Explain the specific underlying cause/s (aetiology) or reason/s for each of the nursing problems above. (300 words, 10 marks) NUR250 Medical Surgical Nursing 1: Assessment 1 Topic and Tasks S1 2017 6 Task 2: Care planning In addition to the nursing problems above, you also recognise that Neville requires fundamental nursing care today and your role and responsibility as the nurse caring for Neville today is to keep him:

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Assessment 1: Nursing care of a person with a respiratory problem Meet Neville You will be caring for him today Shift handover: Neville is a 62 year old man with moderate, established chronic obstructive pulmonary disease (COPD) and a long history of smoking. He was admitted 2 days ago with worsening dyspnoea, cough and increasingly purulent sputum production. He reports he developed a cold a few days before admission but his usual preventative medications didn’t relieve symptoms and he is now unable to take more than a few steps before having to rest. Since admission, his upper respiratory symptoms have improved but he reports his dyspnoea and shortness of breath on exertion have not yet returned to what is normal for him. He remains tachycardic and his blood pressure is slightly elevated. Nasal prong oxygen remains in place. Medical orders are for nasal prong oxygen @ 2L/min to maintain oxygen saturations 88-92%; spirometry before and after nebulisers; high protein, high carbohydrate diet; push oral fluids, fluid balance chart, food chart and second daily weighs. Current medications are ipratropium bromide and salbutamol nebulisers, oral prednisone, oral amoxicillin, prn paracetamol and coloxyl. Pneumococcal and flu vaccines have been ordered to be administered before discharge once his condition has improved. Neville has tried to stop smoking on a number of occasions. He has cut down to 10 cigarettes per day but is having difficulty stopping completely. He lives with his wife who continues to be very supportive. NUR250 Medical Surgical Nursing 1: Assessment 1 Topic and Tasks S1 2017 5 Assessment 1 Tasks: Based on the handover you received at the beginning of your shift today, other information included below and current reliable evidence for practice, address the following 5 tasks. Do not make up or assume information in relation to or about Neville, the photo is not an indication of his age or appearance. Only use what you know from the information you received today. Note: Students are expected to demonstrate • Person-centred care • That they have read beyond the set texts to prepare their responses and, • Can apply and integrate knowledge to practice and a specific case. Reliance on text books alone is no guarantee that your information is current and reliable evidence for practice. However, set texts are a good place to start to identify key points and to develop search strategies to locate appropriate journal articles. A reminder to use the Assessment 1 tips in the Assessment 1 folder on NUR250 Learnline. Task 1: Understanding nursing problems After handover you consider and plan the nursing care that Neville requires today. You recognise that there are 5 key nursing problems for Neville today: • Ineffective airway clearance • Impaired gas exchange • Risk of impaired ventilation • Imbalanced nutrition: less than body requirements • Risk for infection In grammatically correct sentences and topic paragraphs and using current, reliable evidence for practice • Explain the specific underlying cause/s (aetiology) or reason/s for each of the nursing problems above. (300 words, 10 marks) NUR250 Medical Surgical Nursing 1: Assessment 1 Topic and Tasks S1 2017 6 Task 2: Care planning In addition to the nursing problems above, you also recognise that Neville requires fundamental nursing care today and your role and responsibility as the nurse caring for Neville today is to keep him: • Safe • Clean and dressed • Warm and comfortable • Fed • Hydrated • Rested • Mobile • Toileted Based solely on the handover you have received select five (5) fundamentals of care from the list above and develop a plan of care for each one identifying: • The related nursing problem • The underlying cause or reason (ie, what the problem is related to) • Goal of care • Specific bedside nursing interventions you will do • The rationales for your nursing interventions and actions • Indicators that your plan is working Information is to be in dot point form on the nursing care plan template on the required Assessment 1 template. (800 words, 30 marks) Task 3: Medication management Three important aspects of medication management by registered nurses is for the nurse to understand why a patient has been prescribed specific medications, the nursing responsibilities associate with administering each medication and how to monitor the patient to ensure they are responding to prescribed medications as they should. In grammatically correct sentences and topic paragraphs and using current, reliable evidence for practice, • Briefly explain why Neville has been prescribed: o Oral prednisone o ipratropium bromide via nebuliser o Oral amoxicillin AND • Identify and explain o The specific nursing responsibilities associated with administering each medication and monitoring Neville for expected, side and adverse effects (350 words, 10 marks) NUR250 Medical Surgical Nursing 1: Assessment 1 Topic and Tasks S1 2017 7 Task 4: Patient teaching During Neville’s hospital admission, it is part of the nurse’s role to review his current knowledge and understanding related to his condition and to update or provide new information. Topics that need review/updating or new information are: • How to effectively use a metered dose inhaler (MDI) and spacer • Why he needs to stop smoking • Early indicators that his COPD is deteriorating that require medical review • Promoting adequate nutritional intake to meet his metabolic needs • Energy conservation strategies Select one (1) of the topics above and, in grammatically correct sentences and topic paragraphs, • Identify the specific information you will need to explain to Neville about the topic AND • Explain o Why the topic is an important aspect of Neville’s care o How you will ensure that Neville knows and understand why it is important and, if appropriate to the topic, what he needs to do (250 words, 5 marks) Task 5: Clinical judgement and handover There are two (2) parts to Task 5. Part A: When you come back from your meal break, a colleague tells you that they have given Neville a prn salbutamol nebuliser as he requested it because he was short of breath. The first thing you do is to check on Neville to find out if his breathing is more comfortable now. On checking Neville you notice: Neville is • Restless, anxious and mumbling incoherently • Plucking randomly at his bed linen • Dyspnoeic and, his • Skin is flushed and diaphoretic and • Nasal prong oxygen is still in place On further assessment you find: • Oxygen saturations are now 98% on nasal prong oxygen @ 2L/min • Heart rate elevated to 110 beats/minute • Respiratory rate has dropped to 8-10 breaths/minute • The nebuliser mask and tubing is connected to the oxygen outlet NUR250 Medical Surgical Nursing 1: Assessment 1 Topic and Tasks S1 2017 8 In grammatically correct sentences and topic paragraphs, • Identify o What you think is happening o Your immediate nursing actions and interventions o The reason for your actions and interventions Part B: An important legal requirement of nursing practice is to effectively and succinctly communicate relevant information, actions and outcomes related to patient care and provide an accurate reflection of the health status of the patient, their responses to care and the patient’s perspective. Once Neville’s condition has been stabilised, the doctors arrange to transfer Neville to the High Dependency Unit for bipap and closer monitoring. Using the ISBAR format, information from the handover you initially received and the additional information above: • Write a handover that clearly and succinctly outlines the important information the high dependency unit needs to know about Neville Your handover must: • Demonstrate person-centred care • Adhere to the legal and professional standards for documentation • Be in appropriate professional language • Contain NO abbreviations or nursing jargon (Part A and B: 300 words, 10 marks) Before you submit • Check you have followed the presentation and resource guidelines for Assessment 1 • Check the academic integrity of your work • Clearly identify the specific file you want to submit to be marked

