Comparative Essay

Comparative Essay
I have chosen to go with (C) maintain skin integrity while in hospital.

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NSB021 Assessment 3
Comparative Essay
Due Date: Monday 26th October 2015

Assessment Task – Comparative Essay
Select one of the nursing care elements listed (A to C) for the patients in the below clinical scenarios. For the nursing care element you select, develop a discussion of thespecific differences and similarities required in nursing care forMr. Franklin as compared to Eloise. Particularly focus on identifying and discussing how the age and developmental considerations for each of the patients will require modifications to nursing care for the element selected. Use a mix of contemporary text and research articles to support your discussion points. It is suggested that you use a brief introduction and conclusion and employ the majority of the word length in addressing the focus of the assessment task.
Length: 1000 words
Check the Criteria Referenced Assessment (CRA) grid to review assessment expectations and the essay example on blackboard before you start.

Clinical Scenarios

Mr Franklin is a frail, thin-looking 85 year old man admitted to hospital with a 48 hour history of viral gastroenteritis. Mr Franklin usually lives independently with his wife of 60 years in their Brisbane home. He uses a walking stick to aid his balance. He has experienced severe vomiting and diarrhoea at home and is significantly dehydrated. He looks pale and says he still feels really nauseous and faint. His lips are dry and his oral mucus membranes look dull. He has a headache. His abdominal skin turgor is slack returning to form in 2 to 3 seconds. He hasn’t vomited for a few hours and has had 2 episodes of diarrhoea and abdominal cramps today. Mr Franklin is usually continent and is able to get up to the toilet himself. He has intravenous therapy 4% dextrose / 1/5th0.9% sodium chloride running for rehydration. His most recent vital signs are BP 110/65 mmhg lying down, pulse 96 beats/minute and regular, respirations 26 breathes/ minute, temperature 37.8C and Sa0295%. When the nurse inquires if he has pain Mr Franklin says he has a dull ache in his back and abdomen that has got a bit better since another nurse got him a hot pack.

Eloise is a 4 year old girl accompanied by her mother and admitted to hospital with a 48 hour history of viral gastroenteritis. Eloise is the youngest of 3 siblings in this family. She has experienced severe vomiting and diarrhoea at home and is significantly dehydrated. Her lips are dry and his oral mucus membranes look dull. Mum Jane says Eloise ‘is unusually quiet and wants to stay in bed or sitting on my lap which is very unusual for her’. Both Eloise and Jane are accommodated in a single room with Jane staying as a ‘boarding parent’. Eloise is usually able to use the toilet independently but since being unwell Jane has put her into nappies again due to the severity of the diarrhoea. She has intravenous therapy 4% dextrose / 1/5th 0.9% sodium chloride running for rehydration. Her abdominal skin turgor is a little slack returning to form in 1 to 2 seconds. Peripheral capillary refill on the skin of her knee is a little slow at 2 seconds. She hasn’t vomited for a few hours, has had 2 episodes of diarrhoea today and told Jane ‘my tummy hurts’.Her most recent vital signs are pulse 124 beats/minute and regular, respirations 26 breathes/ minute, temperature 37.8C, Sa02 98%. Jane is able to stay in hospital with Eloise as her other children are being cared for by their grandmother.
Supportive nursing care elements planned for both Mr Franklin and Eloise include the following:
A. monitor vital signs and symptoms of fluid balance
B. maintain safety when mobilising while in hospital
C. maintain skin integritywhile in hospital

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