Assignment: Laminectomy Case Study Assignment: Laminectomy Case Study

Assignment: Laminectomy Case Study

Assignment: Laminectomy Case Study

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Question Description
Please read and complete the case study in order to complete the requirements of Week 4 clinicals.

Insert a cover page (Subject Name, Student Name/ID, University, Instructor)

No. of pages: not less than 5.

Date: No later than 15th July midnight.

Insert citations wherever necessary

Include a reference list.

Case study:

Part I

Mrs. Smith is an 84 year old female s/p spinal surgery (laminectomy) post op 3rd day. She is AxOx4, morphine 1mg IV for severe pain and oxycodone 5-10mg for mild to moderate pain, breathing fine without any need for oxygen inhalation. Her skin is warm and dry, intact except forthe surgical incision on her back, covered with gauze and tegaderm. She was ordered a mechanical soft diet but her intake has been minimal. Patient voids in bed pan 3-4 times per shift, with no BM since surgery, has been OOB with the physical therapy to the chair. Patient has been reluctant to participate in the care due to her pain and prefers to stay in bed and sleep.

You are her nurse assigned for the day.

1. Explain in detail what is laminectomy (give citation)

2. Assess and provide Priority Nursing Diagnoses (2) for this patient and at risk nursing diagnosis (1)

3. Write nursing interventions (with rationale), for the nursing diagnoses chosen for this patient.

4. What are the post operative complications that this patient may develop. Explain by giving reasons why they may occur.

5.Describe your role in preventing post-operative complications for this patient.

6. What are the collaborative/interdisciplinary team members that are included in your care team? Describe their roles.

Part II.

You had gone on your break during your shift and upon returning you entered patient’s room to check on Mrs. Smith. You found that patient was slouched on the chair, her speech was slurred and she could not follow commands. You noticed her left arm was weaker than her right.Her blood pressure was 160/90mmHg, HR 76/min, O2 saturation 92% on RA, temp of 97.8F oral. A code stroke was called, patient was rushed to the CT scan. The CT showed middle cerebral artery infarct and was diagnosed with ischemic stroke.

What is an ischemic stroke? Define and provide pathophysiology (give citation).
2.What are the other types of strokes?. Explain each type (with citation).

a. Write two specific nursing diagnoses for your patient considering her present situation.

b. Write specific nursing interventions for your diagnoses, providing rationale for each.

3. Write a discharge/education plan for your patient using the best practices in the management and prevention of stroke. Consider the community resources that are available for stroke patients (give citations).

Recommended references:

cdc.gov/stroke

https://www.stroke.org/

Medical-Surgical Nursing: Assessment and Management of Clinical Problems

Author: Lewis, S., Bucher, L., Heitkemper, M., Harding, M., Kwong, J., & Roberts, D.

Fundamentals of Nursing

Author: Potter, P., Perry, A., Stockert, P., & Hall, A.

Assignment: Laminectomy Case Study

Assignment: Laminectomy Case Study

Assignment: Laminectomy Case Study

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

• Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
• Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
• One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
• I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

• Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
• In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
• Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
• Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

• Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
• Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
• I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

• I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
• As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
• It is best to paraphrase content and cite your source.

LopesWrite Policy

• For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
• Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
• Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
• Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

• The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
• Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
• If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
• I do not accept assignments that are two or more weeks late unless we have worked out an extension.
• As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

• Communication is so very important. There are multiple ways to communicate with me:
  • Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
  • Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.