Instruction:

NUR250 Assessment 1
Topic: Nursing care of a patient with a respiratory problem
Length: 2000 words + 150 for words on template
Contribution to overall grade: 40%
Academic Literacy
Assessment 1 is to be submitted and presented:
On the Assessment 1 template located in the Assessment 1 folder on NUR250 Learnline
As a computer generated document in Word and Learnline compatible format.
1.5 line spaced in either Arial font size 11 or Times New Roman or Calibri font size 11 or 12
Contents page, title page, introduction and conclusion are NOT required
In clear, coherent Australian English that demonstrates progression towards the standard for written communication for professional nursing practice in Australia
Using appropriate professional terminology
With no acronyms, abbreviations and/or nursing jargon
Unless otherwise indicated, in grammatically correct sentences and topic paragraphs
Referencing is required when and where appropriate. (See Prepare for Success module)
No more than 10% over or under the stated word count
o Notes: Word count is assessed from the first word under Task 1 heading. Headings, any task information you copy in and in-text citations are included in the word count. There is an extra 150 words allowed for the headings already on the Assessment 1 template.
• Use of trade names is not acceptable. Only generic terms or names are to be used when referring to specific medications or other prescribed treatments or resources that may be used in nursing practice
Academic Integrity: Use of current, reliable evidence for practice
students are requested to include an active URL in your reference list for this assignment and to ensure all URLs are active. Do not remove the hyperlinks on URLs. Markers must be able to access ALL of your sources
There must be at least 8 peer-reviewed journal articles dated between 2010-2017 cited in your assignment. Articles reporting original research, formal literature and/or systematic reviews are the preferred resources.
Two (2) textbooks only to be cited as a reference in your assignment. This includes any ebooks from the CDU Library eBook collection or other sources.
Notes:
o All books must be a current Australian edition
o NUR250 set texts by Lemone et al and Tiziani are the preferred textbooks
o Students are encouraged to use current nursing textbooks to help them identify relevant information and terms to use when searching an electronic database.
• Relevant documents from reputable, reliable, professional websites may be used where it is appropriate to do so.
• All resources cited in your assignment must have complete and correct details in the reference list, including either a DOI or an active URL
Resources that are NOT appropriate
The following resources are NOT appropriate as they cannot be considered reliable sources of information:
• Textbooks for lower level nursing courses. For example, any edition of Tabbner’s Nursing Care (Funnell and/or Koutoukidis, et al) does not have the depth or breadth of information required by a RN.
• Dictionaries
• Journal article abstracts
• Journals names and/or journal articles that are not in English
• Journal articles that cannot be accessed via CDU databases or freely online
• Websites such as Wikipedia, myDr, RNCentral, Scribd, Nurselabs and other blog sites
• Information such as clinical guidelines from organisational intranet sites or other sites that require registration or log in to access material. This is not publicly available information.
• Consumer websites such as the Better Health Channel or consumer information from government departments or agencies and community support groups that is not referenced
• Preview copies of books from online retailers
MARKING CRETERIA
NURSING CARE PLAN; ABILITY TO INTERPRET AND ADDRESS CARE TASK: High level ability to develop a patient centred nursing care plan. 5 fundamentals of care addressed and all are stated as nursing problems. High level ability to identify, explain and/or justify underlying reason/cause for each nursing problem, goals of care, specific bedside interventions, rationales and indicators.. Explanations and/or rationales demonstrate high level understanding
ABILITY TO INTERPRET AND ADDRESS OTHER TASK; Excellent interpretation of all tasks. Demonstrates high level ability to (1) identify and explain underlying causes/reasons for nursing problems, medication management, patient teaching (2) to develop a succinct, comprehensive written handover using ISBAR format
CRITICAL THINKING AND CLINICAL REASONING; Demonstrates a high level ability to interpret, integrate and apply evidence to practice and to make sound clinical decisions. Demonstrates high level understanding and ability to paraphrase information.
Academic Integrity 1: Evidence for practice; Demonstrates high level engagement with current, reliable evidence for practice. 8 or more highly reliable and relevant journal articles that meet stated criteria. No more than 2 current edition textbook cited as a reference, no inappropriate resources in reference list.
Academic Integrity 2; Demonstrates high level ability to acknowledge the work of others. All ideas supported with appropriate and accurate in-text citations and there is a complete and accurate reference list. No errors detected in CDU APA 6th format. Academic integrity standards met
