How would you as the Registered Nurse prioritise and manage this situation? 

Type: Essay

Subject: Contemporary Nursing, mental health, research and evidence based practice

Subject area: Nursing

Education Level: Undergraduate

Length: 5 pages

Referencing style: APA

Preferred English: AU English

Spacing Option: Double

Instructions: In this written assessment, you will formulate a plan of care attributed to a patient scenario using the clinical reasoning cycle as a guide. This will allow you to demonstrate your understanding of associated pathophysiology, pharmacology, development of patient goals, interventions and evaluation of care.

jessica jones is an 18yo female who was previously diagnosed with bulimia nervosa. jessica lives at home with mother, marie. her parents are divorced and her father lives in western australia. she has two older brothers both of whom live overseas, in the uk and usa respectively. jessica decided to defer going to university for a year and currently works for a logistics company as a receptionist. jessica was diagnosed with bulimia when she was 16years old. she was treated with cognitive behavioural therapy and made a good recovery. over the last six months marie, has noticed that jessica has lost weight and there has been a change in jessica’s behaviour including, being secretive around food, becoming more antisocial and withdrawn, eating alone and avoiding other people at meal times, and frequent trips to the bathroom after eating. jessica was reviewed by the gp who referred her to the local hospital with hypokalaemia, hypernatraemia and cardiac arrhythmias. vital signs: low blood pressure, irregular pulse, and feeling dizzy at times for unclear reasons. jessica’s weight and height in ed: 170cm and 40kg. admitted to the cardiac unit for cardiac monitoring and treatment of hypokalaemia (2.5mmol/l) and hypernatraemia (149mmol/l), on background of binge eating, purging and laxative abuse. jessica voiced feelings of regret, guilt, low mood, and shame. jessica was reviewed by the mental health team and scoff questionnaire performed. a plan of care was arranged that included potassium supplements and continuous cardiac monitoring, referral to dietician, fluid balance chart, food chart and supervision at all meal times, bed rest with supervised toilet privileges before meals and 1 hour after meals, and 1:1 nursing. jessica has voiced her anger at these rules and plan of care, and does not wish comply. case study question: how would you as the registered nurse prioritise and manage this situation? in your answer you will need to consider the registered nurse standards for practice (nursing and midwifery board of australia [nmba], 2016), mental health act (2014); recovery focused principles; trauma informed care; strengths based practice; the mental health nursing standards by the australian college of mental health nurse (2013); and the medical treatment planning and decisions act (2016).

Focus: how would you as the registered nurse prioritise and manage this situation? in your answer you will need to consider the registered nurse standards for practice (nursing and midwifery board of australia [nmba], 2016), mental health act (2014); recovery focused principles; trauma informed care; strengths based practice; the mental health nursing standards by the australian college of mental health nurse (2013); and the medical treatment planning and decisions act (2016).

Structure: your case-study essay should be structured as follows: introduction start by setting the context and providing relevant background information. include a statement that is a response to the case-study-essay question, and that summarises the main aim or points of the case-study essay. outline the main ideas to be discussed in the case-study essay, in the order they appear in the body of the essay. body (do not use as a heading) each paragraph should cover a single idea expressed in a topic sentence, followed by supporting evidence and examples from contemporary academic literature, including peer-reviewed journal articles. conclusion: a summary of your appraisal. restate your essay question, and sum up your main points this is an academic assignment; therefore, academic standards inclusive of grammar, sentence structure, paraphrasing and apa 7th edition referencing for both in-text citations and referencing apply. all written assessments must align to the following academic standards: use high-level quality contemporary evidence-based literature to inform the discussion and critical analysis, date of evidence within five years. do not use references over five years unless it was a landmark study or brought about a significant change in practice. legislation i.e. mental health act. 2014 or professional standards/guidelines i.e. registered nurse standards for practice (nursing and midwifery board of australia, 2016), can be used as long as it the most recent. for this assignment a minimum of 8 references should be used. it is about quality of the reference not the quantity. aim for 1 reference per 150 words (standard academic writing), and anytime you are making a statement that requires evidence to support it. write in the third person, do not use personal pronouns; apa 7th edition for in-text citations and reference list; the following structure: an introduction, body and conclusion - do not use "body" as a heading; do not use bullet points or tables in your essay; adherence to the word count; ten percent (10%) allowed either side of word count; a 12 size font in either arial, times new roman or calibri; 1.5 line spacing; and submitted using an ms word document only. the following levels of criteria will be used to grade this assessment task: criterion 1: critical analysis and critical thought (lo 1, 2, 4) - 30% criterion 2: identification of theoretical and practical concepts with establishment of relationships (lo2 1, 2, 4) - 35% criterion 3: language, expression & writing style (lo 4) - 15% criterion 4: use of literature (lo 1, 2, 4) - 10% criterion 5: referencing in-text and reference list (lo 4) - 10%

Required Sources: peer reviewed use high-level quality contemporary evidence-based literature to inform the discussion and critical analysis, date of evidence within five years. do not use references over five years unless it was a landmark study or brought about a significant change in practice. legislation i.e. mental health act. 2014 or professional standards/guidelines i.e. registered nurse standards for practice (nursing and midwifery board of australia, 2016), can be used as long as it the most recent.