NM4153: Ruby Weatherspoon is a 32-year-old patient who has returned to the ward following mastectomy surgery: Person Centred Surgical Nursing Assignment, UOL, Ireland

Scenario:  Ruby Weatherspoon is a 32-year-old patient who has returned to the ward following mastectomy surgery.  Her first post-operative assessment is required on return to the ward.

Domain 1: Professional values and conduct of the nurse competencies

Knowledge and appreciation of the virtues of caring, compassion, integrity, honesty, respect and empathy as a basis for upholding the professional values of nursing and identity as a nurse. Therefore, it is important to Practice safely, compassionately, professionally and responsibly (Use all sub heading below to structure you answer)

Values
Identify and describe 2 values/key words that you associate with good Person Centered Surgical Nursing Practice

Cultural Diversity
How is cultural diversity acknowledged in your practice

Planning, preparation and organisation of the post-operative assessment (g. Administrative/management & Practical issues – list resources and equipment)

Domain 2: Nursing practice and clinical decision-making competences

Knowledge and understanding of the principles of delivering safe and effective nursing care through the adoption of a systematic and problem-solving approach to developing and delivering a person-centred plan of care based on an explicit partnership with the person and his/her primary carer. Therefore, it is important to Assess, Plan, Prioritise, Deliver, Evaluate Person centred nursing care & utilise clinical judgement (use all sub heading below to structure you answer)

Assessment (Observations – General/specific, Airway, Breathing, Cyanosis, Level of consciousness, Pain, Comfort –nausea/positioning)
Vital Signs (e.g. Provide Normal Ranges T, P, RR, BP and SpO2)
Intake/Output (e.g. Fluid balance/IV/blood/nutrition/urinary status)
Nursing Care (e.g. Post-Operative Fasting Regime/Mouth care/skin integrity/Oxygen requirement)
Wound Sites/Dressings (e.g. Surgical site, Detect bleeding, Detect infection, Checking a stoma site)
Presence and patency of drains (e.g. Drains, Skin)
Additional Nursing Assessment & Monitoring that may be required (e.g. Pressure Area Care/Blood glucose/Central venous Pressure/Neurological Response/Neurovascular observation/ Capillary refill)

Domain 3: Knowledge and cognitive competences

Knowledge and understanding of the health continuum, life and behavioural sciences and their applied principles that underpin a competent knowledge base for nursing and healthcare practice. Therefore, it is important to have Knowledge and understanding (use all sub heading below to structure you answer)

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