Academic Literacy 1; Assignment is on required template and is within stated word count. Meets written communication standards for nursing practice and academic literacy at a high level. Content is well organized with coherent flow. Assignment is free from grammatical and/or spelling errors and there are no lists, abbreviations, diagrams acronyms and/or nursing jargon
TEMPLATE
It is recommended you do not delete the heading and the information below.
Please note: As indicated in Assessment 1 information, a cover sheet, title and contents pages are not required
Before you begin take a minute to fill in your details in the footer to ensure your document is identifiable. To access the footer, double click on the grey writing “Last name….” at the bottom of the page above. Once you have done that, double click here to come back to this page.
Information about the required line spacing and font size and type is in the Assessment 1 information document in the Assessment 1 folder on NUR250 Learnline. Take a minute to check that this document meets those requirements.
To avoid or minimise problems with formatting, it is recommended you
• Use the headings provided
• Don’t copy from another document onto this template
• Don’t delete the section breaks on the document
Submission of your assignment means you have read and understood the
• University policies and procedures related to academic integrity
• Assessment 1 presentation guidelines
Start to write your assignment here. Word count is calculated from this point.
Task 1: Understanding nursing problems
Task 2: Care planning
Nursing Care Plan: Neville
Note: Dot points recommended in care plan. Click and type in each cell, click enter in a cell to make it longer
A reminder that all information must be referenced
Nursing problem:
Underlying cause or reason:
Goal of care Nursing interventions/actions Rationale Indicators your plan is working
Nursing problem:
Underlying cause or reason:
Goal of care Nursing interventions/actions Rationale Indicators your plan is working
Nursing problem:
Underlying cause or reason:
Goal of care Nursing interventions/actions Rationale Indicators your plan is working
longer
Nursing problem:
Underlying cause or reason:
Goal of care Nursing interventions/actions Rationale Indicators your plan is working
Nursing problem:
Underlying cause or reason:
Goal of care Nursing interventions/actions Rationale Indicators your plan is working
Assessment 1: Nursing care of a person with a respiratory problem
Meet Neville
You will be caring for him today
Shift handover:
Neville is a 62 year old man with moderate, established chronic obstructive pulmonary disease (COPD) and a long history of smoking.
He was admitted 2 days ago with worsening dyspnoea, cough and increasingly purulent sputum production. He reports he developed a cold a few days before admission but his usual preventative medications didn’t relieve symptoms and he is now unable to take more than a few steps before having to rest.
Since admission, his upper respiratory symptoms have improved but he reports his dyspnoea and shortness of breath on exertion have not yet returned to what is normal for him. He remains tachycardic and his blood pressure is slightly elevated. Nasal prong oxygen remains in place.
Medical orders are for nasal prong oxygen @ 2L/min to maintain oxygen saturations 88-92%; spirometry before and after nebulisers; high protein, high carbohydrate diet; push oral fluids, fluid balance chart, food chart and second daily weighs.
Current medications are ipratropium bromide and salbutamol nebulisers, oral prednisone, oral amoxicillin, prn paracetamol and coloxyl. Pneumococcal and flu vaccines have been ordered to be administered before discharge once his condition has improved.
Neville has tried to stop smoking on a number of occasions. He has cut down to 10 cigarettes per day but is having difficulty stopping completely. He lives with his wife who continues to be very supportive.
NUR250 Medical Surgical Nursing 1: Assessment 1 Topic and Tasks S1 2017
5
Assessment 1 Tasks:
Based on the handover you received at the beginning of your shift today, other information included below and current reliable evidence for practice, address the following 5 tasks.
Do not make up or assume information in relation to or about Neville, the photo is not an indication of his age or appearance. Only use what you know from the information you received today.
Note:
Students are expected to demonstrate
• Person-centred care
• That they have read beyond the set texts to prepare their responses and,
• Can apply and integrate knowledge to practice and a specific case.
Reliance on text books alone is no guarantee that your information is current and reliable evidence for practice. However, set texts are a good place to start to identify key points and to develop search strategies to locate appropriate journal articles.
A reminder to use the Assessment 1 tips in the Assessment 1 folder on NUR250 Learnline.
Task 1: Understanding nursing problems
After handover you consider and plan the nursing care that Neville requires today.
You recognise that there are 5 key nursing problems for Neville today:
• Ineffective airway clearance
• Impaired gas exchange
• Risk of impaired ventilation
• Imbalanced nutrition: less than body requirements
• Risk for infection
