case study on Brain jones
1. please take a few minutes to have a LOOK on my marking criteria and FOLLOW it to answer the four questions. This is very important!
2.Q1 and Q2 need to write about 300 words,Q3 needs 150 words and last question needs 250 words.
3. make sure you have read my marking criteria, this is very important, you need to fellow it to do my assessment. Please do not plagiarize, thanks.
Word count: 1000 words
Content that exceeds the word limit plus 10% will not be marked and consequently will not attract
Due Date: Week 5, in registered tutorials
This is a closed book assessment that will be completed in your tutorial class in week 5.
All students must attend their allocated tutorial to complete this assessment.
You have an allocated time of 90 minutes
Marking Criteria and Standards: See page 11 of this Learning Guide.
Aim of assessment
The purpose of this short answer test in class assessment is to enable the student to demonstrate:
An understanding of the principles of perioperative nursing care (Learning outcome 1).
An understanding of the role of the nurse in the perioperative period (Learning outcome 2).
An understanding of the relationships between pathophysiology and cancer control initiatives
(Learning outcome 5)
How safe and effective administration of pharmacological agents support people in perioperative
care (Learning outcome 1. 6 & 7).
An evaluation of relevant literature to support an understanding of the pathophysiology,
pharmacological and nursing management of a person experiencing the effects of bowel cancer
and is able to express this in a clear and succinct writing style (Learning outcome 9).
Brian Jones (aged 50) presented to his GP with a nine month (9/12) history of a change in his bowel
habits, abdominal pain and fatigue. His GP ordered Faecal Occult Blood testing which confirmed the
presence of blood in Brian’s stool. Following this, Brian’s GP referred him to a gastrointestinal
specialist. The specialist recommended Brian have a colonoscopy. During the colonoscopy. a biopsy
was taken of a lesion located in Brian’s rectum. The biopsy results confirmed a Stage IIA rectal
carcinoma. Brian was admitted to hospital for an abdomino-perineal resection and the formation of a
Brian returned to the surgical ward postoperatively. On his return, Brian has
a patient controlled analgesia (PCA) infusion of 5omgs of Morphine in 5oml NaCl running at 4mUhr,
0.9% NaCl (Sodium Chloride) IVI running at 125mL/hr via an NC in his left arm,
a sigmoid colostomy with a small amount of haemoserous fluid evident,
2 x Haemovac drains in situ on suction with 1oomls frank blood in total,
a nasogastric (NG) tube in situ on free drainage with 4/24 aspirations,
an indwelling urinary catheter (IDC) with 5omls of urine output,
regular medications ordered
metronidazole (Flagyl) lVI 5oomgs in 1oomLs 8/24
0 paracetamol (Panadol) 19 M 6/24,
enoxaparin (Clexane) 4omgs sub cutanously daily, and
o metoclopramide (Maxalon) 1omgs 8/24 PRN.
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