The City and the State where it is Located Essay

This assignment requires you to critically discuss and evaluate the nursing management of a patient undergoing an elective orthopaedic procedure. The assignment is divided into two parts with a weighting distribution of 20% to part 1 (oral presentation) / 80% to part two (written submission).
Part 2
With your selected patient, use relevant evidence-based literature to critically discuss and evaluate two aspects of your patient’s care that demonstrates the standard and quality of care given. Include recommendations as to how and where better clinical practice could be implemented in your answer with reference to the two aspects of patient care chosen.
Guidelines for Care Study Assignment – Written Submission
This assignment requires you to critically discuss and evaluate the nursing management of a patient undergoing an elective orthopaedic procedure.
Select a patient you cared for in the elective orthopaedic setting. Use relevant evidence-based literature to critically discuss and evaluate two aspects of your patient’s care that demonstrates the standard and quality of care given. Include recommendations as to how and where better clinical practice could be implemented in your answer with reference to the two aspects of patient care chosen.
The assignment should include the following:
1. Introduction: (10 marks).
Introduce the assignment content - set the scene - include an introduction referring to the need for nurses with specialist knowledge and skills in Orthopaedic care. You could talk about maintaining quality in orthopaedic nursing etc anything that will give an interesting introduction to the assignment. Link the study to yourself and the patient - who you are, where you work, for example "I am an experienced staff nurse working in an acute 30 bedded orthopaedic unit…". Include an outline of the patient’s care - a brief introduction to the patient and an overview of the content. Give a history of the patient i.e. to include details of their present / past medical details regarding their treatment of the problem to date.
2. Main Body of the Assignment (45 marks).
Identify an appropriate framework such as a model of nursing or a problem-solving approach. Using your chosen framework of care, identify four actual / potential problems for your patient.
Critically discuss the management of this patient in relation to two of those problems using professional literature / evidence-based literature to support the discussion. When discussing the identified problems:
 Include an assessment of the problem
 Establish goals for this patient
 Detail the care that the patient received
 Evaluate that care in light of relevant / current evidence-based practice
Throughout this part you should be inserting phrases such as " using
my experience… " or "using my specialist knowledge and skills…".
3. Include recommendations as to how and where better clinical practice could be implemented with reference to the two aspects of patient care chosen (25 marks).

4. Conclusion (10 marks).
The main themes should be brought together resulting in a conclusion
based on the preceding discussion.
5. References (10 marks).
This section lists all the sources of information used in the text. Use the Harvard style of referencing, as detailed in the student handbook / programme handout.
PATIENT
68 YR old man
elective right total hip replacement
use a stick to mobilize
xr shows degenerative changes
lives with wsife in bungalow
hx hypertension, left thr, hypothyroidism, prostate enlargement
medications: amlodipine 10mg od, combodart 0.5/0.4mg od, atrovastatin 40mg nocte, eltroxine 75 od
PROBLEM
1. postoperative pain (spinal anesthetic and multimodal wound infiltration, opioids use by different routes, validated pain scale, nurses education, frequent patient education and assessment and multidisciplinary approach.)etc care plan
2. postoperative constipation (fasting, opioid use, lack of mobility, spinal anasthetics) care plan, bowel chart, laxatives etc