Assignent Solutionnurs

Appraise – critic all the issues, Systematically evaluate NICE GUIDELINES for Cardiac event/Chest pain; why appropriate, propose – requirement then critic. Discuss opportunity for delegation and leadership – how you managed that workload (as a nurse) profession; prioritise please refer NMC CODE (2015) for UK Nurses code of ethics/standards and discuss responsibility to patient – David, referral or signposting to other service/specialist – e.g. Dietician for diets, nutrition and focus on lifestyle modification. Also retain professional responsibility as a nurse – like advising and educating patients and family. Discuss or focus main priority for David main condition like cardiac event but also mention or discuss briefly other condition such as diabetes and also, mention possible complication if he’s carry on the way he is and not complying.
The main priority for David is to find out if his chest pain are due to a cardiac event, analyse the situation/symptoms he’s experiencing also briefly introduce or mention the setting he has from day 1 to day 2, determine if he;s having an ST Segment Elevation Myocardial Infaction (STEMI), or NON ST – Segment Elevation (NSTEMI). This can be determined using an Electro Cardiogram (ECG), It is essential to diagnose quickly so the appropriate action can be taken regarding his care, and decide if he needs to be admitted into resuscitation area or ambulatory waiting room (NG et al, 2020) Write something like this – put your critical analysis over the evidence based practice. Write Care Plan or table in the Appendix and refer it briefly in the main essay. Again, focus on cardiovascular disease, create early intervention or plan, suggests life style modification. Also discuss complications on Diabetes briefly or other complications possible death.
Step one, early planning, briefly mention all the problems, identify propose and justify. Breaking down learning outcomes, using theory please see the David Case Study Notes – using nursing theory models – and compared and justify which one works best. Discuss one problem and go in depth – cardiac but states complications leads to cardiac problem
Step two, appraise complexity of the case and outline the case strategy used to support. Care Plan (table) in the appendix and mention it in main essay to refer it briefly, analysis, critic literature regarding the problem, e.g. NICE GUIDELINES, is it cost effective? justify appropriately.
Step three, Systematically, follow process, evaluate research to critically analyse the effectiveness of the intervention, symptom management, pain killer etc? side/adverse effects, use of technology, e.g. ECG – how reliable? how healthcare professional handle by placing magnetic sensor.
Step four, NICE GUIDELINES (please see files), Why? Are there any discrepancies please discuss. Consider the process, assessments, frameworks.
Step five, Opportunities for delegations and leadership in response to the crisis. Impact change.
Understanding and knowledge of the Complex (NURSING) Care.
Delegation – referral to other service/specialise/expertise i.e. Dietician re patient problem focus on Cardiac/Cardiovascular disease but mention complications of the health problem, briefly mention his Diabetes poorly managed. However, maintain responsibility as a nurse.
Writing in third person.