Reflective Clinical Practice Issues Case Study

Reflective Clinical Practice Issues Case Study

Reflective Clinical Practice Issues Case Study

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NSG3NCR – Nursing: Reflective Clinical Practice Issues in Ysabel’s care during all of her Hospitalisation – Case Study Assignment Help

August 18, 2017 Amy CASE STUDY , Nursing No Comments

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Nursing Case Study Assignment

Patient – Background

Ysabel Green is a 33 year old woman who prior to giving birth to her 3rd daughter Ruby, at 37 weeks gestation was diagnosed with Cholelithiasis. Post the birth of Ruby, Ysabel’s LFT results and and bilirubin levels had stabilised and a medical decision was made not to remove the gall stones and/or gall bladder.

About 6 weeks after Ruby’s birth, Ysabel started experiencing some episodes of right upper quadrant pain and nausea. Over a period of 5 weeks, her symptoms intensified and became more frequent. She presented to a hospital Emergency Department on a Tuesday evening experiencing acute right upper quadrant pain which was radiating to her right shoulder. She was nauseous and had vomited twice over the last 24 hours. Ysabel was examined by the medical officer on duty and administered Morphine 2.5mg IV 1-2 hourly prn. Following administration of 5mg of Morphine her pain score decreased from a 9/10 to a 2/10. No further investigations were conducted and 8 hours after admission to ED Ysabel was discharged. She was advised by the discharging medical officer to make an appointment to see her own local doctor over the next week.

Medical History


Cholelithiasis pre birth of her 3rd child

Gestational Diabetes

Social Situation

Ysabel lives with her husband and 3 daughters aged 5 years old, 14 months and 3 months. The family recently moved from a rural setting to the city. They currently live in a 2 bed room unit whilst they await the purchase of their own home.

Please answer the following questions, using academic language and format.


Identify all clinical practice issues in Ysabel’s care during all of her hospitalisation.

Identify all National Health and Safety Standards that have been breached in Ysabel’s care and discuss how these standards have been breached.

From your list of identified National Health and Safety Standards, choose two standards, review literature and discuss how those 2 standards could have been maintained by health care staff in the care of Ysabel and her family during her hospitalisation.

Based on your 2 chosen standards, what recommendations would you make for changes to health care practice at the ward level? Support your recommendations with rationales supported by evidence-based literature.

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

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The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.


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