Bachelor Degree Summative Assessment AY 2021-2022

 

Programme/Course:    Bachelor of Nursing                 Course Title:    Nurses in Specialty (Honours) Programme

Examiner:                    Dr. Annie MOK                       Course Code:    NUR403

 

 

Individual Assignment (50%)

Topic: Nursing Care Plan for the Patient with Stroke

Purpose: This assignment will enable students to identify the problems of the client with stroke and determine appropriate nursing interventions for the proposed nursing care plan.

 

 

Due Date: 11 October 2021 12:00 noon

 

 

Word count: 1,500 words ± 10%

 

 

Case Scenario:

John, aged 44, was a bus driver with good past health. He could not get out of the bed at the usual time wake up time of 7 a.m. on 8.8.2021. He found that there was no power over the right side of his body, slurred speech, and facial deviation. His wife called an ambulance to send him to the nearby Accident and Emergency Department (AED). The doctor in AED suspected that he had a stroke.

His vital sign was as follows: BP 172/82 mmHg, Pulse 80/mins, SPO2 96% (Room Air) at the AED. ECG showed sinus rhythm. An intravenous cannula was inserted and blood was taken for Completed Blood Picture (CBP), Renal Function Test (RFT), Liver Function Test (LFT), Clothing (INR), and Spot Glucose. His Histix showed 5.8mmol/L. The limb power in the left hand and left leg were 5/5, but no power in the right hand and right leg 0/5. Computed tomography (CT) showed ischemic stroke. The neurology doctor was consulted for the administration of recombinant tissue plasminogen activator

(tPA). Owing to the uncertainty of the onset time of stroke, the neurology doctor did not recommend administering tPA. John was admitted to the medical unit for further management.

 

The anti-hypertensive drug, cholesterol, and antiplatelet drug were prescribed during the time in the medical unit. John stabilized on Day 2. The limb power over the left hand and left leg were 5/5, but the power in the right hand and right leg was improved to 1/5. His vital sign was BP 132/82mmHg, Pulse 80/min. He wanted to regain his power over the right side of his body and resume normal life. After the case conference, John was put into the list of a rehabilitation program. He was transferred to the rehabilitation unit the next day.

Client profile

• Name: John
• Sex: Male
• Age: 44
• Marital status: Married, live with wife and two children studying secondary school
• Occupation: Bus driver, the main source of family income
• Past medical history: good
• Smoker: 20 cigarettes a day, social drinker,
• General condition: Stable
• Conscious level: Alert
• Drug allergy: No known drug allergy
• Food allergy: No known food allergy
• Hobby: Watching V.

Management

Transferred to rehabilitation unit on 10/8/2021

 

Physical assessment

• General condition: Stable
• Blood pressure: 133/78 mmHg
• Pulse: 78 beats/min.
• Respiration: 14 breaths/min.
• Body temperature: 36.8 °C
• SPO2: 96% on room air
• H’stix: 5.4 mmol/l
• Bodyweight: 83 kg
• Body height: 1.73 m
• Right-sided body weakness, sit on a high chair but unable to stand up,
• Slurred speech
• Diet: Soft diet with minced meat
• Activities of daily living depend on others

 

Guidelines for Assignment

Identify nursing diagnosis and problem statement:

• Identify possible five problems for
• Formulate nursing diagnostic statements using problem, etiology, sign and symptoms (PES format) according to the North American Nursing Diagnosis Association (NANDA).
• Prioritize the 2 top nursing diagnoses for
• Based on the case scenario of John, students are required formulate a care plan of the 2 top nursing diagnoses for John, 1 goal for 1 problem & 3 expected outcomes for each nursing diagnosis, and interventions for the client. The expected outcomes are specific, measurable, achievable, realistic, timeframe
• Evaluate the degree of expected outcomes of nursing care plan were
• Reflect on what you learn from this rehabilitative approach to the

 

 