In grammatically correct sentences and topic paragraphs and using current, reliable evidence for practice
• Explain the specific underlying cause/s (aetiology) or reason/s for each of the nursing problems above.
(300 words, 10 marks)
NUR250 Medical Surgical Nursing 1: Assessment 1 Topic and Tasks S1 2017
6
Task 2: Care planning
In addition to the nursing problems above, you also recognise that Neville requires fundamental nursing care today and your role and responsibility as the nurse caring for Neville today is to keep him:
• Safe
• Clean and dressed
• Warm and comfortable
• Fed
• Hydrated
• Rested
• Mobile
• Toileted
Based solely on the handover you have received select five (5) fundamentals of care from the list above and develop a plan of care for each one identifying:
• The related nursing problem
• The underlying cause or reason (ie, what the problem is related to)
• Goal of care
• Specific bedside nursing interventions you will do
• The rationales for your nursing interventions and actions
• Indicators that your plan is working
Information is to be in dot point form on the nursing care plan template on the required Assessment 1 template.
(800 words, 30 marks)
Task 3: Medication management
Three important aspects of medication management by registered nurses is for the nurse to understand why a patient has been prescribed specific medications, the nursing responsibilities associate with administering each medication and how to monitor the patient to ensure they are responding to prescribed medications as they should.
In grammatically correct sentences and topic paragraphs and using current, reliable evidence for practice,
• Briefly explain why Neville has been prescribed:
o Oral prednisone
o ipratropium bromide via nebuliser
o Oral amoxicillin
AND
• Identify and explain
o The specific nursing responsibilities associated with administering each medication and monitoring Neville for expected, side and adverse effects
(350 words, 10 marks)
NUR250 Medical Surgical Nursing 1: Assessment 1 Topic and Tasks S1 2017
7
Task 4: Patient teaching
During Neville’s hospital admission, it is part of the nurse’s role to review his current knowledge and understanding related to his condition and to update or provide new information.
Topics that need review/updating or new information are:
• How to effectively use a metered dose inhaler (MDI) and spacer
• Why he needs to stop smoking
• Early indicators that his COPD is deteriorating that require medical review
• Promoting adequate nutritional intake to meet his metabolic needs
• Energy conservation strategies
Select one (1) of the topics above and, in grammatically correct sentences and topic paragraphs,
• Identify the specific information you will need to explain to Neville about the topic
AND
• Explain
o Why the topic is an important aspect of Neville’s care
o How you will ensure that Neville knows and understand why it is important and, if appropriate to the topic, what he needs to do
(250 words, 5 marks)
Task 5: Clinical judgement and handover
There are two (2) parts to Task 5.
Part A:
When you come back from your meal break, a colleague tells you that they have given Neville a prn salbutamol nebuliser as he requested it because he was short of breath.
The first thing you do is to check on Neville to find out if his breathing is more comfortable now. On checking Neville you notice:
Neville is
• Restless, anxious and mumbling incoherently
• Plucking randomly at his bed linen
• Dyspnoeic and, his
• Skin is flushed and diaphoretic and
• Nasal prong oxygen is still in place
On further assessment you find:
• Oxygen saturations are now 98% on nasal prong oxygen @ 2L/min
• Heart rate elevated to 110 beats/minute
• Respiratory rate has dropped to 8-10 breaths/minute
• The nebuliser mask and tubing is connected to the oxygen outlet
NUR250 Medical Surgical Nursing 1: Assessment 1 Topic and Tasks S1 2017
8
In grammatically correct sentences and topic paragraphs,
• Identify
o What you think is happening
o Your immediate nursing actions and interventions
o The reason for your actions and interventions
Part B:
An important legal requirement of nursing practice is to effectively and succinctly communicate relevant information, actions and outcomes related to patient care and provide an accurate reflection of the health status of the patient, their responses to care and the patient’s perspective.
Once Neville’s condition has been stabilised, the doctors arrange to transfer Neville to the High Dependency Unit for bipap and closer monitoring.
Using the ISBAR format, information from the handover you initially received and the additional information above:
• Write a handover that clearly and succinctly outlines the important information the high dependency unit needs to know about Neville
Your handover must:
• Demonstrate person-centred care
• Adhere to the legal and professional standards for documentation
• Be in appropriate professional language
• Contain NO abbreviations or nursing jargon
(Part A and B: 300 words, 10 marks)
Before you submit
• Check you have followed the presentation and resource guidelines for Assessment 1
• Check the academic integrity of your work
• Clearly identify the specific file you want to submit to be marked
NUR250 Assessment 1
Topic: Nursing care of a patient with a respiratory problem
Length: 2000 words + 150 for words on template
Contribution to overall grade: 40%

