Essay: Case of Hamad a 42-year-old with multiple fractures after a motor vehicle accident. Hamad is a 42-year-old man who was thrown from his motorbike in a motor vehicle accident.Hamad is single and lives alone. He sustained a compound

Due: 15thApril2025

Time: 2359

Results return:normally within 3 weeks of submission date however this will depend on the numberof extensions outstanding after 3 weeks.  Return date: 7th May

CLO1   Discuss diverse health concerns within the Australian context, including a selection of local (regional) and National Health Priorities across the lifespan.           

CLO2   Apply skills in critical thinking, clinical decision making, through assessing and prioritising care, and, applying evidence for individual care interventions including, ethico-legal and cultural safety considerations in various health care contexts.         

CLO3   Determine and differentiate nurse initiated and collaborative care for individual's experiencing health episodes in diverse health care contexts.       

CLO4   Apply the underlying pathophysiology of health concerns and their pharmacological and non-pharmacological management to individual care episodes. 

CLO5   Clearly explain the impact of disease from a biopsychosocial perspective across the lifespan for individuals and families.         

CLO6   Examine the independent and collaborative roles of the nurse caring for individuals within the diverse inter-professional care context.

Read the case study below and consider the following in your response to how you will manage this situation. You can use headings e.g. assessment, however you need to write in connected prose for each of the sections below. 

1. Determine and outline how fractures feature within the Australian Health Care context. (approx. 50 words)

This section should be brief and outline relevant statistics of the incidence of fractures within the Australian health context and any other relevant information e.g. associated disability burdens that add to understanding how fractures feature within the health care system.

1. Describe and explain the assessment, the Registered Nurse (you), would carry out forHamad’s presenting signs and symptoms on day 3 post op. (approx. 250 words)

This section pulls together what you have learned over the semester and asks you to identify appropriate assessment which gives you meaningful data (knowledge) about the current situation. 

1. Examine and discuss the signs and symptoms Hamad is experiencing and relate these to the underlying pathophysiology of what may be occurring in his body.(approx. 500 words)

This section asks you to critically think by analysingand discussing the signs and symptoms Hamad is experiencing and applying those to the pathophysiological processes which may be occurring within the body.

1. Discuss how the Registered Nurse would care for Hamad by prioritising nurse initiated and collaborative interventions explainingthe reasons for your approachgiven his current presentation. (600 words)

This section focuses on the nursing and collaborative actions/ interventions arising from your analysis above. Again, it asks you to critically reason your approach by prioritising the care you propose and explain your reasons / rationale for the actions/ interventions taken. This section needs to include evidence-based research. 

1. For Hamad’s long-term outlook,explain the management approaches, such as,his self-management, the educationrequired, and mental health supportsrelevant for Hamad’s extended recovery. (approx. 300 words)

This section looks at the longer-term issues for Hamad which will focus on the discharge phase of care.

Hamad is a 42-year-old man who was thrown from his motorbike in a motor vehicle accident.Hamad is single and lives alone. He sustained a compound fracture of his L) tibia and fibula, accompanied by extensive soft tissue damage. He also has a 5% burn to his R) lower back. Prior to Hamad being transferred from the Accident and Emergency Dept (A&E) to the operating room (OR),he was given a tetanus toxoid booster. 

In surgery his leg wound was cleaned and lavaged of gravel and debris, debrided and, an open reduction of his fractures was stabilised with internal fixation using pins, plates and screws and a back slab applied for immobilisation. The burn to his back was cleaned and debrided andwas determined to be a partial thickness burn. He has had pre-operative, intraoperative antibiotic coverage and orders are to continue with antibiotic coverage, IV Cefazolin 2gms every 8 hours for 24 hours post- surgery on return to ward. 

Post operatively

Hamad is allowed to mobilise,non-weight bearing on the affected leg, with crutches day 2-3 post operatively, depending on his pain levels and how he manages his crutches. 

He has a dressing intact over the operative site on is leg. The backslab is secured with bandageholding it in place to immobilise the limb. The leg dressing is to remain intact until reviewed by the Doctor. 

Hamad has a silver primary dressing insitu and a zetuvit secondary dressing secured with tapes over the burn wound. The outer (secondary dressing) can be changed prn when strikethrough is present,with a full dressing change and review day 3 post operatively.

To manage pain Hamad is prescribed Ibuprofen400mg tds, Tapentadol SR50mg bd for 3 days and Oxycodone 5-10 mg every 3-4 hours PRN.

His PIVC was removed the morning of day 2 after his last dose of antibiotics. 

Day two post operatively his observations are ranging from T37.5-37.8, P78-90 BP130/70 SpO2 97-99

Past medical history 

Hamad also suffers from mild asthma and uses aVentolin puffer prn “when his chest is tight”and Seretide “when he feels allergic.”

