Nursing Miss T Case Study

PART 2 NF1 Individual Learning Activity: Case Study Miss T Spring 2020 Now that you have completed Part 1 of the Individual Case Study Assignment which consisted of 2 questions and made up 5% of your overall grade, please review your instructor’s feedback. Part 2 will be submitted as a separate scholarly paper in a separate Dropbox. Please ensure you follow the guidelines below for this second part of your individual assignment. Be sure to include a new cover page and new reference list for Part 2. Learning Outcomes • Demonstrate understanding of infection prevention and healing as it relates to skin integrity • Explain how mobility, hygiene, nutrition, and elimination affect the health status of individuals • Demonstrate knowledge of common diagnostic tests and assessment tools as they relate to the nursing process

• Explain how lifespan considerations relate to the nursing process and nursing practice • Demonstrate understanding of safe practice and accountability while caring for simulated patients PART 2 DUE DATE: 25% of FINAL GRADE Learning Objectives • Please view learning objectives from modules 1 to 5 Directions 1. Review the following chapters in Potter et al. (2019): chapter 33 infection control; chapter 37 safety; chapter 36 activity and exercise; chapter 45 mobility and immobility; chapter 46 skin integrity and wound care. 2. Read the following case study and reply to the questions. It is expected that all responses are supported by credible sources and all sourced material is cited in text, and referenced appropriately using APA 7th edition guidelines. 3. Submit your assignment via Brightspace Dropbox by 2359 pm of the assigned due date. Case study (Use the following section to answer questions 1-4) Miss T is a 66 year old with uncontrolled type 2 diabetes. She has been previously seen in the community by home care. Today she is being admitted to your unit with a large infected wound on her left foot that is not healing.

The physicians are worried the infection will spread to the bone and may lead to amputation if it worsens. She has also been coughing up blood tinged sputum for the last month. She reports feeling tired and waking drenched in sweat with low-grade fevers every few days. The attending physician’s orders include isolation precautions for suspected tuberculous and daily dressing changes. (Use the following section to answer questions 5-7) You enter Miss T’s room to change her dressing and assist her with a bath. You are wearing appropriate PPE. Miss T reports being very fatigued and you assess that she cannot safely get out of bed to transfer. You decide to leave Miss T in bed to change her dressing, and deliver her medications. Miss T asks you why you are checking her medication three times and states “they are the same as yesterday”. (Use the following section to answer question 8) Lastly, Miss T asks if you could cut her toe nails before leaving the room as she is unable to do so herself. Please respond to the following questions: 1. What type of ulcer does Miss T have on her foot and what could have caused it? Support your response with rationale from current literature (3 marks) 2. Describe the phases of wound healing. Support your response with current literature (3 marks) 3. Describe how you would assess the wound once the old dressing has been removed. Support your response with rationale from current literature (3 marks) 4. Explore the Resident Assessment Instrument – Minimum Data Set (RAI-MDS) which is a tool commonly used to assess the patient population seen by home care and in long term care facilities. What assessment fields will change based on Miss T’s change in health status? (2 marks) 5. Identify three potential complications of immobility for Miss T. Support your responses using current literature from sources other than your textbook (3 marks) 6. Identify three nursing considerations while bathing Miss T. Support your actions using current literature (3 marks) 7. Discuss the importance of completing three medication checks. Support your response with rationale using current literature from sources other than your textbook. (3 marks) 8. Nursing Miss T Case Study

Discuss how you would respond to Miss T’s request to cut her toenails. Please explain the reasoning for your answer and provide rationale and evidence. (2 marks) Rubric/Marking Criteria Criteria Weighting/Rating Identifies type of ulcer and possible cause and supports with 3 rationale from current literature Describes phases of wound healing and supports with rationale 3 from current literature 3 Describes the wound assessment and supports with rationale from current literature Identifies RAI-MDS assessment fields that change as a result of 2 the change in Miss T’s health status 3 Identifies three potential complications of immobility and supports with rationale from current literature; Includes sources other than textbook Identifies three nursing considerations while bathing Miss T and 3 supports with current literature 3 Discusses the importance of completing three medication checks and supports with rationale from current literature; Includes sources other than textbook 2 Discusses response to request to cut toenails and explains reason and supports with rationale from current literature Mechanics and APA No to minimal errors in grammar, spelling, and mechanics Correct APA format is followed (format, citations, references) Total for learning activity Percentage in course 3 3 /28 25% … Nursing Miss T Case Study