Academic Literacy
Assessment 1 is to be submitted and presented:
On the Assessment 1 template located in the Assessment 1 folder on NUR250 Learnline
As a computer generated document in Word and Learnline compatible format.
1.5 line spaced in either Arial font size 11 or Times New Roman or Calibri font size 11 or 12
Contents page, title page, introduction and conclusion are NOT required
In clear, coherent Australian English that demonstrates progression towards the standard for written communication for professional nursing practice in Australia
Using appropriate professional terminology
With no acronyms, abbreviations and/or nursing jargon
Unless otherwise indicated, in grammatically correct sentences and topic paragraphs
Referencing is required when and where appropriate. (See Prepare for Success module)
No more than 10% over or under the stated word count
o Notes: Word count is assessed from the first word under Task 1 heading. Headings, any task information you copy in and in-text citations are included in the word count. There is an extra 150 words allowed for the headings already on the Assessment 1 template.
 Use of trade names is not acceptable. Only generic terms or names are to be used when referring to specific medications or other prescribed treatments or resources that may be used in nursing practice

Academic Integrity: Use of current, reliable evidence for practice
students are requested to include an active URL in your reference list for this assignment and to ensure all URLs are active. Do not remove the hyperlinks on URLs. Markers must be able to access ALL of your sources
There must be at least 8 peer-reviewed journal articles dated between 2010-2017 cited in your assignment. Articles reporting original research, formal literature and/or systematic reviews are the preferred resources.
Two (2) textbooks only to be cited as a reference in your assignment. This includes any ebooks from the CDU Library eBook collection or other sources.
Notes:
o All books must be a current Australian edition
o NUR250 set texts by Lemone et al and Tiziani are the preferred textbooks
o Students are encouraged to use current nursing textbooks to help them identify relevant information and terms to use when searching an electronic database.
 Relevant documents from reputable, reliable, professional websites may be used where it is appropriate to do so.
 All resources cited in your assignment must have complete and correct details in the reference list, including either a DOI or an active URL
Resources that are NOT appropriate
The following resources are NOT appropriate as they cannot be considered reliable sources of information:
 Textbooks for lower level nursing courses. For example, any edition of Tabbner’s Nursing Care (Funnell and/or Koutoukidis, et al) does not have the depth or breadth of information required by a RN.
 Dictionaries
 Journal article abstracts
 Journals names and/or journal articles that are not in English
 Journal articles that cannot be accessed via CDU databases or freely online
 Websites such as Wikipedia, myDr, RNCentral, Scribd, Nurselabs and other blog sites
 Information such as clinical guidelines from organisational intranet sites or other sites that require registration or log in to access material. This is not publicly available information.
 Consumer websites such as the Better Health Channel or consumer information from government departments or agencies and community support groups that is not referenced
 Preview copies of books from online retailers

