Assignment title: Information
Assignment: Written assignment
Step 1: Select a case study from the two options below
Alice Palmer 54 yrs. Ischaemic stroke-
Mrs. Alice Palmer is a 54 year old woman who has been admitted to your unit. She had
an ischaemic stroke 18 hours ago and has been
transferred to the acute stroke unit to receive ongoing assessment and rehabilitation.
The previous nurse hands over to you: HR 89, BP 155/90, left hemiparesis and bilateral
visual fields deficit. Glasgow Coma Scale score 15. Mrs. Palmer was also noted to have
some difficulty with remembering recent information but can recall with some prompting.
You introduce yourself to Mrs. Palmer and her husband. Mrs. Palmer says that she has
had hypertension 'for years' but that she didn't really
like to take medication.
You will need to complete the admission assessment(s) for Mrs. Palmer.
Len Thompson 49 yrs. Acute abdomen
Mr. Len Thompson is a 49 year old man who has had Crohn's disease for 12 years. He
presents following two days of abdominal pain with frequent bouts of watery diarrhoea.
The previous nurse hands over to you: HR 120, BP 100/45, Temperature 36.9, severe
abdominal pain with the last episode of diarrhoea being around 2 hours ago. The nurse
also states that he is pale with dry mucous membranes, and that he is requesting a
drink of
water. Len's 12 year daughter is with him.
You are to complete the admission assessment for Mr. Thompson.
Step 2: Utilising elements of Levett-Jones (2013) Clinical Reasoning Cycle below, write
a 1500 word essay, incorporating the following the information.
I. Consider the person's situation - Identify and discuss the key elements of the
demographic data recorded in your chosen scenario
II. Collect cues and information - Review current and handover information.
Describe what additional information you may need.
III. Process information - Interpret what you currently know about presenting problem -
what are the expected assessment parameters for this person's situation?
IV. Identify problems/issues - Describe what focused health assessment/s you think you
would need to use and why.
Describe how your chosen person's findings differ from normal expectations
V. Detail the assessment - Detail how you are going to undertake the health
assessment - ensuring you describe the technique and person considerations.