Ensure David is reporting pain
instantly. Acknowledge pain reports
immediately.
Ensure David experiencing ease during
re-positioning and movement.
Observe and monitor verbal and non-
verbal communication related to
Pain assessment in the initial stage
can be beneficial in planning early
intervention (Pham et al., 2017).
Pain perception can exaggerate
over the period of time due to fear
and anxiety related to pain.
Immediate response build trusting
relationship and minimise anxiety.
Moreover, untreated acute pain can
turn into chronic pain which would
be difficult to treat (Duke, Botti, and
Hunter, 2012).
Assistance during re-positioning
and movement can minimise
muscle discomfort, fall risk and
consequent injury (Duke, Botti, and
Hunter, 2012).
Most of the pain and analgesia
related communications occur
through non-verbal
David reported 2/10 pain on the pain
scale.
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