Nursing assignment._ critical discussion paper related to the nursing management
2000 Words Limit
Submit a critical discussion paper related to the nursing management of Mrs. Jane Smith case study below, with the support of literature.
Scenario:
Mrs. Jane Smith is an 80 year old woman who was admitted to ED at 1730 with the history of un-witnessed fall. She was found on the floor by her son. She was unable to stand up. In ED she was found to be in excruciating pain. Her right Leg appeared to be shortened and internally rotated. It was noted she had multiple bruising over her right arm and face and a 4 cm laceration to her right lower arm. She was administered intranasal Fentanyl 100 Mcg by the Ambulance crew.
Her Vital Signs: BP – 147/77 mmHg, HR 112/min - Irregular, RR - 24/min Spo2 – 99% RA, temp; 37.2
GCS - E3 V4M6 = 13/15.
Regular Medication Medication given in Emergency Dept.
Rivaroxaban 15 mg Bupivacaine + fentanyl femoral block
Thyroxine 50 mcg Panadol 1 g
Amiodarone 100mg Neurofen 400 mg
Metoprolol 25 mg Morphine 5 mg

Mrs. Jane Smith had blood taken. She has a chest x-rays which was NAD, and Right hip X-Ray which revealed # neck of femur.
CT scan of her head has been ordered, which is yet to be done
A – Allergies – Penicillin
M – as mentioned above
P – Hypothyroidism, HTN, AF, IHD multiple falls
L – Last ate around noon
E – Events – Does not remember events leading to the fall

The critical discussion paper should address the following issues:
1. What data deviate from normal findings, suggesting the needs for further investigation?
2. What additional information should the nurse ask or question for?
3. Describe the patient’s presenting problem focusing on the pathophysiological issues.
4. Identify 2 nursing diagnosis that needs immediate interventions and discuss the nursing management appropriate for the patient and evaluations of the nursing management plans presented in the literature.
5. Explain the pharmacokinetics of the prescribed medications in ED and their indications.
6. Discuss nursing management of the prescribed medication in ED, the adverse effects of the medications, contraindication, and side effects, with the age of the patient in mind, using evidence-based literature.
7. Describe in detail the information you would share with the patient and how you will educate the patient about the interactions and long-term effects of the regular medications of Mrs. Jane Smith.
Criteria:
1. Nursing Management
A # A presentation of abnormal data suggesting the need for further investigation, additional information should the nurse ask or question for and the pathophysiology of the presenting problem with supporting literature
B# Identify 2 nursing diagnosis that needs immediate interventions, discuss the nursing management appropriate for the patient and evaluations of the nursing management plans presented in the literature (peer review/evidence-based practice sources)
2. Application of pharmacology to practice
A# Explain the pharmacokinetics of the prescribed medications in the ED and their indications with supporting literature.
B# Discuss nursing management of the prescribed medications in ED, the adverse effects of the medications, contraindications, and side effects, with the age of the patient in mind, using evidence-based peer-reviewed literature.
C# Describe in detail the information you would share with the patient and how you will educate the patient about the interactions and long-term effects of the regular medications (with supporting peer-reviewed literature) of Mrs. Jane Smith.
Critical analysis and synthesis supported by relevant and credible literature
1. Critical analysis of the issues
2. Evidence of original ideas
3. Relevant and credible literature were integrated into the arguments. Sequencing and Structure
1. A logical flow of ideas
2. Correct grammar, spelling and punctuation
3. An appropriate essay structure
Source and Referencing
1. Accurate APA 7th referencing style
2. Relevant and updated literature
3. Minimum 15 References not older than 10 years
4. APA 7th Format