FOR MORE CLASSES VISIT tutorialoutletdotcom TITLE OF CASE ● A descriptive title – you can be creative. RELEVANCE OF CASE ● Why is this case important? What are the reasons for choosing this case? Why would graduate RNs be interested in reading about this? CASE PRESENTATION – NURSING ASSESSMENT

1. Provide a comprehensive case description
FOR MORE CLASSES VISIT
tutorialoutletdotcom
TITLE OF CASE
● A descriptive title – you can be creative.
RELEVANCE OF CASE
● Why is this case important? What are the reasons for choosing this
case? Why would graduate RNs be
interested in reading about this? CASE PRESENTATION – NURSING
ASSESSMENT
● Provide a comprehensive case description including the salient patient
history, physical assessment data
and any relevant investigations using an appropriate assessment
framework.
● Make sure your nursing assessment is person-centred.
● Be as descriptive as possible and use data from a range of sources if
possible (e.g., handover reports,
patient history, physical assessment, patient charts, results of
investigations, nursing/medical assessments
previously undertaken).
● Remember you must maintain patient anonymity and confidentiality.
This section relates to “Collect cues/information” from the Clinical
Reasoning
Cycle (CRC). Page 1 of 2 NSB026: Nursing Practice Capstone
Insert student name and number here
Insert tutorial class time and tutor name here Process the information
(from CRC)
CLINICAL PRIORITIES – PATIENT PROBLEMS
● Identify the clinical priorities in the management of this patient. The
clinical priorities are the most

2. important or pressing patient problems or issues based on the assessment
data collected. Identify problems/issues (from CRC)
PLANNING
● Describe the patient goals and desired outcomes. Establish goals (from
CRC)
INTERVENTIONS
● Describe all the actual nursing and/or collaborative interventions
performed to manage the clinical
priorities.
● Only include interventions or actions here (not assessment or
evaluation).
● Remember to keep a nursing focus: Make sure you clearly identify all
the nursing management and
highlight the nursing care that was provided alongside any medical
interventions. Take action (from CRC) EVALUATION
● Describe the evaluation data for these interventions. This is the actual
patient assessment data you used
to evaluate if each intervention was effective. Evaluate outcomes (from
CRC)
REFLECTIVE POINTS
● Outline the key learning points and areas for further investigation
arising from this case study for you
Task requirements: This is the first part of a larger case study project
you will submit at the
end of the semester. It is designed to provide you with formative and
summative feedback on
your chosen case study.
To complete this assessment you need to select a complex patient care
situation during your
clinical placement1. You should choose a case which triggered some
uncertainty and will allow
you to critically reflect on the care of that patient.
Using the template provided on Blackboard, write an abstract which
presents an overview of

3. the case and demonstrates application of the clinical reasoning cycle to
your patient You will
need to provide a synopsis of the clinical priorities in this case study and
explain why you chose
to reflect on the care of this patient.
You will have the opportunity to discuss and critique example abstracts
in tutorial 1 which will
assist you to identify the information required and the type of case study
patient you can
choose for your assessments. Very important point: You must maintain
patient confidentiality when completing this
assessment. Any patient data used must be de-identified so that the
patient remains
anonymous. You will need to collect detailed patient data to present the
case by transcribing
information from patient charts and records (eg. patient history,
presenting problem,
assessment information, vital signs, medications, investigations, relevant
pathology results,
nursing and collaborative interventions, and evaluation data). However,
it is not appropriate
to photocopy charts or take photographs of patients or patient records.
This is in accordance
with the code of conduct and confidentiality requirements set out in the
Queensland Health
Student Deed Poll. As always, you also need to work within the local
policies and protocols of
the healthcare facility.
***************************************************