He is allergic to cut grass and various pollens at different times of the year. 

Day 3 Post operatively

You are the Registered nurse caring for Hamad on the morning shift. The nursing handover stated that Hamad has been mobilising since yesterday on crutches and is due for a full dressing change to his burninjury and the Doctor will review today. He had some pain on waking and was given pain medication Oxycodone 10mgat 0630 hours. He has been drinking adequate amounts but has little appetite and only eating small amounts. 

When you do your morning round you observe that Hamad is looking distressed and in pain.You check his medication chart,and his last pain relief was given oneand a half hours ago at 0630.

He tells you his leg is feeling “numb” but also sore and you note his foot is pale. 

Hamad tells you he is “short of breath and his chest feels heavy.” You review his observations from 0600: T38.3 P90 R22 BP140/80 and SpO2 95. He is lying in a semi-recumbent position in the bed. 

For this Assessment Item, acceptable AI use is set at:

Level 1: AI Assisted Structure Checking

Description: Students may use Artificial intelligence (AI) tools to organise and check the structure and flow of their Assessment Item. This includes grammar checks, coherence, and flow of arguments but excludes using AI to generate new text and/or new content.

Additional Information Required: Indicate the AI tool(s) used for structure checking at the beginning of the Assessment Item and include the prompts you have used. Save copies of your drafts and content before/after AI was used, to produce upon request.

Students should be familiar with, and abide by, policy on Academic Integrity and the definition of Academic Misconduct. Penalties apply to students found to have breached these policies and procedures. Please ensure you have completed the mandatory Academic Integrity training and have familiarised yourself with Academic Integrity at UniSQ.

UniSQ academic writing is provided in links on the course Resources Tab.

https://www.usq.edu.au/library/study-support/assignments

Referencing

https://www.usq.edu.au/library/referencing

1. There is an accompanying recording on study desk in the assessment tab to guide you through this assessment in more detail.
2. The rubric is also provided on the study desk to guide you about the marking expectations, pay note to where the assessment is weighted.
3. No PDF submissions will be accepted.

Presentation / formatting/ scholarly conventions:10% | Use of Evidence:20% | Critical Skills:40% |Content Development: 30%

Refer to the Marking Rubric for this Assessment item here.

Formatting Requirements

1. Essay, spacing, format
   1. The essay should be created inword and submitted as a word doc only
   2. 1.5 spacing required. 
   3. A4 sheet size
2. Text size and layout
   1. Headings are advisedas these will make it clear to the marker.
   2. Body text must be clear, concise, 12 font, Calibri, New Times Roman or Verdana accepted. 
3. Word count
   1. 1700 words +/- 10%
   2. References (in text and reference list) should be presented on a separate sheet at the end of the essay and are not counted in the word limit.
4. Referencing
   1. Only APA7 referencing is accepted(7th Edition)https://usq.pressbooks.pub/apa7/. 
   2. Students must include a minimum of four current primary (original) research articles published within the last five years in their references. These references must be contextual to the case scenario and add to the care interventions to demonstrate evidence-based care. 
   3. Students should include no less than 10 references overall throughout the assignment. 
   4. In text citations: You must include intextcitations in the body of your work. Each new point or piece of evidence must be attributed (via in-text citation) to the source. 
5. TURNITIN 
   1. Each written assessment is to be submitted to Turnitin. Please make sure that you are familiar with this process. 

   2. Make sure you allow 24 hours prior to the submission date to give you adequate time to read your TURNITIN report and make appropriate changes if required.

       

6. Marking process

Please refer to the marking rubric on the study desk and make careful note of the weighted sections. You will be marked via a grader form in Grademark through TURNITIN reflecting the elements of the rubric. To access your feedback, you will need to click on the pencil icon.

File submission and Footnotes

What you need to submit:

1. One word document (not PDF, as this makes marking more difficult and will not go through Turnitin appropriately)
2. You will need to submit your Essay via the assessmentportal located in the assessment tab under ‘essay’. 
3. The file name should have an identifier such as ‘essay final.’ 
4. Student name_topic_nur2101_A1essayfinal.docx
5. Referencing list is imperative. 

What you do not need to submit:

1. Do not include the marking criteria sheet/ rubric, cover sheet. The Poster will be marked in the Grademark grader form. 

Assessment return isnormally around 3 weeks of submission date through the portal on study desk where you submitted your assignment.However, this will depend on the number of extensions, all assignments need to be submitted prior to release.

You will be given individual feedback on your assessment via Grademark. Group feedback will also be posted in the ‘Assessment Forum’ so that you are able to gauge your feedback against others in the course.  You should read your feedback as this will help you to understand and develop your clinical decision making and nursing caremanagement,which is core learning in the course. 

All staff assessing your work will meet to moderate and discuss results before grades are finalised.