NURS3002 Advanced Decision Making And Practice


You should make it clear that the yin-base used a pseudonym.

If you break confidentiality with staff or patients, it will result in zero marks and a fail grade.

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A simple, clear and pertinent title.

You should make your title interesting in order to grab the reader’s attention.

Hiring uisat the introduction should not exceed ID% of total word count

* The introduction should state briefly the main points of discussion and briefly describe the topic.

* The rest should be written in accordance with the outline provided in the introduction.

* Explain that confidentiality of patient information has been maintained. A pseudonym was used for staff.

The essay should include the names of patients and their families.

Main NIA

* Include all relevant information about the patient, including psychosocial and physiological.

sociological factors

* Assigned a clear.

Set a clear and specific goal for each problem.

* Identifies areas to improve and oft T possible options for each

Answer to Question: NURS3002 Advanced Decision Making And Practice

The following case study concerns a 67-yearold woman who was admitted to emergency with severe symptoms from a lung infection.

The initial symptoms included occasional breathing troubles, headaches, high fever, and loss in appetite.

The initial diagnosis of pneumonia was similar.

The patient is being treated with medicine to lower the effects of the pneumonia.

The current assignment will give detailed information on the social and physiological background of each patient. This will allow nurses to develop a nursing plan that includes intervention measures.

A set of specific nursing goals is necessary to be able to handle every patient-related problem.

The report will also include a critical assessment of all types of nursing care received by the patient and their significance in relation to the patient’s clinical condition.

The assignment is confidential to ensure that the patient’s private and personal information is not made public.

Also, the recommendations can be helpful in the preparation for any future clinical situations that the patient may face. They can also help to guide the patient in the next steps.

There are also a few hazards and risks involved in the entire process of nursing care. This is also something that patients are aware of.

Relevant psychological, physiological and social information about the patient

It is crucial for the nurse care worker to get detailed background information on the patient. This can help the nursing person understand the patient’s current situation.

A patient’s current medical condition should also be evaluated. This will help the patient deal with the problems that they face.

The cause of pneumonia is the swelling of the lungs due to the small air sacs that are located in the alveolar cavities of the lungs.

The alveolar fluid is able to fill the small air sacs.


The lady is currently suffering similar physiological conditions to pneumonia. This means that she may be suffering from a disease with the potential to infect all of her vital respiratory systems.

She was admitted to the emergency department with symptoms such as dry cough, fever, and low blood oxygen.

SpO2 can be used to indicate peripheral oxygen saturation. This helps to measure blood oxygen levels.

The pulse oximetry allows you to measure this.

Lung infection can result in lower levels of oxygen saturation.

A lower level SpO2 can cause a significant drop in pulse rate.

SpO2 levels range from 96 to 100% in a normal situation.

In this case, 95 is the SpO2 value for an elderly lady. This is considered to be the cause and effect of breathing difficulties.

The rate of respiratory activity was calculated at 36 breaths each minute. This is considered the fastest.

Normal human breathing is between 12-20 minutes. It is typically increased in the case of respiratory infections and diseases.

Children’s average breathing rate ranges from 25-50 minutes per minute, as they require more oxygen for their biological activity.

In the above case, the older lady’s increased breathing rate indicates that she has pneumonia.

Because her oxygen level is significantly lower, she also needed to take more inhales.

A lady with high blood pressure is also experiencing higher levels due to an increased heart rate that pumps more blood.

A normal person’s blood pressure is usually 120/80.

The lady’s blood pressure was however 170/85. This is an abnormally high level.

This causes dizziness in the elderly lady.

This type is often chronic and can cause permanent harm to the patient’s health.

The patient’s body temperature was 37° Celsius. This is slightly above the average body temperature.

The normal body temperature is around 36 degrees Celsius. Thus, the patient’s temperature has been slightly elevated. It is causing a loss in appetite.

The patient’s pulse rate was normal at 75 beats per minutes, which is slightly more than usual due to his age.

This information will allow for proper treatment.

The lady is currently on a few medications that include azithromycin. This medication helps to fight all types and forms of bacterial infection.

Diarrhoea or stomachache that eventually leads to vomiting are two of the main side effects the lady may experience from taking this medication.

In the case of the lady, there are long-term side effect that can cause tiredness and loss in appetite.

Side-effects can be minimized by giving the lady the right dosage.

Ceftriaxone (another antibiotic) is taken by the lady to aid in the management of the bacterial illness.

This medication is mostly used for symptoms such as coughing and chest pain.

Diarrhoea can also be a side effect.

Medical personnel should keep a detailed record of every medication taken by the lady so that they can plan for her future treatment.

Social Information

It is also important that the social backdrop of the patient be considered when making an interference plan. This is essential in order for the intervention plan to be effective for the pneumonia patient.

In the case above, the lady came from a wealthy family. Therefore, it is easy to see that their family can afford the more costly medical treatment that is required.

The lady also has four kids and each of them lives separately.

She is currently living with her husband. He takes care of all the patient’s medical needs.

Due to the fact that her family has been poor, she does not receive any social assistance from her children. This can cause her to be deprived of the social support she requires at this time in life.

The lady comes from a family with strong cases of pneumonia.

The old lady’s brother in law has also been affected by pneumonia. This has caused an unhealthy environment, leading to increased chances of pneumonia within the extended family.

The risk of contracting pneumonia has been exacerbated by the poor social history of the lady.

Key Nursing Problems and Risks

It is vital to identify the major nursing problems that can help you prepare an intervention plan.

The biggest nursing challenges for health workers in the face of pneumonia are the health risks that they will have to overcome.