Suggested content of individual assignment:

• Cover page
• Content

Introduction

• Describe the background of the client
• Identify and describe the top 2 prioritized health needs of the client in the case
• Discuss the flow of discussion of the

 

Main body

• Identify possible five problems for
• Formulate nursing diagnostic statements using problem, etiology, sign and symptoms (PES format) according to the North American Nursing Diagnosis Association (NANDA).
• Justify with reasons why the top 2 prioritized health needs of the client with stroke are
• Discuss relevant nursing interventions to fulfill each of the selected health needs of the client with rationales and evaluate the achieved expected outcomes.
• Discuss and reflect on the learning from rehabilitative care to the client with

Conclusion

• Summarize and highlight the key issues discussed in the main

• Reference list
• Summarize in Table Format for Nursing Care plan

 

Nursing diagnostic statement: (PES format)

 

Assessment	Nursing Diagnosis	Goal & Expected Outcomes	Nursing Interventions	Rationales	Evaluation
Subjective data:	Problem:	Goal:
1.
	Etiology:
2.
		Expected outcomes:
		1.
	Signs & symptoms
3.
		2.
Objective data:
1.
		3.
2.
3.

 

 

 

Nursing diagnostic statement: (PES format)

 

Assessment	Nursing Diagnosis	Goal & Expected Outcomes	Nursing Interventions	Rationales	Evaluation
Subjective data:	Problem:	Goal:
1.
	Etiology:
2.
		Expected outcomes:
		1.
	Signs & symptoms
3.
		2.
Objective data:
1.
		3.
2.
3.

 

10.8.2021

 

References

– (APA referencing style for all the in-text citations )

 

Criteria for making the assignment:

• Provides a clear picture of the client’s background and health
• Identifies client’s problems accurately and prioritizes care needs
• The nursing interventions are relevant to the selected health needs of the client with rationales and evaluate the achieved expected
• Correct citation of the source material in APA referencing
• Summary of the purpose of the work and the
• A concise and logical flow of discussion and
• Grammatically correct and academic

 

 

Suggested format of the assignment:

• Font style: Times New
• Font size:
• Margins: 2.5cm margin on each side of
• Spacing: double-spaced.
• Single-paged and staple all pages together. All pages must be numbered (at the center of the bottom of each page).
• Provide your student ID ONLY on every page (right top corner).
• Referencing style: Updated APA referencing style (7th ed.) for all the in-text referencing and their respective entries in the reference list

 

 

Submission of the assignment:

• Soft copy of the assignment in Word Format with a signed (electronic signature accepted) ‘Assignment Cover Page’ must be submitted before 12:00 on 11 Oct 2021.
• The soft copy of the assignment should be uploaded to Moodle.
• The assignment file name must follow the format that includes student ID number as follows:

e.g. 1870xxx_NUR403_Assiginment

• The assignment without a completed cover page (with signed declaration) will NOT be marked by the
• The assignment which is submitted late will result in a mark deduction of 5% of the total mark for each calendar day of
• Zero marks for no submission of the

 

Caritas Institute of Higher Education School of Health Sciences Bachelor of Nursing (Honours) Programme   2021-2022 Cover Page of Summative Assignment (Individual Assignment)
Student Name
Student ID
Year/ Semester	Year 4/ Semester 1
Course Code	NUR 403
Course Title	Nurses in Specialty
Assignment Topic	Nursing Care Plan for the Patient with Stroke
Due Date	12:00 of 11th October 2021
Course Leader	Dr. Annie MOK
Declaration by student(s):   I/We* declare that the assignment here submitted is original except for source material explicitly acknowledged and that the same or related material has not been previously submitted for another course. I/We* also acknowledge that I/We* are aware of Institute policy and regulations on honesty in academic work, and of the disciplinary guidelines and procedures applicable to breaches of such policy and regulations, as contained in the Student Handbook.
Student Signature(s)

* Delete as appropriate