Assignment Task

Case study Constipation and Delirium

The goal of this case study is for you to apply knowledge of the pathophysiology processes of disease and the use of evidence-based literature to the provision of patient-centered care for a patient with a selected health condition. You will also critically appraise the professional standards that influence healthcare delivery.

Within your response to the case study

• Provide an explanation of the pathophysiological changes that occur in the body in relation to the specific health alterations, for the patient in the case study.
• Some tips for an effective response: Consider aspects such as (and there are many more than these initial suggestions), How have the patient risk factors contributed to constipation? How does constipation result in bowel obstruction? What is delirium? How has this patient`s situation contributed to her onset of delirium?
• It is recommended you dedicate words to the pathophysiology explanation for an appropriately detailed response
• Briefly explain the relevance of the selected issue to the case study patient. Consider: what assessment data from the case study supports you choosing this as an issue or potential issue? How are they connected? Hint: you should be using evidence-based literature to help you explain the connections between pathophysiology and patient assessment data. Why are we seeing what we are seeing?
• Discuss the nursing interventions/actions required for the patient in the case study to address your identified issues. Supply rationales (reasons why) each intervention is appropriate for this case study patient. Support your discussion with current, evidence-based literature. Your discussion needs to include some discussion on how you would evaluate how successful your nursing interventions were. Consider: What improvements in what specific assessment data would we like to see?
• Additionally, consider an individualised discharge plan for the patient in the case study, which includes ongoing goals and/or requirements. Consider: what needs to be in place before this patient can safely return home and we can improve the chances of her not re-presenting with the same or a connected problem? This should be brief. It could form the conclusion of your paper.
• Integrate and apply the relevant NSQHS and NMBA standards to decision making and nursing care. Consider: how does this action/intervention demonstrate the nurse’s fulfillment of this standard? How are they connected? There is no set number of these, but it is expected that you would include at least one different standard for each patient issue discussed plus the discharge planning. It is strongly recommended you integrate these into your discussion on the nursing care provided and NOT in a separate section at the end of the paper. 

Case study

You are a graduate registered nurse working on an afternoon shift on an inpatient surgical ward (which has a geriatric model of care). You receive a handover from the morning shift nurse for the following patient, who you will be caring for.

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