NURS8746 Clinical Vignette

Assignment 2 - Clinical vignette

Mode of submission: Online through FLO

Weighting: 40%

Length: 2500 words +/- 10%. Marker will stop marking this assignment at 10% over the stated word limit.

Assignment preparation

• Read the assignment rubric carefully, it will show how marks are allocated.
• Read Mr Walker’s case study carefully (see PDF below).
• Read the ‘Assignment instructions’ carefully
• You are expected to write this vignette as an essay (therefore you need to write an introduction, body of the essay and conclusion). Sentences and paragraphs should be clearly organised with minimal abbreviation and limited nursing jargon. Where abbreviations are used please place the words in full followed by the abbreviation the first time it is used, for example, three times a day (TDS).
• Submit assignment in a minimum 12 font size (Arial or Calibri) with 1.5/double spacing.
• Referencing must conform to the APA 6^th edition referencing style guidelines.
• Reference list will not count towards the total word count.
• The assignment should be evidenced based and demonstrate best practice (articles/books no more than 5 years old). References from consumer-based websites and Wikipedia will NOT be accepted, this includes MyDR, Better Health Channel, Health Direct, WebMd etc.
• Minimum 10 credible references are expected to be used including a mix of textbooks, websites and evidence-based literature.
• You can check your assignment Turnitin result, through the Text-matching – submit DRAFTS here link (located in the Assessments module) before submitting your final paper.
• You can have a draft of your assignment checked using Studiosity  (a university based service for draft checking) before submitting your final paper (see Studiosity link in the Student Learning Centre pages).

Assignment instructions

Mr James Walker has just been transferred to the high acuity ward from the Emergency Department because of overcrowding and bed management issues.  He is awaiting a review from the Surgical Team. You have been on the afternoon shift caring for Mr Walker and are now required to provide a comprehensive handover of Mr Walker to the Multi disciplinary team (MDT) (for the  purposes of this paper, this rapport will be much more comprehensive than in a real situation).

Your assignment will be a documentation of this handover, and must include:

• A brief background and history of the patient.
• Your current assessment of Mr Walker on the high acuity ward. 
• You may consider going through primary and secondary survey.
• Choose to focus on one high priority condition and provide an in-depth discussion of the pathophysiology along with the signs and symptoms, including pharmacology. You need to make clear links to Mr Walker, the case study patient.
• Identify interventions with rationales.
• Identify possible complications. How would you assess for, prevent and/or respond to possible complications? How would you manage these and evaluate Mr Walker's progress?
• Critique the management of Mr Walker. Were there any missed assessments? Has he received the correct pharmacological management during admission?