Aged Care

Task Details:

In essay format, present an academic written paper focussing on the agreed case study as outlined and submitted in Part A. This essay, written in academic format, must NOT use bullet points. Refer to the marking rubric guide for further information. Marks are allocated as a % based on the areas listed above, however, feedback for this task will be a grade category only (HD, C, P etc, not a numerical %).The following areas must be discussed in your paper:

•Pathophysiology, assessment, diagnosis and complications.

• Propose holistic nursing care for identified needs: treatment, education, health promotion strategies and relationship to NMBA standards (2016).

• Link knowledge and discussion to relevant ethical and legal issues.

Your essay must include evidence from the literature that is current and relate to the nursing care and management that is provided for your chosen case study up to the patients discharge from the health service. Explain how the findings from the evidence would inform your nursing practice for your case study.

All submissions must be via the TURNITIN link in Moodle.

NOTE: It is expected that your Case Study - Part B submission will have a minimum of 22 quality references from a variety of reputable sources and scholarly evidence from the literature (i.e. current journals, online journals, databases, current texts). Most these sources should be current peer reviewed journals. This case study is to be evidence based. Marks will be awarded for the use of quality references.

(Please DO NOT USE Wikipedia or lay websites as references as they are not quality reputable sources or scholarly evidence).Refer to the marking guide for Case Study Part B that is available on Moodle which details allocation for marks for this task. You are encouraged to look at this marking guide to ensure that you have a clear understanding of what is expected of you from this submission.

(iv) Aged Care / Palliative Nursing/ Medical/SurgicalArthur is an 84-year-old man who has been admitted to the coronary care unit to be prepared for insertion of a cardiac pacemaker. He was brought in by an ambulance after a syncopal episode at home witnessed by his wife, Evelyn. He has a 20-year history of atherosclerosis, coronary artery bypass surgery ten years ago, type 2 diabetes and his brain MRI revealed severe cerebral small vessel disease and multiple lacuna infarcts. According to Evelyn, Arthur has been very unsteady on his feet, forgetful, often confused, occasionally incontinent of faeces, and his geriatrician has diagnosed him with dementia. In the Emergency Department, his ECG showedNURS30034 Clinical Elective | Semester 1, 2022 (Version 1) Avondale UniversityPage 4 of 15that he was in atrial fibrillation with third degree heart block. Arthur is also very hard of hearing and Evelyn, reports that he deliberately lost his hearing aid because he does not like wearing it. For this reason, the doctor has difficulty conducting a Rowland Universal Dementia Assessment Scale (RUDASS), but the results are consistent with significant cognitive impairment. Consent for insertion of a pacemaker is obtained through Evelyn because Arthur does not want to talk to the doctor. Then he is prepared for theatre.Arthur and Evelyn are protestant and attend the local Uniting Church. They have two very supportive sons, two daughters-in-law, five grandchildren and two great- grandchildren who all visit regularly. Arthur does not have an advance care directive, or any documentation to appoint an enduring guardian. However, he has always made it clear to his children and grandchildren that, "(he does) not want to go to a nursing home to waste away like his brothers (who also lived with dementia) did."

• Picot for Dialysis
• Medicare Eligibility and Financing
• Sudden Infant Death Syndrome
• Digital Technologies in Health Care
• Effects of Social Media on Mental Health
• Transition shock in graduate nurses
• Comparison of Australia and U.S’ Rural Healthcare
• Discussion post
• Theory, Research, and Evidence-Based Practice
• Appeal Letter