It is essential that nurses ensure that the patient is kept separate from the rest of the family due to the potential spread of the pneumonia. 2014).

The individual needs of patients who have been affected by an infectious disease pose a major challenge for nurses.

Many nurses ignore the information in the previous medical files of patients.

In times of medical emergency, one of the greatest challenges for nursing is to obtain sufficient information to provide the correct treatment according to the patient’s clinical condition.

According to McHugh and Ma 2013, most patients are given incorrect or incomplete information.

This was because there is a greater chance that the wrong medical treatment could lead to a worsening condition.

During an emergency situation, long-term nursing outcomes should also be considered.

This case involves a patient being admitted to the emergency room. The main risk is the absence of medical history.

A nurse or other medical worker is at risk of contracting pneumonia due to its infectious nature.

A nurse may face challenges due to the infectious nature pneumonia. It is important to ensure that the Healthcare Unit is clean and safe. This will help reduce time to recovery.

Pneumonia can present with severe pain.

The patients’ inability to be informed can also pose a challenge. This can result in patients not being aware of the risks and compromising patient safety (Carthon et. al. 2015).

For each type of problem, there are specific steps to take

For a person with pneumonia, there are many supportive steps that can be taken.

Humidified oxygentherapy is one of the most important nursing techniques that can help the patient recover from low oxygen levels and help with their breathing difficulties.

A nurse should advise the patient to get adequate fluid and restful sleep in order to manage the chest pain, which is the main symptom of pneumonia (Nakagawa und al. 2014).

As discussed in the section above, the nurse is at greatest risk if pneumonia is treated.

It is therefore important to ensure that the patient and their surroundings are clean and healthy in order to reduce the chance of spreading infection (Sjogren, et al. 2016).

By providing adequate information to the patient care team and encouraging them to adhere to hygiene best practices, infection can be avoided.

In order to manage the infection, you can use antiseptic items.

Promoting the Airway Clearance can be one of the most effective ways to help keep the patient’s environment clean and prevent infection from spreading (van der Maarel.Wierink et. al. 2013).

It is important that the nurse ensures that the patient is eating a balanced diet.

The fact that pneumonia can cause a loss of appetite makes it important for nurses to be able to provide alternate means of feeding the patient.

This can be a way to help patients cope with the difficulties of patient care.

If a severe condition is present, ventilators can be used to provide ventilation. This will help the patient deal with breathing difficulties and the lack of oxygen supply to the blood cells (Ishida and al. 2015).

The nurses face major challenges in providing accurate and timely medical care.

To overcome this problem, it is vital for emergency medical personnel to have sufficient experience in dealing with patients.

One of the most crucial skills in emergency care is the ability act quickly and to provide care with as little information as possible.

Prioritizing the patient’s needs according to their actual condition is an important aspect of providing care. (Gulanick und Myers 2013,

Important to mention in this context is that pneumonia could be caused by a number of pathogenic activities, including virus bacteria and fungal infection.

Healthcare workers should be able to diagnose the true cause of pneumonia and prescribe the appropriate medications.

Side Effects can result in a lot of problems if medication is not properly diagnosed and assessed for each individual patient. (Teramoto et. al. 2015).

To avoid any side effects that can be associated with antibiotics, the dosage must also be determined accurately according to the patient’s medical condition.

Further Improvements

The patient suffering from Pneumonia symptoms should be able to recover faster and avoid infection spreading. There are many areas to improve upon.

For accurate diagnosis, it is necessary to perform the procedure in a regular time period in order to get the most complete information on the patient’s clinical situation.

It is important to adjust the treatment plans according to the patient’s clinical condition.

A major indicator of immunity strength in an individual is the total blood count of white cells.

Therefore, the WBC count test should be included in your blood to get the most accurate information about your immune system. This will help you to fight the pathogens that cause pneumonia (Scannapieco und Shay 2014).

It is important that the patient has a proper diet plan that is based on their medical condition. This will allow them to better manage their immune system.

A proper information about immunization status is crucial in order to provide appropriate intervention steps to avoid incomplete immunization.

The nurse must be aware of the signs and symptoms that indicate infection.

To evaluate the extent of infection within the lungs, and alveolar section, one indicator is the color of respiratory secretions (Sakoda. 2014).

An accurate urine test can also be performed to find the source of infection.

A cloudy, foul-smelling urine can indicate that the infection is spreading to the bladder. It must be treated immediately.

It is vital to ensure that all skills necessary to care for the pneumonia patient are present in the nurses and other healthcare workers.

Critical Analysis and Evaluation Of The Nursing Care

The critical analysis and evaluations of the nursing plans for the pneumonia patient are important parts that help to minimize the patient’s time.

This can be used to ensure the patient is receiving the best nursing care possible to minimize the patient’s recovery period (Juthani Mehta, et al. 2014).

It is also possible not to make any mistakes or take risks with your health.

It is important that you have a clear goal within a defined time period to fully restore the patient’s condition.

The patient must be evaluated accurately and appropriately to determine what care is required.

It is also important to avoid assuming a generic theory of nursing care, as this will not be able to address the unique needs of the patient with pneumonia.

A nursing worker’s ability to fulfill the individual patient’s comfort needs is also an important part of their care. The cultural aspect of nursing care is also an important element.

Hollaar, et al. 2017).

It can also assist in providing the mental support necessary for the patient to quickly recuperate from nursing care.


In this case, the woman with pneumonia has a poor history of family.

She also doesn’t receive the social support she needs from her family, which can be helpful in providing mental support.

For patients with pneumonia, it is vital to receive proper nursing care that meets their needs.

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