MARKING CRETERIA
NURSING CARE PLAN; ABILITY TO INTERPRET AND ADDRESS CARE TASK: High level ability to develop a patient centred nursing care plan. 5 fundamentals of care addressed and all are stated as nursing problems. High level ability to identify, explain and/or justify underlying reason/cause for each nursing problem, goals of care, specific bedside interventions, rationales and indicators.. Explanations and/or rationales demonstrate high level understanding

ABILITY TO INTERPRET AND ADDRESS OTHER TASK; Excellent interpretation of all tasks. Demonstrates high level ability to (1) identify and explain underlying causes/reasons for nursing problems, medication management, patient teaching (2) to develop a succinct, comprehensive written handover using ISBAR format

CRITICAL THINKING AND CLINICAL REASONING; Demonstrates a high level ability to interpret, integrate and apply evidence to practice and to make sound clinical decisions. Demonstrates high level understanding and ability to paraphrase information.

Academic Integrity 1: Evidence for practice; Demonstrates high level engagement with current, reliable evidence for practice. 8 or more highly reliable and relevant journal articles that meet stated criteria. No more than 2 current edition textbook cited as a reference, no inappropriate resources in reference list.
Academic Integrity 2; Demonstrates high level ability to acknowledge the work of others. All ideas supported with appropriate and accurate in-text citations and there is a complete and accurate reference list. No errors detected in CDU APA 6th format. Academic integrity standards met

Academic Literacy 1; Assignment is on required template and is within stated word count. Meets written communication standards for nursing practice and academic literacy at a high level. Content is well organized with coherent flow. Assignment is free from grammatical and/or spelling errors and there are no lists, abbreviations, diagrams acronyms and/or nursing jargon

TEMPLATE
It is recommended you do not delete the heading and the information below.

Please note: As indicated in Assessment 1 information, a cover sheet, title and contents pages are not required

Before you begin take a minute to fill in your details in the footer to ensure your document is identifiable. To access the footer, double click on the grey writing “Last name….” at the bottom of the page above. Once you have done that, double click here to come back to this page.

Information about the required line spacing and font size and type is in the Assessment 1 information document in the Assessment 1 folder on NUR250 Learnline. Take a minute to check that this document meets those requirements.

To avoid or minimise problems with formatting, it is recommended you

Use the headings provided
Don’t copy from another document onto this template
Don’t delete the section breaks on the document

Submission of your assignment means you have read and understood the

University policies and procedures related to academic integrity
Assessment 1 presentation guidelines

Start to write your assignment here. Word count is calculated from this point.

Task 1: Understanding nursing problems

Task 2: Care planning

Nursing Care Plan:   Neville

Note: Dot points recommended in care plan.   Click and type in each cell, click enter in a cell to make it longer
A reminder that all information must be referenced

Nursing problem:

Underlying cause or reason: